Medical Billing Salary

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

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

Nashua, NH
$30,343
$14.59/hr
Portsmouth, NH
$18,123
$8.72/hr

Side-by-Side Comparison

MetricNashua, NHPortsmouth, NH
Median Salary$30,343$18,123
Hourly Rate$14.59$8.72
Entry Level (P10)$21,195$13,868
25th Percentile$25,007$15,712
75th Percentile$38,229$22,021
Top Earner (P90)$47,031$26,437
Total Employed215
Side-by-side bar chart comparing Nashua ($30,343) and Portsmouth ($18,123) medical billing and coding specialist salaries.NashuaPortsmouthMedian Salary$30,343$18,123Entry Level (P10)$21,195$13,868Top Earner (P90)$47,031$26,437US Median $30,349

Verdict

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

The salary gap between Nashua and Portsmouth is $12,220 (67.43%). 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 Nashua spans $25,836,Portsmouth spans $12,569. Nashua has a wider pay range, meaning more potential for high earners but also more variation.

Nashua
P10 (Entry)$21,195
P25$25,007
Median$30,343
P75$38,229
P90 (Top)$47,031
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, Nashua ($28,279 effective) pays 67.43% more than Portsmouth ($16,890 effective).

Nashua
Nominal: $30,343
CoL Index: 107.3
Adjusted: $28,279
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 Nashua if…

  • Higher median salary ($30,343/year)
  • Better top-earner potential ($47,031)
  • Larger job market (21 employed)
  • Better purchasing power (CoL-adjusted: $28,279)
  • 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 Nashua grew -48.7% from 2024 to 2025, compared to -58.7% growth in Portsmouth over the same period.

Nashua, NH

+-48.7%

$57,769 (2024) → $29,655 (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: Nashua or Portsmouth?

Nashua has a higher median medical billing and coding specialist salary at $30,343/year, compared to Portsmouth at $18,123/year — a difference of $12,220 (67.43%).

What is the hourly rate difference between Nashua and Portsmouth?

Nashua medical billing and coding specialists earn $14.59/hr while Portsmouth hygienists earn $8.72/hr (2026 est.).

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

Consider more than just salary when comparing Nashua and Portsmouth. Factor in cost of living (CoL-adjusted: Nashua = $28,279, Portsmouth = $16,890), job availability (21 vs 5 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $21,195 in Nashua and $13,868 in Portsmouth. The Nashua 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