Medical Billing Salary

Odessa vs San Antonio: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Odessa, TX and San Antonio, TX. All figures are 2026 estimates projected from BLS 2025 data.

Odessa, TX
$29,916
$14.39/hr
San Antonio, TX
$27,364
$13.16/hr

Side-by-Side Comparison

MetricOdessa, TXSan Antonio, TX
Median Salary$29,916$27,364
Hourly Rate$14.39$13.16
Entry Level (P10)$20,830$20,379
25th Percentile$22,564$23,085
75th Percentile$38,693$35,483
Top Earner (P90)$48,663$42,883
Total Employed501,670
Side-by-side bar chart comparing Odessa ($29,916) and San Antonio ($27,364) medical billing and coding specialist salaries.OdessaSan AntonioMedian Salary$29,916$27,364Entry Level (P10)$20,830$20,379Top Earner (P90)$48,663$42,883US Median $30,349

Verdict

Odessa, TX offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to San Antonio.

The salary gap between Odessa and San Antonio is $2,552 (9.33%). Odessa's median is -1.43% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Odessa spans $27,833,San Antonio spans $22,504. Odessa has a wider pay range, meaning more potential for high earners but also more variation.

Odessa
P10 (Entry)$20,830
P25$22,564
Median$29,916
P75$38,693
P90 (Top)$48,663
San Antonio
P10 (Entry)$20,379
P25$23,085
Median$27,364
P75$35,483
P90 (Top)$42,883

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Odessa ($31,861 effective) pays 10.28% more than San Antonio ($28,891 effective).

Odessa
Nominal: $29,916
CoL Index: 93.896
Adjusted: $31,861
San Antonio
Nominal: $27,364
CoL Index: 94.716
Adjusted: $28,891

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

Which City Is Right for You?

Choose Odessa if…

  • Higher median salary ($29,916/year)
  • Better top-earner potential ($48,663)
  • Better purchasing power (CoL-adjusted: $31,861)
  • You prefer the Texas area and lifestyle

Choose San Antonio if…

  • Larger job market (1,670 employed)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Odessa grew -20.8% from 2021 to 2025, compared to -33.6% growth in San Antonio over the same period.

Odessa, TX

+-20.8%

$36,930 (2021) → $29,238 (2025)

San Antonio, TX

+-33.6%

$40,250 (2021) → $26,744 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Odessa or San Antonio?

Odessa has a higher median medical billing and coding specialist salary at $29,916/year, compared to San Antonio at $27,364/year — a difference of $2,552 (9.33%).

What is the hourly rate difference between Odessa and San Antonio?

Odessa medical billing and coding specialists earn $14.39/hr while San Antonio hygienists earn $13.16/hr (2026 est.).

Should I relocate from Odessa to San Antonio as a medical billing and coding specialist?

Consider more than just salary when comparing Odessa and San Antonio. Factor in cost of living (CoL-adjusted: Odessa = $31,861, San Antonio = $28,891), job availability (50 vs 1,670 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Odessa vs San Antonio?

Entry-level (10th percentile) medical billing and coding specialists earn $20,830 in Odessa and $20,379 in San Antonio. The Odessa area offers higher starting salaries.

Related Comparisons

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