Medical Billing and Coding Specialist Hourly Pay in Carlsbad, CA: $17.39 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Carlsbad, CA runs $17.39 at the median for 2026 — annualizing to $36,180 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Carlsbad's regional price level (BEA RPP 113.1, 13% above national), each hour of work buys what $15.38 nationally would. A 24-hour part-time schedule grosses $21,708 per year.
Based on BLS state-level estimates · View source

In Carlsbad, California, the projected median hourly pay for a medical billing and coding specialist is $17.39, considerably higher than the national median of $14.59. This rate suggests a viable income potential for part-time workers, especially those putting in about three days a week, and for per diem professionals commonly found in healthcare settings such as hospitals, private practices, and consulting firms. The hourly pay ranges from $12.78 for entry-level positions up to $26.96 for those in the top ten percent of earners. Given the growing prevalence of remote work since 2020, many specialists appreciate the flexible work environments that include home offices or remote assignments with third-party coding companies, enabling a better work-life balance.
About the Carlsbad Market
Salary estimated from California average ($66,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $12.78 | $102.24 |
| Lower Range (P25) | $14.53 | $116.24 |
| Median (P50) | $17.39 | $139.16 |
| Upper Range (P75) | $22.26 | $178.12 |
| Top Earners (P90) | $26.96 | $215.69 |
Estimated Annual Income by Work Schedule in Carlsbad
Based on $17.39/hr median hourly rate · 2026 est.
At $17.39/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Carlsbad, CA can expect to earn approximately $36,180 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $20,873. With a cost-of-living index of 113.10 (above the national average), these earnings may be offset by higher expenses in Carlsbad.
Hourly Rate Calculator
Schedule Comparison in Carlsbad
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $695.78 | $3,015 | $36,180 |
| Part-Time (24 hrs) | $417.47 | $1,809 | $21,708 |
| Per Diem (16 hrs) | $278.31 | $1,206 | $14,472 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Carlsbad) | $17.39 |
| Medical Assistant (National Avg) | $20.77 |
| Medical Secretary (National Avg) | $20.19 |
| Medical Lab Technician (National Avg) | $28.18 |
| Billing and Posting Clerk (National Avg) | $21.86 |
Medical Billing and Coding Specialists in Carlsbad, CA earn a median of $36,180 per year (2026 est.), which is 19.21% higher than the national median of $30,349 and 3.10% above the California state average of $35,092.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $17.39/hr = $21,708/year (purchasing power: $19,194).
Working 40h/week (full-time) = $36,180/year (purchasing power: $31,990).
CoL index: 113.1 (100 = national average).
2021 BLS Actual
$15.51/hr
2025 BLS Actual
$17.00/hr
2026 Current Est.
$17.39/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Carlsbad (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $15.51/hr | Actual |
| 2022 | $15.68/hr | Actual |
| 2023 | $16.22/hr | Actual |
| 2024 | $35.94/hr | Actual |
| 2025 | $17.00/hr | Actual |
| 2026(current) | $17.39/hr | Estimated |
| 2027 | $17.80/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Carlsbad grew 9.6% from $15.51/hr (2021) to $17.00/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $17.80/hr by 2027. Part-time and per-diem medical billing and coding specialists can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Carlsbad metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.32% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Medical Billing and Coding Specialist in Carlsbad
Analyzing part-time opportunities, a medical billing and coding specialist working a 24-hour week could potentially take home around $20,000 annually, which may attract individuals seeking supplementary income alongside other responsibilities. Per diem medical billing and coding specialist pay in Carlsbad can be especially lucrative, with freelancers often commanding rates between $25 to $42 per hour, while CCS-certified inpatient coders may see rates as high as $55 per hour. Different employer types influence hourly rates significantly; for instance, coding specialists in hospital settings or insurance company audit teams might earn more than those in physician offices. The trade-offs involving benefits also play a significant role; workers often weigh the stability of salaried positions with health insurance against the allure of higher hourly wages without benefits. As a local career advisor, my recommendation would be to approach negotiations knowing your worth while considering both hourly rates and the overall compensation package.
More salary data for Carlsbad, CA:
Frequently Asked Questions
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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.
Methodology & Data Source
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 2.32% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for medical billing and coding specialists in Carlsbad. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Carlsbad is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.32%, derived from historical BLS wage trends for medical billing and coding specialists (SOC 29-2072).
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