Medical Billing and Coding Specialist Hourly Pay in Middletown, DE: $7.95 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Middletown, DE runs $7.95 at the median for 2026 — annualizing to $16,539 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Middletown's regional price level (BEA RPP 101.7, 2% above national), each hour of work buys what $7.82 nationally would. A 24-hour part-time schedule grosses $9,922 per year.
Based on BLS state-level estimates · View source
In Middletown, Delaware, medical billing and coding specialists earn a median hourly pay of $7.95, significantly below the national median of $14.59. This disparity may impact part-time employees who typically work three days a week, limiting their annual earnings while making per-diem roles less attractive compared to other locations. Many professionals in this field find employment in remote home offices, hospital health information management (HIM) departments, or coding production floors associated with third-party companies. The hourly pay ranges from $6.02 for entry-level positions up to $11.81 for the most experienced specialists, reflecting the varied responsibilities they undertake in their settings, whether it be in physician offices or consulting firm client sites.
About the Middletown Market
Salary estimated from Delaware average ($52,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $6.02 | $48.13 |
| Lower Range (P25) | $6.83 | $54.68 |
| Median (P50) | $7.95 | $63.60 |
| Upper Range (P75) | $9.77 | $78.17 |
| Top Earners (P90) | $11.81 | $94.46 |
Estimated Annual Income by Work Schedule in Middletown
Based on $7.95/hr median hourly rate · 2026 est.
At $7.95/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Middletown, DE can expect to earn approximately $16,537 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $9,540. With a cost-of-living index of 101.70 (above the national average), these earnings may be offset by higher expenses in Middletown.
Hourly Rate Calculator
Schedule Comparison in Middletown
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $318.01 | $1,378 | $16,537 |
| Part-Time (24 hrs) | $190.81 | $827 | $9,922 |
| Per Diem (16 hrs) | $127.20 | $551 | $6,615 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Middletown) | $7.95 |
| 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 Middletown, DE earn a median of $16,539 per year (2026 est.), which is 45.50% lower than the national median of $30,349 and 7.60% below the Delaware state average of $17,899.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $7.95/hr = $9,922/year (purchasing power: $9,756).
Working 40h/week (full-time) = $16,537/year (purchasing power: $16,260).
CoL index: 101.7 (100 = national average).
2021 BLS Actual
$7.09/hr
2025 BLS Actual
$7.77/hr
2026 Current Est.
$7.95/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Middletown (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $7.09/hr | Actual |
| 2022 | $7.17/hr | Actual |
| 2023 | $7.41/hr | Actual |
| 2024 | $23.49/hr | Actual |
| 2025 | $7.77/hr | Actual |
| 2026(current) | $7.95/hr | Estimated |
| 2027 | $8.13/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Middletown grew 9.6% from $7.09/hr (2021) to $7.77/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $8.13/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 Middletown 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 Middletown
For those considering part-time work or per-diem positions, a medical coding specialist working 24 hours per week in Middletown might take home significantly less than their full-time counterparts. The allure of flexibility can come with a trade-off in earnings, as per diem medical billing and coding specialists can charge between $25 and $42 per hour depending on credentials and specialty focus. In addition, hourly rates can vary substantially by employer type; professionals employed by physician group practices or hospitals often experience different pay scales compared to those working for third-party companies. Some specialists may opt for positions with lower hourly rates for the sake of associated benefits like health insurance. In negotiations, candidates should tailor their expectations based on their employer’s offering while considering the local market's demands and the growth potential in areas like risk adjustment coding, which has gained attention due to the changes in healthcare policy and coding standards.
More salary data for Middletown, DE:
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 Middletown. 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 Middletown 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