Medical Billing and Coding Specialist Hourly Pay in St. Charles, MO: $14.40 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in St. Charles, MO runs $14.40 at the median for 2026 — annualizing to $29,951 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against St. Charles's regional price level (BEA RPP 89.6, 10% below national), each hour of work buys what $16.07 nationally would. A 24-hour part-time schedule grosses $17,967 per year.
Based on BLS state-level estimates · View source

In St. Charles, Missouri, the median hourly pay for a medical billing and coding specialist stands at $14.40, slightly below the national median of $14.59. This hourly rate signifies that professionals in this field can expect diverse work arrangements, whether in regular full-time roles or part-time positions, such as working three days a week. Part-time work may suit those managing other commitments, while many specialists enjoy working remotely—a trend that surged post-2020—across various settings like hospital HIM departments, physician offices, and remote coding companies. For those at the entry-level, hourly earnings start around $10.39, while seasoned professionals can command rates up to $22.32, reflecting the variability of expertise and setting in St. Charles.
About the St. Charles 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) | $10.39 | $83.08 |
| Lower Range (P25) | $12.11 | $96.92 |
| Median (P50) | $14.40 | $115.17 |
| Upper Range (P75) | $18.07 | $144.56 |
| Top Earners (P90) | $22.32 | $178.53 |
Estimated Annual Income by Work Schedule in St. Charles
Based on $14.40/hr median hourly rate · 2026 est.
At $14.40/hr, a medical billing and coding specialist working full-time (40 hr/wk) in St. Charles, MO can expect to earn approximately $29,945 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $17,276. With a cost-of-living index of 89.60 (below the national average), these earnings stretch further in St. Charles.
Hourly Rate Calculator
Schedule Comparison in St. Charles
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $575.86 | $2,495 | $29,945 |
| Part-Time (24 hrs) | $345.51 | $1,497 | $17,967 |
| Per Diem (16 hrs) | $230.34 | $998 | $11,978 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (St. Charles) | $14.40 |
| 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 St. Charles, MO earn a median of $29,951 per year (2026 est.), which is 1.31% lower than the national median of $30,349 and 1.10% above the Missouri state average of $29,625.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $14.40/hr = $17,967/year (purchasing power: $20,052).
Working 40h/week (full-time) = $29,945/year (purchasing power: $33,420).
CoL index: 89.6 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$12.84/hr
2025 BLS Actual
$14.07/hr
2026 Current Est.
$14.40/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in St. Charles (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $12.84/hr | Actual |
| 2022 | $12.98/hr | Actual |
| 2023 | $13.42/hr | Actual |
| 2024 | $20.04/hr | Actual |
| 2025 | $14.07/hr | Actual |
| 2026(current) | $14.40/hr | Estimated |
| 2027 | $14.73/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in St. Charles grew 9.6% from $12.84/hr (2021) to $14.07/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $14.73/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 St. Charles 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 St. Charles
When considering part-time employment, medical billing and coding specialists averaging 24 hours a week would earn approximately $18,304 annually, a fraction of full-time counterparts but still competitive for those seeking flexibility. On the other hand, per-diem medical billing and coding specialists can see substantial earnings, with typical billing rates ranging between $25 to $42 per hour, and specialists in risk adjustment coding potentially earning even more. Hourly rates can fluctuate significantly depending on employer types. Facilities like physician group practices or third-party coding companies may offer lower rates but provide essential benefits, while those pursuing independent contracting may opt for higher pay without insurance. Negotiating hourly rates in St. Charles requires an understanding of market standards, industry credentialing, and current trends, which can aid specialists in positioning themselves effectively for better compensation.
More salary data for St. Charles, 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 St. Charles. 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 St. Charles 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