Medical Billing and Coding Specialist Hourly Pay in Maryland Heights, MO: $13.99 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Maryland Heights, MO runs $13.99 at the median for 2026 — annualizing to $29,091 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Maryland Heights's regional price level (BEA RPP 89.6, 10% below national), each hour of work buys what $15.61 nationally would. A 24-hour part-time schedule grosses $17,456 per year.
Based on BLS state-level estimates · View source

In Maryland Heights, the medical billing and coding specialist hourly pay is projected to be $13.99 in 2026, which falls slightly below the national median hourly rate of $14.59. This pay scale reflects a range that accommodates entry-level positions starting at $10.18 up to experienced professionals earning around $21.68. For part-time workers, such as those seeking flexible schedules of three days per week, this translates to approximately $1,100 a month before taxes, which can be a viable option for those looking to balance work with personal commitments. Many specialists are finding opportunities in remote settings like home offices, which have become predominant post-2020, but they may also work in various healthcare environments, including hospital HIM departments, physician coding cubicles, or third-party coding companies.
About the Maryland Heights Market
Salary estimated from Missouri average ($46,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $10.18 | $81.45 |
| Lower Range (P25) | $11.80 | $94.38 |
| Median (P50) | $13.99 | $111.90 |
| Upper Range (P75) | $17.13 | $137.03 |
| Top Earners (P90) | $21.68 | $173.45 |
Estimated Annual Income by Work Schedule in Maryland Heights
Based on $13.99/hr median hourly rate · 2026 est.
At $13.99/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Maryland Heights, MO can expect to earn approximately $29,093 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $16,785. With a cost-of-living index of 89.60 (below the national average), these earnings stretch further in Maryland Heights.
Hourly Rate Calculator
Schedule Comparison in Maryland Heights
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $559.49 | $2,424 | $29,093 |
| Part-Time (24 hrs) | $335.69 | $1,455 | $17,456 |
| Per Diem (16 hrs) | $223.79 | $970 | $11,637 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Maryland Heights) | $13.99 |
| 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 Maryland Heights, MO earn a median of $29,091 per year (2026 est.), which is 4.15% lower than the national median of $30,349 and 1.80% below the Missouri state average of $29,624.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $13.99/hr = $17,456/year (purchasing power: $19,482).
Working 40h/week (full-time) = $29,093/year (purchasing power: $32,470).
CoL index: 89.6 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$12.47/hr
2025 BLS Actual
$13.67/hr
2026 Current Est.
$13.99/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Maryland Heights (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $12.47/hr | Actual |
| 2022 | $12.61/hr | Actual |
| 2023 | $13.04/hr | Actual |
| 2024 | $19.46/hr | Actual |
| 2025 | $13.67/hr | Actual |
| 2026(current) | $13.99/hr | Estimated |
| 2027 | $14.31/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Maryland Heights grew 9.6% from $12.47/hr (2021) to $13.67/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $14.31/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 Maryland Heights 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 Maryland Heights
Analyzing the potential for earnings in Maryland Heights reveals a diverse landscape for medical billing and coding specialists. A part-time professional putting in 24 hours each week could take home about $13,200 annually, while full-time specialists working 40 hours a week might earn significantly more. Per-diem medical billing and coding specialists have even higher earning potential, often billing rates between $25 and $42 per hour. In Maryland Heights, pay can vary by employer type; coding positions in physician offices or hospitals may offer different compensation levels compared to remote coding roles with third-party firms. Some specialists opt for positions with lower hourly pay for the security of benefits such as health insurance. For those negotiating pay, it's advisable to carefully consider the trade-offs between higher wages and the associated benefits, which can make a substantial difference in overall job satisfaction and financial security.
More salary data for Maryland Heights, MO:
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 Maryland Heights. 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 Maryland Heights 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