Medical Billing Salary

Riverside vs San Francisco: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Riverside, CA and San Francisco, CA. All figures are 2026 estimates projected from BLS 2025 data.

Riverside, CA
$34,913
$16.78/hr
San Francisco, CA
$44,153
$21.23/hr

Side-by-Side Comparison

MetricRiverside, CASan Francisco, CA
Median Salary$34,913$44,153
Hourly Rate$16.78$21.23
Entry Level (P10)$25,139$29,388
25th Percentile$28,118$34,344
75th Percentile$45,109$51,500
Top Earner (P90)$55,571$63,779
Total Employed1,3501,880
Side-by-side bar chart comparing Riverside ($34,913) and San Francisco ($44,153) medical billing and coding specialist salaries.RiversideSan FranciscoMedian Salary$34,913$44,153Entry Level (P10)$25,139$29,388Top Earner (P90)$55,571$63,779US Median $30,349

Verdict

San Francisco, CA offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Riverside.

The salary gap between Riverside and San Francisco is $9,240 (26.47%). San Francisco's median is +45.48% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Riverside spans $30,432,San Francisco spans $34,391. San Francisco has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Riverside
P10 (Entry)$25,139
P25$28,118
Median$34,913
P75$45,109
P90 (Top)$55,571
San Francisco
P10 (Entry)$29,388
P25$34,344
Median$44,153
P75$51,500
P90 (Top)$63,779

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($38,190 effective) pays 16.43% more than Riverside ($32,800 effective).

Riverside
Nominal: $34,913
CoL Index: 106.442
Adjusted: $32,800
San Francisco
Nominal: $44,153
CoL Index: 115.613
Adjusted: $38,190

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

Which City Is Right for You?

Choose Riverside if…

  • You prefer the California area and lifestyle

Choose San Francisco if…

  • Higher median salary ($44,153/year)
  • Better top-earner potential ($63,779)
  • Larger job market (1,880 employed)
  • Better purchasing power (CoL-adjusted: $38,190)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Riverside grew -27.4% from 2021 to 2025, compared to -29.8% growth in San Francisco over the same period.

Riverside, CA

+-27.4%

$47,010 (2021) → $34,121 (2025)

San Francisco, CA

+-29.8%

$61,470 (2021) → $43,152 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Riverside or San Francisco?

San Francisco has a higher median medical billing and coding specialist salary at $44,153/year, compared to Riverside at $34,913/year — a difference of $9,240 (26.47%).

What is the hourly rate difference between Riverside and San Francisco?

Riverside medical billing and coding specialists earn $16.78/hr while San Francisco hygienists earn $21.23/hr (2026 est.).

Should I relocate from Riverside to San Francisco as a medical billing and coding specialist?

Consider more than just salary when comparing Riverside and San Francisco. Factor in cost of living (CoL-adjusted: Riverside = $32,800, San Francisco = $38,190), job availability (1,350 vs 1,880 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Riverside vs San Francisco?

Entry-level (10th percentile) medical billing and coding specialists earn $25,139 in Riverside and $29,388 in San Francisco. The San Francisco 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