Louisville/Jefferson County vs Richmond: Medical Billing and Coding Specialist Salary (2026)
Compare medical billing and coding specialist salaries between Louisville/Jefferson County, KY and Richmond, KY. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Louisville/Jefferson County, KY | Richmond, KY |
|---|---|---|
| Median Salary | $31,726▲ | $26,684 |
| Hourly Rate | $15.26▲ | $12.83 |
| Entry Level (P10) | $22,937▲ | $19,454 |
| 25th Percentile | $24,984▲ | $22,589 |
| 75th Percentile | $43,898▲ | $33,323 |
| Top Earner (P90) | $44,225▲ | $39,957 |
| Total Employed | 1,610▲ | 5 |
Verdict
Louisville/Jefferson County, KY offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Richmond.
The salary gap between Louisville/Jefferson County and Richmond is $5,042 (18.90%). Louisville/Jefferson County's median is +4.54% compared to the US national median of $30,349.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Louisville/Jefferson County spans $21,288,Richmond spans $20,503. Louisville/Jefferson County has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Louisville/Jefferson County ($34,087 effective) pays 14.07% more than Richmond ($29,881 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Louisville/Jefferson County if…
- ✓Higher median salary ($31,726/year)
- ✓Better top-earner potential ($44,225)
- ✓Larger job market (1,610 employed)
- ✓Better purchasing power (CoL-adjusted: $34,087)
- ✓You prefer the Kentucky area and lifestyle
Choose Richmond if…
- ✓You prefer the Kentucky area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Louisville/Jefferson County grew -34.0% from 2021 to 2025, compared to -32.6% growth in Richmond over the same period.
Louisville/Jefferson County, KY
$47,000 (2021) → $31,007 (2025)
Richmond, KY
$38,688 (2024) → $26,079 (2025)
View Full Salary Data
Louisville/Jefferson County, KY
Richmond, KY
Frequently Asked Questions
Which city pays medical billing and coding specialists more: Louisville/Jefferson County or Richmond?
What is the hourly rate difference between Louisville/Jefferson County and Richmond?
Should I relocate from Louisville/Jefferson County to Richmond as a medical billing and coding specialist?
What do entry-level medical billing and coding specialists earn in Louisville/Jefferson County vs Richmond?
Related Comparisons
Written by Amina Patel, CPC
Career Analyst
Amina has 10 years of experience in medical billing. She specializes in outpatient coding for multi-specialty practices.
Methodology & Data Source
All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.32% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.
Data Sources & Methodology
Source: BLS, OEWS , released .
Compiled and verified by Amina Patel, CPC, a licensed medical billing and coding specialist with 10+ years of clinical experience. · View source data at BLS.gov