Medical Billing and Coding Specialist Hourly Pay in Lewiston, ID: $13.97 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Lewiston, ID runs $13.97 at the median for 2026 — annualizing to $29,050 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Lewiston's regional price level (BEA RPP 91.2, 9% below national), each hour of work buys what $15.32 nationally would. A 24-hour part-time schedule grosses $17,430 per year.
Official BLS data · View source
For medical billing and coding specialists in Lewiston, ID, the median hourly pay is projected to be $13.97 in 2026, slightly below the national median of $14.59. This pay rate signifies that part-time workers, especially those seeking flexible schedules—such as those working three days a week—can earn a respectable income while balancing other commitments. With the hourly earning range extending from $11.43 for entry-level positions to $22.13 for top earners, individuals in remote-work settings, hospital health information management departments, and coding firms can strategically choose how many hours they wish to commit. Additionally, this data comes from Bureau of Labor Statistics (BLS) projections, emphasizing the importance of understanding regional pay scales in comparison to national figures.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $11.43 | $91.43 |
| Lower Range (P25) | $13.21 | $105.68 |
| Median (P50) | $13.97 | $111.73 |
| Upper Range (P75) | $18.13 | $145.05 |
| Top Earners (P90) | $22.13 | $177.05 |
Estimated Annual Income by Work Schedule in Lewiston
Based on $13.97/hr median hourly rate · 2026 est.
At $13.97/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Lewiston, ID can expect to earn approximately $29,051 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $16,760. With a cost-of-living index of 91.16 (below the national average), these earnings stretch further in Lewiston.
Hourly Rate Calculator
Schedule Comparison in Lewiston
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $558.67 | $2,421 | $29,051 |
| Part-Time (24 hrs) | $335.20 | $1,453 | $17,430 |
| Per Diem (16 hrs) | $223.47 | $968 | $11,620 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Lewiston) | $13.97 |
| 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 Lewiston, ID earn a median of $29,050 per year (2026 est.), which is 4.28% lower than the national median of $30,349 and 0.80% below the Idaho state average of $29,284.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $13.97/hr = $17,430/year (purchasing power: $19,121).
Working 40h/week (full-time) = $29,051/year (purchasing power: $31,868).
CoL index: 91.16 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$18.77/hr
2025 BLS Actual
$13.65/hr
2026 Current Est.
$13.97/hr
2021–2027 Growth
+-23.9%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Lewiston (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $18.77/hr | Actual |
| 2022 | $19.94/hr | Actual |
| 2023 | $20.83/hr | Actual |
| 2024 | $23.41/hr | Actual |
| 2025 | $13.65/hr | Actual |
| 2026(current) | $13.97/hr | Estimated |
| 2027 | $14.29/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Lewiston grew -27.3% from $18.77/hr (2021) to $13.65/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $14.29/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 Lewiston 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 Lewiston
Exploring the earning potential in more detail reveals that part-time medical billing and coding specialists working 24 hours a week can expect to take home significantly less annually compared to their full-time counterparts, typically experiencing a reduction in benefits as well. For those opting for per-diem positions, the pay can be quite lucrative, with agency coders charging between $25 and $42 per hour, while specialized roles like CCS inpatient coders might see rates ranging from $35 to $55. The choice of employer also influences compensation; coding roles in smaller physician practices may offer less than positions at larger hospitals or third-party coding companies. While some may prefer lower hourly wages in exchange for health benefits, others might pursue higher-paying, benefits-free opportunities for greater flexibility. For professionals considering their options, knowing common negotiation strategies is vital, as even small adjustments to hourly rates can lead to significant income changes over time in the context of Lewiston’s job market.
More salary data for Lewiston, ID:
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 Lewiston. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Source: BLS, OEWS, 5-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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