Medical Billing Salary

Manchester vs Nashua: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Manchester, NH and Nashua, NH. All figures are 2026 estimates projected from BLS 2025 data.

Manchester, NH
$30,130
$14.49/hr
Nashua, NH
$30,343
$14.59/hr

Side-by-Side Comparison

MetricManchester, NHNashua, NH
Median Salary$30,130$30,343
Hourly Rate$14.49$14.59
Entry Level (P10)$23,999$21,195
25th Percentile$27,892$25,007
75th Percentile$37,019$38,229
Top Earner (P90)$39,388$47,031
Total Employed29021
Side-by-side bar chart comparing Manchester ($30,130) and Nashua ($30,343) medical billing and coding specialist salaries.ManchesterNashuaMedian Salary$30,130$30,343Entry Level (P10)$23,999$21,195Top Earner (P90)$39,388$47,031US Median $30,349

Verdict

Nashua, NH offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Manchester.

The salary gap between Manchester and Nashua is $213 (0.71%). Nashua's median is -0.02% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Manchester spans $15,389,Nashua spans $25,836. Nashua has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Manchester
P10 (Entry)$23,999
P25$27,892
Median$30,130
P75$37,019
P90 (Top)$39,388
Nashua
P10 (Entry)$21,195
P25$25,007
Median$30,343
P75$38,229
P90 (Top)$47,031

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Manchester ($28,517 effective) pays 0.84% more than Nashua ($28,279 effective).

Manchester
Nominal: $30,130
CoL Index: 105.657
Adjusted: $28,517
Nashua
Nominal: $30,343
CoL Index: 107.3
Adjusted: $28,279

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Manchester if…

  • Larger job market (290 employed)
  • Better purchasing power (CoL-adjusted: $28,517)
  • You prefer the New Hampshire area and lifestyle

Choose Nashua if…

  • Higher median salary ($30,343/year)
  • Better top-earner potential ($47,031)
  • You prefer the New Hampshire area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Manchester grew -23.9% from 2021 to 2025, compared to -48.7% growth in Nashua over the same period.

Manchester, NH

+-23.9%

$38,700 (2021) → $29,447 (2025)

Nashua, NH

+-48.7%

$57,769 (2024) → $29,655 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Manchester or Nashua?

Nashua has a higher median medical billing and coding specialist salary at $30,343/year, compared to Manchester at $30,130/year — a difference of $213 (0.71%).

What is the hourly rate difference between Manchester and Nashua?

Manchester medical billing and coding specialists earn $14.49/hr while Nashua hygienists earn $14.59/hr (2026 est.).

Should I relocate from Manchester to Nashua as a medical billing and coding specialist?

Consider more than just salary when comparing Manchester and Nashua. Factor in cost of living (CoL-adjusted: Manchester = $28,517, Nashua = $28,279), job availability (290 vs 21 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Manchester vs Nashua?

Entry-level (10th percentile) medical billing and coding specialists earn $23,999 in Manchester and $21,195 in Nashua. The Manchester area offers higher starting salaries.
AP

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.

Clinically reviewed by Liam Johnson, RHITData verified by Sofia Nguyen, CCS

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