Medical Billing Salary

Olympia vs Spokane Valley: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Olympia, WA and Spokane Valley, WA. All figures are 2026 estimates projected from BLS 2025 data.

Olympia, WA
$30,610
$14.71/hr
Spokane Valley, WA
$34,326
$16.50/hr

Side-by-Side Comparison

MetricOlympia, WASpokane Valley, WA
Median Salary$30,610$34,326
Hourly Rate$14.71$16.50
Entry Level (P10)$20,563$24,161
25th Percentile$26,854$28,507
75th Percentile$36,711$43,937
Top Earner (P90)$47,826$53,205
Total Employed17021
Side-by-side bar chart comparing Olympia ($30,610) and Spokane Valley ($34,326) medical billing and coding specialist salaries.OlympiaSpokane ValleyMedian Salary$30,610$34,326Entry Level (P10)$20,563$24,161Top Earner (P90)$47,826$53,205US Median $30,349

Verdict

Spokane Valley, WA offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Olympia.

The salary gap between Olympia and Spokane Valley is $3,716 (12.14%). Spokane Valley's median is +13.10% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Olympia spans $27,263,Spokane Valley spans $29,044. Spokane Valley has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Olympia
P10 (Entry)$20,563
P25$26,854
Median$30,610
P75$36,711
P90 (Top)$47,826
Spokane Valley
P10 (Entry)$24,161
P25$28,507
Median$34,326
P75$43,937
P90 (Top)$53,205

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Spokane Valley ($31,961 effective) pays 8.25% more than Olympia ($29,526 effective).

Olympia
Nominal: $30,610
CoL Index: 103.67
Adjusted: $29,526
Spokane Valley
Nominal: $34,326
CoL Index: 107.4
Adjusted: $31,961

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

Which City Is Right for You?

Choose Olympia if…

  • Larger job market (170 employed)
  • You prefer the Washington area and lifestyle

Choose Spokane Valley if…

  • Higher median salary ($34,326/year)
  • Better top-earner potential ($53,205)
  • Better purchasing power (CoL-adjusted: $31,961)
  • You prefer the Washington area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Olympia grew -36.2% from 2021 to 2025, compared to -51.1% growth in Spokane Valley over the same period.

Olympia, WA

+-36.2%

$46,910 (2021) → $29,916 (2025)

Spokane Valley, WA

+-51.1%

$68,548 (2024) → $33,548 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Olympia or Spokane Valley?

Spokane Valley has a higher median medical billing and coding specialist salary at $34,326/year, compared to Olympia at $30,610/year — a difference of $3,716 (12.14%).

What is the hourly rate difference between Olympia and Spokane Valley?

Olympia medical billing and coding specialists earn $14.71/hr while Spokane Valley hygienists earn $16.50/hr (2026 est.).

Should I relocate from Olympia to Spokane Valley as a medical billing and coding specialist?

Consider more than just salary when comparing Olympia and Spokane Valley. Factor in cost of living (CoL-adjusted: Olympia = $29,526, Spokane Valley = $31,961), job availability (170 vs 21 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Olympia vs Spokane Valley?

Entry-level (10th percentile) medical billing and coding specialists earn $20,563 in Olympia and $24,161 in Spokane Valley. The Spokane Valley 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