Medical Billing and Coding Specialist Hourly Pay in Fremont, CA: $21.23 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Fremont, CA runs $21.23 at the median for 2026 — annualizing to $44,162 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Fremont's regional price level (BEA RPP 113.1, 13% above national), each hour of work buys what $18.77 nationally would. A 24-hour part-time schedule grosses $26,497 per year.
Based on BLS state-level estimates · View source

In Fremont, California, the medical billing and coding specialist hourly pay stands at $21.23, significantly higher than the national hourly median of $14.59. For those considering part-time or per-diem work, this rate offers substantial earning potential, especially in the context of various popular work environments, such as remote home offices and hospital health information management departments. The hourly wage can vary widely, with entry-level positions starting around $13.91, while experienced professionals can earn up to $32.91. This wage range reflects the growing demand and specialized expertise in medical coding, which has shifted to approximately 80% remote work since 2020.
About the Fremont 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) | $13.91 | $111.24 |
| Lower Range (P25) | $18.15 | $145.21 |
| Median (P50) | $21.23 | $169.85 |
| Upper Range (P75) | $27.18 | $217.41 |
| Top Earners (P90) | $32.91 | $263.25 |
Estimated Annual Income by Work Schedule in Fremont
Based on $21.23/hr median hourly rate · 2026 est.
At $21.23/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Fremont, CA can expect to earn approximately $44,161 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $25,478. With a cost-of-living index of 113.10 (above the national average), these earnings may be offset by higher expenses in Fremont.
Hourly Rate Calculator
Schedule Comparison in Fremont
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $849.26 | $3,680 | $44,161 |
| Part-Time (24 hrs) | $509.55 | $2,208 | $26,497 |
| Per Diem (16 hrs) | $339.70 | $1,472 | $17,665 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Fremont) | $21.23 |
| 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 Fremont, CA earn a median of $44,162 per year (2026 est.), which is 45.51% higher than the national median of $30,349 and 25.90% above the California state average of $35,077.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $21.23/hr = $26,497/year (purchasing power: $23,428).
Working 40h/week (full-time) = $44,161/year (purchasing power: $39,046).
CoL index: 113.1 (100 = national average).
2021 BLS Actual
$18.93/hr
2025 BLS Actual
$20.75/hr
2026 Current Est.
$21.23/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Fremont (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $18.93/hr | Actual |
| 2022 | $19.14/hr | Actual |
| 2023 | $19.79/hr | Actual |
| 2024 | $36.97/hr | Actual |
| 2025 | $20.75/hr | Actual |
| 2026(current) | $21.23/hr | Estimated |
| 2027 | $21.72/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Fremont grew 9.6% from $18.93/hr (2021) to $20.75/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $21.72/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 Fremont 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 Fremont
Examining part-time opportunities, a medical billing and coding specialist working three days a week could see annual earnings that significantly diverge from full-time income. Given the standard 24-hour workweek, a part-time worker would take home around $26,471 annually, contrasting with full-time wages that could exceed $44,162. The per-diem reality paints a different picture altogether, with 1099 coders commonly billing between $25 and $42 per hour, while specialized roles in risk adjustment have the potential to earn from $40 to $65 per hour. Hourly rates often reflect employer types; coding roles in physician practices or hospitals tend to pay lower than those in third-party firms, enticing some to choose higher pay without benefits at consulting firms over positions with comprehensive health insurance. For those refining their hourly rates in Fremont, understanding the delicate balance between pay and benefits can be crucial to achieving financial goals while remaining competitive in this dynamic field.
More salary data for Fremont, CA:
Frequently Asked Questions
What is the hourly rate for medical billing and coding specialists in Fremont in 2026?
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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 Fremont. 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 Fremont 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