Medical Billing Salary

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

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

Spokane, WA
$33,679
$16.20/hr
University Place, WA
$33,947
$16.32/hr

Side-by-Side Comparison

MetricSpokane, WAUniversity Place, WA
Median Salary$33,679$33,947
Hourly Rate$16.20$16.32
Entry Level (P10)$24,029$24,664
25th Percentile$28,124$28,569
75th Percentile$41,678$41,548
Top Earner (P90)$48,693$52,617
Total Employed4206
Side-by-side bar chart comparing Spokane ($33,679) and University Place ($33,947) medical billing and coding specialist salaries.SpokaneUniversity PlaceMedian Salary$33,679$33,947Entry Level (P10)$24,029$24,664Top Earner (P90)$48,693$52,617US Median $30,349

Verdict

University Place, 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 and University Place is $268 (0.80%). University Place's median is +11.86% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Spokane spans $24,664,University Place spans $27,953. University Place has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Spokane
P10 (Entry)$24,029
P25$28,124
Median$33,679
P75$41,678
P90 (Top)$48,693
University Place
P10 (Entry)$24,664
P25$28,569
Median$33,947
P75$41,548
P90 (Top)$52,617

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Spokane ($33,563 effective) pays 6.18% more than University Place ($31,608 effective).

Spokane
Nominal: $33,679
CoL Index: 100.346
Adjusted: $33,563
University Place
Nominal: $33,947
CoL Index: 107.4
Adjusted: $31,608

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

Which City Is Right for You?

Choose Spokane if…

  • Larger job market (420 employed)
  • Better purchasing power (CoL-adjusted: $33,563)
  • You prefer the Washington area and lifestyle

Choose University Place if…

  • Higher median salary ($33,947/year)
  • Better top-earner potential ($52,617)
  • 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 grew -28.8% from 2021 to 2025, compared to -49.2% growth in University Place over the same period.

Spokane, WA

+-28.8%

$46,230 (2021) → $32,915 (2025)

University Place, WA

+-49.2%

$65,301 (2024) → $33,177 (2025)

View Full Salary Data

Frequently Asked Questions

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

University Place has a higher median medical billing and coding specialist salary at $33,947/year, compared to Spokane at $33,679/year — a difference of $268 (0.80%).

What is the hourly rate difference between Spokane and University Place?

Spokane medical billing and coding specialists earn $16.20/hr while University Place hygienists earn $16.32/hr (2026 est.).

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

Consider more than just salary when comparing Spokane and University Place. Factor in cost of living (CoL-adjusted: Spokane = $33,563, University Place = $31,608), job availability (420 vs 6 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $24,029 in Spokane and $24,664 in University Place. The University Place 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