Medical Billing Salary

Spokane Valley vs Spokane: Medical Billing and Coding Specialist Salary (2026)

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

Spokane Valley, WA
$34,326
$16.50/hr
Spokane, WA
$33,679
$16.20/hr

Side-by-Side Comparison

MetricSpokane Valley, WASpokane, WA
Median Salary$34,326$33,679
Hourly Rate$16.50$16.20
Entry Level (P10)$24,161$24,029
25th Percentile$28,507$28,124
75th Percentile$43,937$41,678
Top Earner (P90)$53,205$48,693
Total Employed21420
Side-by-side bar chart comparing Spokane Valley ($34,326) and Spokane ($33,679) medical billing and coding specialist salaries.Spokane ValleySpokaneMedian Salary$34,326$33,679Entry Level (P10)$24,161$24,029Top Earner (P90)$53,205$48,693US Median $30,349

Verdict

Spokane Valley, WA offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Spokane.

The salary gap between Spokane Valley and Spokane is $647 (1.92%). Spokane Valley's median is +13.10% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Spokane Valley spans $29,044,Spokane spans $24,664. Spokane Valley has a wider pay range, meaning more potential for high earners but also more variation.

Spokane Valley
P10 (Entry)$24,161
P25$28,507
Median$34,326
P75$43,937
P90 (Top)$53,205
Spokane
P10 (Entry)$24,029
P25$28,124
Median$33,679
P75$41,678
P90 (Top)$48,693

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Spokane ($33,563 effective) pays 5.01% more than Spokane Valley ($31,961 effective).

Spokane Valley
Nominal: $34,326
CoL Index: 107.4
Adjusted: $31,961
Spokane
Nominal: $33,679
CoL Index: 100.346
Adjusted: $33,563

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

Which City Is Right for You?

Choose Spokane Valley if…

  • Higher median salary ($34,326/year)
  • Better top-earner potential ($53,205)
  • You prefer the Washington area and lifestyle

Choose Spokane if…

  • Larger job market (420 employed)
  • Better purchasing power (CoL-adjusted: $33,563)
  • 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 Spokane Valley grew -51.1% from 2024 to 2025, compared to -28.8% growth in Spokane over the same period.

Spokane Valley, WA

+-51.1%

$68,548 (2024) → $33,548 (2025)

Spokane, WA

+-28.8%

$46,230 (2021) → $32,915 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Spokane Valley or Spokane?

Spokane Valley has a higher median medical billing and coding specialist salary at $34,326/year, compared to Spokane at $33,679/year — a difference of $647 (1.92%).

What is the hourly rate difference between Spokane Valley and Spokane?

Spokane Valley medical billing and coding specialists earn $16.50/hr while Spokane hygienists earn $16.20/hr (2026 est.).

Should I relocate from Spokane Valley to Spokane as a medical billing and coding specialist?

Consider more than just salary when comparing Spokane Valley and Spokane. Factor in cost of living (CoL-adjusted: Spokane Valley = $31,961, Spokane = $33,563), job availability (21 vs 420 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Spokane Valley vs Spokane?

Entry-level (10th percentile) medical billing and coding specialists earn $24,161 in Spokane Valley and $24,029 in Spokane. The Spokane Valley 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