Medical Billing Salary

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

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

Seattle, WA
$38,889
$18.70/hr
Olympia, WA
$30,610
$14.71/hr

Side-by-Side Comparison

MetricSeattle, WAOlympia, WA
Median Salary$38,889$30,610
Hourly Rate$18.70$14.71
Entry Level (P10)$28,278$20,563
25th Percentile$31,815$26,854
75th Percentile$48,562$36,711
Top Earner (P90)$59,678$47,826
Total Employed2,830170
Side-by-side bar chart comparing Seattle ($38,889) and Olympia ($30,610) medical billing and coding specialist salaries.SeattleOlympiaMedian Salary$38,889$30,610Entry Level (P10)$28,278$20,563Top Earner (P90)$59,678$47,826US Median $30,349

Verdict

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

The salary gap between Seattle and Olympia is $8,279 (27.05%). Seattle's median is +28.14% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Seattle spans $31,400,Olympia spans $27,263. Seattle has a wider pay range, meaning more potential for high earners but also more variation.

Seattle
P10 (Entry)$28,278
P25$31,815
Median$38,889
P75$48,562
P90 (Top)$59,678
Olympia
P10 (Entry)$20,563
P25$26,854
Median$30,610
P75$36,711
P90 (Top)$47,826

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Seattle ($34,993 effective) pays 18.52% more than Olympia ($29,526 effective).

Seattle
Nominal: $38,889
CoL Index: 111.133
Adjusted: $34,993
Olympia
Nominal: $30,610
CoL Index: 103.67
Adjusted: $29,526

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

Which City Is Right for You?

Choose Seattle if…

  • Higher median salary ($38,889/year)
  • Better top-earner potential ($59,678)
  • Larger job market (2,830 employed)
  • Better purchasing power (CoL-adjusted: $34,993)
  • You prefer the Washington area and lifestyle

Choose Olympia if…

  • 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 Seattle grew -35.7% from 2021 to 2025, compared to -36.2% growth in Olympia over the same period.

Seattle, WA

+-35.7%

$59,120 (2021) → $38,007 (2025)

Olympia, WA

+-36.2%

$46,910 (2021) → $29,916 (2025)

View Full Salary Data

Frequently Asked Questions

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

Seattle has a higher median medical billing and coding specialist salary at $38,889/year, compared to Olympia at $30,610/year — a difference of $8,279 (27.05%).

What is the hourly rate difference between Seattle and Olympia?

Seattle medical billing and coding specialists earn $18.70/hr while Olympia hygienists earn $14.71/hr (2026 est.).

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

Consider more than just salary when comparing Seattle and Olympia. Factor in cost of living (CoL-adjusted: Seattle = $34,993, Olympia = $29,526), job availability (2,830 vs 170 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $28,278 in Seattle and $20,563 in Olympia. The Seattle 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