Medical Billing Salary

Rockville vs Salisbury: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Rockville, MD and Salisbury, MD. All figures are 2026 estimates projected from BLS 2025 data.

Rockville, MD
$18,756
$9.01/hr
Salisbury, MD
$35,803
$17.22/hr

Side-by-Side Comparison

MetricRockville, MDSalisbury, MD
Median Salary$18,756$35,803
Hourly Rate$9.01$17.22
Entry Level (P10)$13,932$22,694
25th Percentile$15,670$25,364
75th Percentile$23,844$37,281
Top Earner (P90)$29,072$42,949
Total Employed1560
Side-by-side bar chart comparing Rockville ($18,756) and Salisbury ($35,803) medical billing and coding specialist salaries.RockvilleSalisburyMedian Salary$18,756$35,803Entry Level (P10)$13,932$22,694Top Earner (P90)$29,072$42,949US Median $30,349

Verdict

Salisbury, MD offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Rockville.

The salary gap between Rockville and Salisbury is $17,047 (90.89%). Salisbury's median is +17.97% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Rockville spans $15,140,Salisbury spans $20,255. Salisbury has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Rockville
P10 (Entry)$13,932
P25$15,670
Median$18,756
P75$23,844
P90 (Top)$29,072
Salisbury
P10 (Entry)$22,694
P25$25,364
Median$35,803
P75$37,281
P90 (Top)$42,949

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Salisbury ($37,444 effective) pays 118.20% more than Rockville ($17,160 effective).

Rockville
Nominal: $18,756
CoL Index: 109.3
Adjusted: $17,160
Salisbury
Nominal: $35,803
CoL Index: 95.617
Adjusted: $37,444

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

Which City Is Right for You?

Choose Rockville if…

  • You prefer the Maryland area and lifestyle

Choose Salisbury if…

  • Higher median salary ($35,803/year)
  • Better top-earner potential ($42,949)
  • Larger job market (60 employed)
  • Better purchasing power (CoL-adjusted: $37,444)
  • You prefer the Maryland area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Rockville grew -70.3% from 2024 to 2025, compared to -24.7% growth in Salisbury over the same period.

Rockville, MD

+-70.3%

$61,804 (2024) → $18,331 (2025)

Salisbury, MD

+-24.7%

$46,440 (2021) → $34,991 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Rockville or Salisbury?

Salisbury has a higher median medical billing and coding specialist salary at $35,803/year, compared to Rockville at $18,756/year — a difference of $17,047 (90.89%).

What is the hourly rate difference between Rockville and Salisbury?

Rockville medical billing and coding specialists earn $9.01/hr while Salisbury hygienists earn $17.22/hr (2026 est.).

Should I relocate from Rockville to Salisbury as a medical billing and coding specialist?

Consider more than just salary when comparing Rockville and Salisbury. Factor in cost of living (CoL-adjusted: Rockville = $17,160, Salisbury = $37,444), job availability (15 vs 60 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Rockville vs Salisbury?

Entry-level (10th percentile) medical billing and coding specialists earn $13,932 in Rockville and $22,694 in Salisbury. The Salisbury 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