Medical Billing Salary

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

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

Nashua, NH
$30,343
$14.59/hr
Salem, NH
$18,431
$8.86/hr

Side-by-Side Comparison

MetricNashua, NHSalem, NH
Median Salary$30,343$18,431
Hourly Rate$14.59$8.86
Entry Level (P10)$21,195$13,221
25th Percentile$25,007$15,403
75th Percentile$38,229$22,834
Top Earner (P90)$47,031$27,881
Total Employed218
Side-by-side bar chart comparing Nashua ($30,343) and Salem ($18,431) medical billing and coding specialist salaries.NashuaSalemMedian Salary$30,343$18,431Entry Level (P10)$21,195$13,221Top Earner (P90)$47,031$27,881US Median $30,349

Verdict

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

The salary gap between Nashua and Salem is $11,912 (64.63%). 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,Salem spans $14,660. 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
Salem
P10 (Entry)$13,221
P25$15,403
Median$18,431
P75$22,834
P90 (Top)$27,881

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Nashua ($28,279 effective) pays 64.63% more than Salem ($17,177 effective).

Nashua
Nominal: $30,343
CoL Index: 107.3
Adjusted: $28,279
Salem
Nominal: $18,431
CoL Index: 107.3
Adjusted: $17,177

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 Salem 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 -68.1% growth in Salem over the same period.

Nashua, NH

+-48.7%

$57,769 (2024) → $29,655 (2025)

Salem, NH

+-68.1%

$56,543 (2024) → $18,013 (2025)

View Full Salary Data

Frequently Asked Questions

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

Nashua has a higher median medical billing and coding specialist salary at $30,343/year, compared to Salem at $18,431/year — a difference of $11,912 (64.63%).

What is the hourly rate difference between Nashua and Salem?

Nashua medical billing and coding specialists earn $14.59/hr while Salem hygienists earn $8.86/hr (2026 est.).

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

Consider more than just salary when comparing Nashua and Salem. Factor in cost of living (CoL-adjusted: Nashua = $28,279, Salem = $17,177), job availability (21 vs 8 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $21,195 in Nashua and $13,221 in Salem. 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