Medical Billing and Coding Specialist Hourly Pay in Rockville, MD: $9.01 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Rockville, MD runs $9.01 at the median for 2026 — annualizing to $18,756 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Rockville's regional price level (BEA RPP 109.3, 9% above national), each hour of work buys what $8.25 nationally would. A 24-hour part-time schedule grosses $11,250 per year.
Based on BLS state-level estimates · View source

In Rockville, Maryland, the projected median hourly pay for a medical billing and coding specialist stands at $9.01. This rate is significantly lower than the national median of $14.59, indicating a regional discrepancy that might influence job choices. For part-time and per-diem roles, which are increasingly common in the evolving workplace, this hourly rate translates into approximately $722 weekly for a 24-hour work schedule spread across three days. The hourly wage for a specialist can vary widely, with entry-level positions starting at around $6.70 per hour and experienced professionals earning up to $13.98 per hour, highlighting the potential for growth in a field where many now work remotely or from hospital coding departments. As the demand for medical billing and coding specialists remains steady, this profession could be an attractive option for candidates seeking flexible work arrangements within Rockville's healthcare landscape.
About the Rockville 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) | $6.70 | $53.62 |
| Lower Range (P25) | $7.53 | $60.25 |
| Median (P50) | $9.01 | $72.12 |
| Upper Range (P75) | $11.46 | $91.68 |
| Top Earners (P90) | $13.98 | $111.82 |
Estimated Annual Income by Work Schedule in Rockville
Based on $9.01/hr median hourly rate · 2026 est.
At $9.01/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Rockville, MD can expect to earn approximately $18,750 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $10,817. With a cost-of-living index of 109.30 (above the national average), these earnings may be offset by higher expenses in Rockville.
Hourly Rate Calculator
Schedule Comparison in Rockville
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $360.58 | $1,562 | $18,750 |
| Part-Time (24 hrs) | $216.35 | $937 | $11,250 |
| Per Diem (16 hrs) | $144.23 | $625 | $7,500 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Rockville) | $9.01 |
| 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 Rockville, MD earn a median of $18,756 per year (2026 est.), which is 38.20% lower than the national median of $30,349 and 2.50% below the Maryland state average of $19,237.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $9.01/hr = $11,250/year (purchasing power: $10,293).
Working 40h/week (full-time) = $18,750/year (purchasing power: $17,155).
CoL index: 109.3 (100 = national average).
2021 BLS Actual
$8.04/hr
2025 BLS Actual
$8.81/hr
2026 Current Est.
$9.01/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Rockville (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $8.04/hr | Actual |
| 2022 | $8.13/hr | Actual |
| 2023 | $8.40/hr | Actual |
| 2024 | $29.71/hr | Actual |
| 2025 | $8.81/hr | Actual |
| 2026(current) | $9.01/hr | Estimated |
| 2027 | $9.22/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Rockville grew 9.6% from $8.04/hr (2021) to $8.81/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $9.22/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 Rockville 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 Rockville
When considering a part-time position as a medical billing and coding specialist in Rockville, the earnings of an individual working a 24-hour week could amount to roughly $18,756 annually, significantly less than the full-time potential. For those exploring per diem medical billing and coding specialist pay in Rockville, the potential earnings are considerably higher. Independent contractors often charge anywhere from $25 to $42 per hour, with specialized roles such as CCS inpatient coders and CRC risk adjustment specialists realizing rates from $35 to $65 per hour. The employer type dramatically impacts hourly pay as well; for instance, specialists in private physician group practices or hospitals may earn lower rates compared to those in third-party coding companies or consulting roles. While full-time positions often come with benefits, the trade-off can leave those opting for higher hourly wages in independent arrangements without health insurance. For individuals engaged in hourly negotiations, emphasizing skills and specialization in coding practices aligned with current healthcare requirements, such as ICD-10-CM and risk adjustment strategies, can strengthen their bargaining position in Rockville’s competitive job market.
More salary data for Rockville, 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 Rockville. 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 Rockville 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