Medical Billing and Coding Specialist Hourly Pay in Germantown, MD: $9.31 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Germantown, MD runs $9.31 at the median for 2026 — annualizing to $19,366 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Germantown's regional price level (BEA RPP 109.3, 9% above national), each hour of work buys what $8.52 nationally would. A 24-hour part-time schedule grosses $11,620 per year.
Based on BLS state-level estimates · View source

In Germantown, Maryland, the medical billing and coding specialist hourly pay is projected to be $9.31 in 2026, significantly lower than the national median of $14.59. This disparity may impact part-time workers, especially those who typically work three days a week in various settings such as remote home offices, hospital HIM departments, or third-party coding companies. The hourly wages here range from $6.65 at entry-level positions to $14.43 for top earners. Given the increasing trend of remote work since 2020, opportunities are plentiful, yet the competitive hourly rates reflect the local market dynamics and the cost of living in Germantown, which is above the national average.
About the Germantown Market
Salary estimated from Maryland average ($58,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $6.65 | $53.21 |
| Lower Range (P25) | $7.79 | $62.29 |
| Median (P50) | $9.31 | $74.49 |
| Upper Range (P75) | $11.83 | $94.63 |
| Top Earners (P90) | $14.43 | $115.42 |
Estimated Annual Income by Work Schedule in Germantown
Based on $9.31/hr median hourly rate · 2026 est.
At $9.31/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Germantown, MD can expect to earn approximately $19,367 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $11,173. With a cost-of-living index of 109.30 (above the national average), these earnings may be offset by higher expenses in Germantown.
Hourly Rate Calculator
Schedule Comparison in Germantown
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $372.44 | $1,614 | $19,367 |
| Part-Time (24 hrs) | $223.47 | $968 | $11,620 |
| Per Diem (16 hrs) | $148.98 | $646 | $7,747 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Germantown) | $9.31 |
| 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 Germantown, MD earn a median of $19,366 per year (2026 est.), which is 36.19% lower than the national median of $30,349 and 0.70% above the Maryland state average of $19,231.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $9.31/hr = $11,620/year (purchasing power: $10,632).
Working 40h/week (full-time) = $19,367/year (purchasing power: $17,719).
CoL index: 109.3 (100 = national average).
2021 BLS Actual
$8.30/hr
2025 BLS Actual
$9.10/hr
2026 Current Est.
$9.31/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Germantown (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $8.30/hr | Actual |
| 2022 | $8.40/hr | Actual |
| 2023 | $8.68/hr | Actual |
| 2024 | $30.68/hr | Actual |
| 2025 | $9.10/hr | Actual |
| 2026(current) | $9.31/hr | Estimated |
| 2027 | $9.53/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Germantown grew 9.6% from $8.30/hr (2021) to $9.10/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $9.53/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 Germantown 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 Germantown
Examining the financial aspect of working part-time reveals that a medical billing and coding specialist clocking in 24 hours weekly might expect to earn around $19,366 annually. In contrast, per-diem medical billing and coding specialists tend to earn between $25 and $42 per hour, with more specialized roles seeing rates as high as $40 to $65 per hour. Hourly compensation can significantly vary depending on the employer type, whether it’s a physician group practice, a hospital coding department, or a consulting firm. While higher hourly rates with no benefits are appealing, some specialists opt for lower wages to access health insurance. For those seeking to negotiate their rates, emphasizing their continuous education in coding standards from recognized bodies like AAPC and AHIMA, as well as the growing demand for risk adjustment coding, can strengthen their bargaining position in Germantown.
More salary data for Germantown, MD:
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 Germantown. 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 Germantown 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