Medical Billing and Coding Specialist Hourly Pay in Hagerstown, MD: $14.81 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Hagerstown, MD runs $14.81 at the median for 2026 — annualizing to $30,783 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Hagerstown's regional price level (BEA RPP 94.2, 6% below national), each hour of work buys what $15.72 nationally would. A 24-hour part-time schedule grosses $18,478 per year.
Official BLS data · View source

In Hagerstown, Maryland, the median hourly pay for a medical billing and coding specialist is projected to be $14.81 in 2026, slightly above the national median of $14.59. This competitive rate offers a compelling opportunity for both full-time employees and part-time workers or per-diem specialists in various settings, including remote home offices, hospital health information management (HIM) departments, and coding companies. With an hourly range of $10.47 for entry-level positions up to $23.47 for the top earners, this profession presents a flexible work scenario for those interested in balancing their careers with other commitments. All figures are based on 2025 BLS OEWS data, projected for the coming year.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $10.47 | $83.74 |
| Lower Range (P25) | $11.51 | $92.09 |
| Median (P50) | $14.81 | $118.45 |
| Upper Range (P75) | $18.66 | $149.31 |
| Top Earners (P90) | $23.47 | $187.78 |
Estimated Annual Income by Work Schedule in Hagerstown
Based on $14.81/hr median hourly rate · 2026 est.
At $14.81/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Hagerstown, MD can expect to earn approximately $30,796 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $17,767. With a cost-of-living index of 94.17 (below the national average), these earnings stretch further in Hagerstown.
Hourly Rate Calculator
Schedule Comparison in Hagerstown
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $592.23 | $2,566 | $30,796 |
| Part-Time (24 hrs) | $355.34 | $1,540 | $18,478 |
| Per Diem (16 hrs) | $236.89 | $1,027 | $12,318 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Hagerstown) | $14.81 |
| 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 Hagerstown, MD earn a median of $30,783 per year (2026 est.), which is 1.43% higher than the national median of $30,349 and 60.00% above the Maryland state average of $19,239.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $14.81/hr = $18,478/year (purchasing power: $19,621).
Working 40h/week (full-time) = $30,796/year (purchasing power: $32,702).
CoL index: 94.171 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$22.43/hr
2025 BLS Actual
$14.47/hr
2026 Current Est.
$14.81/hr
2021–2027 Growth
+-32.5%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Hagerstown (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $22.43/hr | Actual |
| 2022 | $20.01/hr | Actual |
| 2023 | $26.03/hr | Actual |
| 2024 | $24.09/hr | Actual |
| 2025 | $14.47/hr | Actual |
| 2026(current) | $14.81/hr | Estimated |
| 2027 | $15.15/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Hagerstown grew -35.5% from $22.43/hr (2021) to $14.47/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $15.15/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 Hagerstown 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 Hagerstown
Part-time medical billing and coding specialists typically working three days a week, around 24 hours, can earn approximately $18,163 annually, considerably lower than their full-time counterparts. For those interested in the per-diem realm, agency and locum opportunities allow for higher billing rates, with specialists often charging between $25 and $42 per hour. The landscape of hourly pay varies greatly depending on the employer type, with physicians' group practices or hospital coding departments offering more stable benefits compared to higher-paying, benefit-free positions in third-party coding companies or consulting firms. When negotiating pay, medical billing and coding specialists in Hagerstown should emphasize their certification status, particularly if they hold credentials from recognized organizations like AAPC or AHIMA. These factors can play a decisive role in securing favorable hourly rates while weighing the trade-off between salary and health insurance or other benefits.
More salary data for Hagerstown, 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 Hagerstown. 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