Medical Billing Salary

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.

$18,756
Median Annual Salary
$9.01/hr
Hourly Rate
$13,932
Entry Level (P10)
$29,072
Top Earners (P90)

Based on BLS state-level estimates · View source

Medical Billing and Coding Specialist Hourly Rate in Rockville, MD — 2026 est., based on 2025 BLS
Rockville, MD medical billing and coding specialist hourly rate overview (2026 est., based on 2025 BLS)

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

PercentileHourly RatePer 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.

Horizontal bars showing a medical billing and coding specialist in Rockville earning $9.01/hr would make approximately $10,817 part-time (24 hr/wk) or $18,750 full-time (40 hr/wk).Part-Time (24 hr/wk)$10,817Reduced (32 hr/wk)$14,423Full-Time (40 hr/wk)$18,750

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.

Annual estimates assume 5052 working weeks per year. Actual earnings vary by employer, overtime, and benefits.

Hourly Rate Calculator

$72.12
per 8hr shift
$360.58
per week
$1,562
per month
$18,750
per year

Schedule Comparison in Rockville

ScheduleWeeklyMonthlyAnnual
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

RoleMedian 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
Horizontal bar chart comparing medical billing and coding specialist median salary in Rockville ($18,756) with Maryland average ($19,237) and the US national median ($30,349).Rockville$18,756Maryland Avg$19,237-2.50%US National$30,349-38.20%

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 (20212027)

2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.

BLS Actual Estimated Projected
Hourly rate trajectory chart for medical billing and coding specialists in Rockville. Baseline $8.04/hr in 2025, projected to $9.22/hr by 2027.$4$11$19$26$3420212022202320242025202620272025 BLS$8.04$8.13$8.40$29.71$8.81$9.01$9.22
YearHourly RateStatus
2021$8.04/hrActual
2022$8.13/hrActual
2023$8.40/hrActual
2024$29.71/hrActual
2025$8.81/hrActual
2026(current)$9.01/hrEstimated
2027$9.22/hrProjected

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 (20212025) are actual BLS OEWS figures for the Rockville metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 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.

Frequently Asked Questions

What is the hourly rate for medical billing and coding specialists in Rockville in 2026?

The estimated 2026 median hourly rate for medical billing and coding specialists in Rockville is $9.01/hour, based on estimated 2026 salary (projected from 2025 BLS data at 2.32% annual growth). Rates range from $6.70 at entry level (10th percentile) to $13.98 for experienced practitioners (90th percentile). This is 38.2% below the national average. Hourly pay varies based on practice type, patient volume, years of experience, and whether the position includes benefits.

How much do part-time medical billing and coding specialists make in Rockville?

A part-time medical billing and coding specialist working 3 days per week (24 hours) in Rockville earns approximately $937/month, or $11,250/year at the median hourly rate of $9.01. Many medical billing and coding specialists prefer part-time schedules for work-life balance, and some work at multiple practices to maximize earnings. Part-time positions may not include benefits like health insurance or retirement contributions, but typically offer higher hourly rates to compensate.

Are medical billing and coding specialists in Rockville paid hourly or salary?

The majority of medical billing and coding specialists in Rockville are paid hourly at a median rate of $9.01/hour. Some full-time positions at larger practices or organizations offer salaried compensation around $18,750/year, often bundled with benefits including health insurance, paid time off, retirement plans, and continuing education allowances. Hourly pay gives flexibility, while salary positions provide income stability.

How much does a full-time medical billing and coding specialist make per year in Rockville?

A full-time medical billing and coding specialist working 40 hours per week (2,080 hours/year) in Rockville earns approximately $18,750/year at the median hourly rate of $9.01. This is 38.2% below the national median. Top earners working full-time can reach $29,072/year at the 90th percentile rate. Overtime and weekend shifts may further increase annual earnings.

Do medical billing and coding specialists earn more per hour working part-time in Rockville?

Part-time and per diem medical billing and coding specialists in Rockville sometimes command higher hourly rates — up to $13.98/hour — because practices need flexible coverage for specific days or peak hours. However, part-time positions typically do not include benefits like health insurance, paid time off, or retirement contributions. When factoring in the value of benefits, full-time salaried positions may offer comparable or better total compensation despite a slightly lower hourly rate.

Related Pages

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AP

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.

Clinically reviewed by Liam Johnson, RHITData verified by Sofia Nguyen, CCS

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).

View estimation methodology

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

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