Medical Billing Salary

Rapid City vs Vermillion: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Rapid City, SD and Vermillion, SD. All figures are 2026 estimates projected from BLS 2025 data.

Rapid City, SD
$30,943
$14.88/hr
Vermillion, SD
$15,087
$7.25/hr

Side-by-Side Comparison

MetricRapid City, SDVermillion, SD
Median Salary$30,943$15,087
Hourly Rate$14.88$7.25
Entry Level (P10)$21,199$11,866
25th Percentile$27,293$13,302
75th Percentile$37,773$18,855
Top Earner (P90)$46,129$22,390
Total Employed1006
Side-by-side bar chart comparing Rapid City ($30,943) and Vermillion ($15,087) medical billing and coding specialist salaries.Rapid CityVermillionMedian Salary$30,943$15,087Entry Level (P10)$21,199$11,866Top Earner (P90)$46,129$22,390US Median $30,349

Verdict

Rapid City, SD offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Vermillion.

The salary gap between Rapid City and Vermillion is $15,856 (105.10%). Rapid City's median is +1.96% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Rapid City spans $24,930,Vermillion spans $10,524. Rapid City has a wider pay range, meaning more potential for high earners but also more variation.

Rapid City
P10 (Entry)$21,199
P25$27,293
Median$30,943
P75$37,773
P90 (Top)$46,129
Vermillion
P10 (Entry)$11,866
P25$13,302
Median$15,087
P75$18,855
P90 (Top)$22,390

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Rapid City ($34,705 effective) pays 113.47% more than Vermillion ($16,258 effective).

Rapid City
Nominal: $30,943
CoL Index: 89.16
Adjusted: $34,705
Vermillion
Nominal: $15,087
CoL Index: 92.8
Adjusted: $16,258

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

Which City Is Right for You?

Choose Rapid City if…

  • Higher median salary ($30,943/year)
  • Better top-earner potential ($46,129)
  • Larger job market (100 employed)
  • Better purchasing power (CoL-adjusted: $34,705)
  • You prefer the South Dakota area and lifestyle

Choose Vermillion if…

  • You prefer the South Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Rapid City grew -35.2% from 2021 to 2025, compared to -60.9% growth in Vermillion over the same period.

Rapid City, SD

+-35.2%

$46,690 (2021) → $30,241 (2025)

Vermillion, SD

+-60.9%

$37,714 (2024) → $14,745 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Rapid City or Vermillion?

Rapid City has a higher median medical billing and coding specialist salary at $30,943/year, compared to Vermillion at $15,087/year — a difference of $15,856 (105.10%).

What is the hourly rate difference between Rapid City and Vermillion?

Rapid City medical billing and coding specialists earn $14.88/hr while Vermillion hygienists earn $7.25/hr (2026 est.).

Should I relocate from Rapid City to Vermillion as a medical billing and coding specialist?

Consider more than just salary when comparing Rapid City and Vermillion. Factor in cost of living (CoL-adjusted: Rapid City = $34,705, Vermillion = $16,258), job availability (100 vs 6 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Rapid City vs Vermillion?

Entry-level (10th percentile) medical billing and coding specialists earn $21,199 in Rapid City and $11,866 in Vermillion. The Rapid City 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