Medical Billing and Coding Specialist Hourly Pay in Key West, FL: $12.67 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Key West, FL runs $12.67 at the median for 2026 — annualizing to $26,337 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Key West's regional price level (BEA RPP 100.8, 1% above national), each hour of work buys what $12.57 nationally would. A 24-hour part-time schedule grosses $15,809 per year.
Based on BLS state-level estimates · View source

In Key West, the median hourly pay for a medical billing and coding specialist is projected to be $12.67 in 2026, which reflects a notable difference from the national hourly median of $14.59. For part-time workers, typically those employed for three days a week, this equates to roughly $12,000 a year, making it feasible to balance work while accommodating other commitments. Per-diem positions, increasingly common in a predominantly remote industry, allow for flexibility and can yield higher hourly earnings. In this field, entry-level specialists might start at $9.25 an hour, while those at the top of the pay scale can command up to $18.98 per hour. These figures are derived from annual salary estimates and highlight the varying financial trajectories available to individuals in the medical billing and coding sector within this unique locale.
About the Key West Market
Salary estimated from Florida average ($46,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $9.25 | $74.00 |
| Lower Range (P25) | $10.73 | $85.87 |
| Median (P50) | $12.67 | $101.34 |
| Upper Range (P75) | $15.82 | $126.55 |
| Top Earners (P90) | $18.98 | $151.84 |
Estimated Annual Income by Work Schedule in Key West
Based on $12.67/hr median hourly rate · 2026 est.
At $12.67/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Key West, FL can expect to earn approximately $26,348 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $15,201. With a cost-of-living index of 100.80 (above the national average), these earnings may be offset by higher expenses in Key West.
Hourly Rate Calculator
Schedule Comparison in Key West
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $506.69 | $2,196 | $26,348 |
| Part-Time (24 hrs) | $304.01 | $1,317 | $15,809 |
| Per Diem (16 hrs) | $202.68 | $878 | $10,539 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Key West) | $12.67 |
| 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 Key West, FL earn a median of $26,337 per year (2026 est.), which is 13.22% lower than the national median of $30,349 and 1.50% below the Florida state average of $26,738.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $12.67/hr = $15,809/year (purchasing power: $15,683).
Working 40h/week (full-time) = $26,348/year (purchasing power: $26,139).
CoL index: 100.8 (100 = national average).
2021 BLS Actual
$11.30/hr
2025 BLS Actual
$12.38/hr
2026 Current Est.
$12.67/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Key West (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $11.30/hr | Actual |
| 2022 | $11.42/hr | Actual |
| 2023 | $11.81/hr | Actual |
| 2024 | $21.97/hr | Actual |
| 2025 | $12.38/hr | Actual |
| 2026(current) | $12.67/hr | Estimated |
| 2027 | $12.96/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Key West grew 9.6% from $11.30/hr (2021) to $12.38/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $12.96/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 Key West 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 Key West
The earning potential for part-time specialists is further illustrated when considering a 24-hour work week, where someone working as a medical billing and coding specialist can see annual earnings that significantly differ from full-time counterparts. Notably, per diem or 1099 medical coders often adjust their earnings, charging anywhere from $25 to $42 an hour based on experience and specialty. Advanced professionals, such as CCS inpatient coders or those focusing on risk adjustment for Medicare Advantage programs, can demand between $35 and $55 per hour or higher. In Key West, salary variance may also stem from employer categories like hospital coding departments or consulting firms, where some may prioritize benefits like health insurance over higher hourly rates. Those negotiating their pay should consider emphasizing skills in ICD-10-CM and CPT coding, as such expertise is highly valued. Understanding the specific needs of local employers may provide additional leverage for negotiating stronger compensation packages, especially in a tight labor market where remote work is prevalent.
More salary data for Key West, FL:
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 Key West. 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 Key West 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