Medical Billing Salary

Richmond vs Waynesboro: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Richmond, VA and Waynesboro, VA. All figures are 2026 estimates projected from BLS 2025 data.

Richmond, VA
$30,486
$14.66/hr
Waynesboro, VA
$26,908
$12.93/hr

Side-by-Side Comparison

MetricRichmond, VAWaynesboro, VA
Median Salary$30,486$26,908
Hourly Rate$14.66$12.93
Entry Level (P10)$22,801$20,130
25th Percentile$27,750$22,993
75th Percentile$37,447$32,390
Top Earner (P90)$45,162$41,288
Total Employed7404
Side-by-side bar chart comparing Richmond ($30,486) and Waynesboro ($26,908) medical billing and coding specialist salaries.RichmondWaynesboroMedian Salary$30,486$26,908Entry Level (P10)$22,801$20,130Top Earner (P90)$45,162$41,288US Median $30,349

Verdict

Richmond, VA offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Waynesboro.

The salary gap between Richmond and Waynesboro is $3,578 (13.30%). Richmond's median is +0.45% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Richmond spans $22,361,Waynesboro spans $21,158. Richmond has a wider pay range, meaning more potential for high earners but also more variation.

Richmond
P10 (Entry)$22,801
P25$27,750
Median$30,486
P75$37,447
P90 (Top)$45,162
Waynesboro
P10 (Entry)$20,130
P25$22,993
Median$26,908
P75$32,390
P90 (Top)$41,288

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Richmond ($31,153 effective) pays 19.48% more than Waynesboro ($26,074 effective).

Richmond
Nominal: $30,486
CoL Index: 97.858
Adjusted: $31,153
Waynesboro
Nominal: $26,908
CoL Index: 103.2
Adjusted: $26,074

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

Which City Is Right for You?

Choose Richmond if…

  • Higher median salary ($30,486/year)
  • Better top-earner potential ($45,162)
  • Larger job market (740 employed)
  • Better purchasing power (CoL-adjusted: $31,153)
  • You prefer the Virginia area and lifestyle

Choose Waynesboro if…

  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Richmond grew -36.5% from 2021 to 2025, compared to -48.4% growth in Waynesboro over the same period.

Richmond, VA

+-36.5%

$46,910 (2021) → $29,795 (2025)

Waynesboro, VA

+-48.4%

$50,983 (2024) → $26,298 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Richmond or Waynesboro?

Richmond has a higher median medical billing and coding specialist salary at $30,486/year, compared to Waynesboro at $26,908/year — a difference of $3,578 (13.30%).

What is the hourly rate difference between Richmond and Waynesboro?

Richmond medical billing and coding specialists earn $14.66/hr while Waynesboro hygienists earn $12.93/hr (2026 est.).

Should I relocate from Richmond to Waynesboro as a medical billing and coding specialist?

Consider more than just salary when comparing Richmond and Waynesboro. Factor in cost of living (CoL-adjusted: Richmond = $31,153, Waynesboro = $26,074), job availability (740 vs 4 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Richmond vs Waynesboro?

Entry-level (10th percentile) medical billing and coding specialists earn $22,801 in Richmond and $20,130 in Waynesboro. The Richmond 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