Medical Billing and Coding Specialist Hourly Pay in Lexington, MA: $15.95 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Lexington, MA runs $15.95 at the median for 2026 — annualizing to $33,171 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Lexington's regional price level (BEA RPP 108.5, 9% above national), each hour of work buys what $14.70 nationally would. A 24-hour part-time schedule grosses $19,908 per year.
Based on BLS state-level estimates · View source
In Lexington, Massachusetts, a medical billing and coding specialist earns a median hourly pay of $15.95, reflecting a notable advantage over the national hourly median of $14.59. This hourly rate not only highlights the competitive nature of the job market in the area but also elucidates the potential for part-time and per-diem workers. For those opting for part-time roles, such as a typical three-day workweek, gross income can be adjusted to meet various lifestyle needs. The hourly pay scale ranges significantly, from approximately $12.20 at the lower end to $24.56 for more experienced professionals, providing ample opportunity for growth and advancement in various settings, including remote home offices, hospital health information management departments, and third-party coding firms.
About the Lexington Market
Salary estimated from Massachusetts average ($60,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $12.20 | $97.57 |
| Lower Range (P25) | $13.93 | $111.41 |
| Median (P50) | $15.95 | $127.61 |
| Upper Range (P75) | $19.98 | $159.86 |
| Top Earners (P90) | $24.56 | $196.45 |
Estimated Annual Income by Work Schedule in Lexington
Based on $15.95/hr median hourly rate · 2026 est.
At $15.95/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Lexington, MA can expect to earn approximately $33,180 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $19,142. With a cost-of-living index of 108.50 (above the national average), these earnings may be offset by higher expenses in Lexington.
Hourly Rate Calculator
Schedule Comparison in Lexington
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $638.07 | $2,765 | $33,180 |
| Part-Time (24 hrs) | $382.84 | $1,659 | $19,908 |
| Per Diem (16 hrs) | $255.23 | $1,106 | $13,272 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Lexington) | $15.95 |
| 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 Lexington, MA earn a median of $33,171 per year (2026 est.), which is 9.30% higher than the national median of $30,349 and 4.30% below the Massachusetts state average of $34,662.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $15.95/hr = $19,908/year (purchasing power: $18,348).
Working 40h/week (full-time) = $33,180/year (purchasing power: $30,580).
CoL index: 108.5 (100 = national average).
2021 BLS Actual
$14.22/hr
2025 BLS Actual
$15.59/hr
2026 Current Est.
$15.95/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Lexington (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $14.22/hr | Actual |
| 2022 | $14.38/hr | Actual |
| 2023 | $14.87/hr | Actual |
| 2024 | $29.96/hr | Actual |
| 2025 | $15.59/hr | Actual |
| 2026(current) | $15.95/hr | Estimated |
| 2027 | $16.32/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Lexington grew 9.6% from $14.22/hr (2021) to $15.59/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $16.32/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 Lexington 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 Lexington
Considering the dynamics of part-time work in Lexington, a medical billing and coding specialist working 24 hours a week can anticipate an annual income of around $24,101. In a per-diem capacity, coders can command rates between $25 and $42 per hour, depending on their specialty, such as CCS for inpatient coding or CRC for risk adjustment, with the latter often yielding rates of $40 to $65 per hour. Hourly compensation can vary based on the employer type, including physician group practices, hospital coding departments, and consulting firms. Many professionals face a trade-off between higher hourly pay without benefits and lower rates that include comprehensive health insurance. In negotiations, it's essential for hourly workers to focus on their unique skill sets and adaptability to remote work, as highlighting proficiency in coding standards like ICD-10-CM and CPT can effectively enhance one’s bargaining position within the competitive Lexington market.
More salary data for Lexington, MA:
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 Lexington. 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 Lexington 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