Medical Billing and Coding Specialist Hourly Pay in O'Fallon, IL: $13.88 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in O'Fallon, IL runs $13.88 at the median for 2026 — annualizing to $28,888 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against O'Fallon's regional price level (BEA RPP 97.1, 3% below national), each hour of work buys what $14.30 nationally would. A 24-hour part-time schedule grosses $17,328 per year.
Based on BLS state-level estimates · View source

In O'Fallon, Illinois, the projected median hourly pay for a medical billing and coding specialist in 2026 is $13.88, slightly below the national median of $14.59. This hourly rate provides insight into the earning potential for part-time roles, such as those working three days a week, as well as for per-diem medical coding professionals. Given the variety of work environments—ranging from remote home offices and hospital HIM departments to third-party coding companies—the hourly range in O'Fallon spans from $9.94 for entry-level positions to $21.53 for top earners. These figures illustrate a diverse market where both new entrants and experienced coders can find suitable roles that meet their financial expectations while accommodating flexible work arrangements.
About the O'Fallon Market
Salary estimated from Illinois average ($50,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $9.94 | $79.48 |
| Lower Range (P25) | $11.57 | $92.58 |
| Median (P50) | $13.88 | $111.08 |
| Upper Range (P75) | $17.19 | $137.52 |
| Top Earners (P90) | $21.53 | $172.23 |
Estimated Annual Income by Work Schedule in O'Fallon
Based on $13.88/hr median hourly rate · 2026 est.
At $13.88/hr, a medical billing and coding specialist working full-time (40 hr/wk) in O'Fallon, IL can expect to earn approximately $28,880 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $16,662. With a cost-of-living index of 97.10 (below the national average), these earnings stretch further in O'Fallon.
Hourly Rate Calculator
Schedule Comparison in O'Fallon
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $555.39 | $2,407 | $28,880 |
| Part-Time (24 hrs) | $333.24 | $1,444 | $17,328 |
| Per Diem (16 hrs) | $222.16 | $963 | $11,552 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (O'Fallon) | $13.88 |
| 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 O'Fallon, IL earn a median of $28,888 per year (2026 est.), which is 4.81% lower than the national median of $30,349 and 2.60% below the Illinois state average of $29,659.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $13.88/hr = $17,328/year (purchasing power: $17,846).
Working 40h/week (full-time) = $28,880/year (purchasing power: $29,743).
CoL index: 97.1 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$12.38/hr
2025 BLS Actual
$13.57/hr
2026 Current Est.
$13.88/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in O'Fallon (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $12.38/hr | Actual |
| 2022 | $12.52/hr | Actual |
| 2023 | $12.94/hr | Actual |
| 2024 | $22.74/hr | Actual |
| 2025 | $13.57/hr | Actual |
| 2026(current) | $13.88/hr | Estimated |
| 2027 | $14.21/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in O'Fallon grew 9.6% from $12.38/hr (2021) to $13.57/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $14.21/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 O'Fallon 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 O'Fallon
When analyzing the earning potential for part-time medical billing and coding specialists, those working 24-hour weeks might bring home around $16,000 annually, significantly less than full-time counterparts. For those seeking per-diem or contract work, 1099 medical coders often charge between $25 and $42 per hour, with specialized roles like CCS inpatient coders demanding rates from $35 to $55 per hour. The type of employer can greatly influence hourly pay, with physician group practices typically offering lower rates compared to hospital coding departments and consulting firms that may provide benefits like health insurance. The decision between acceptably lower hourly pay for these benefits versus higher rates without such perks is a common consideration among professionals. For those in O'Fallon negotiating salaries, being informed about both local market rates and national trends is essential for securing the best compensation possible.
More salary data for O'Fallon, IL:
Frequently Asked Questions
What is the hourly rate for medical billing and coding specialists in O'Fallon 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 O'Fallon. 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 O'Fallon 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