Medical Billing Salary

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

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

Manchester, NH
$30,130
$14.49/hr
Portsmouth, NH
$18,123
$8.72/hr

Side-by-Side Comparison

MetricManchester, NHPortsmouth, NH
Median Salary$30,130$18,123
Hourly Rate$14.49$8.72
Entry Level (P10)$23,999$13,868
25th Percentile$27,892$15,712
75th Percentile$37,019$22,021
Top Earner (P90)$39,388$26,437
Total Employed2905
Side-by-side bar chart comparing Manchester ($30,130) and Portsmouth ($18,123) medical billing and coding specialist salaries.ManchesterPortsmouthMedian Salary$30,130$18,123Entry Level (P10)$23,999$13,868Top Earner (P90)$39,388$26,437US Median $30,349

Verdict

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

The salary gap between Manchester and Portsmouth is $12,007 (66.25%). Manchester's median is -0.72% 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,Portsmouth spans $12,569. Manchester has a wider pay range, meaning more potential for high earners but also more variation.

Manchester
P10 (Entry)$23,999
P25$27,892
Median$30,130
P75$37,019
P90 (Top)$39,388
Portsmouth
P10 (Entry)$13,868
P25$15,712
Median$18,123
P75$22,021
P90 (Top)$26,437

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Manchester ($28,517 effective) pays 68.84% more than Portsmouth ($16,890 effective).

Manchester
Nominal: $30,130
CoL Index: 105.657
Adjusted: $28,517
Portsmouth
Nominal: $18,123
CoL Index: 107.3
Adjusted: $16,890

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

Which City Is Right for You?

Choose Manchester if…

  • Higher median salary ($30,130/year)
  • Better top-earner potential ($39,388)
  • Larger job market (290 employed)
  • Better purchasing power (CoL-adjusted: $28,517)
  • You prefer the New Hampshire area and lifestyle

Choose Portsmouth if…

  • 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 -58.7% growth in Portsmouth over the same period.

Manchester, NH

+-23.9%

$38,700 (2021) → $29,447 (2025)

Portsmouth, NH

+-58.7%

$42,930 (2021) → $17,712 (2025)

View Full Salary Data

Frequently Asked Questions

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

Manchester has a higher median medical billing and coding specialist salary at $30,130/year, compared to Portsmouth at $18,123/year — a difference of $12,007 (66.25%).

What is the hourly rate difference between Manchester and Portsmouth?

Manchester medical billing and coding specialists earn $14.49/hr while Portsmouth hygienists earn $8.72/hr (2026 est.).

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

Consider more than just salary when comparing Manchester and Portsmouth. Factor in cost of living (CoL-adjusted: Manchester = $28,517, Portsmouth = $16,890), job availability (290 vs 5 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $23,999 in Manchester and $13,868 in Portsmouth. 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