Medical Billing and Coding Specialist Hourly Pay in Billings, MT: $14.32 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Billings, MT runs $14.32 at the median for 2026 — annualizing to $29,785 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Billings's regional price level (BEA RPP 93.5, 6% below national), each hour of work buys what $15.32 nationally would. A 24-hour part-time schedule grosses $17,877 per year.
Official BLS data · View source
In Billings, Montana, the medical billing and coding specialist hourly pay reflects a median rate of $14.32, making it slightly below the national median of $14.59. This rate offers a varied landscape for part-time and per diem roles, especially prevalent in today’s remote work environment. As most positions can be performed from home, many professionals can choose flexible schedules, working three days a week and still earning a respectable living. Entry-level specialists may start around $11.57 per hour, while top earners can reach up to $17.93 per hour. The official Bureau of Labor Statistics (BLS) estimates reveal a solid hourly wage framework, providing potential workers insights into expected earnings based on experience and workplace setting.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $11.57 | $92.58 |
| Lower Range (P25) | $12.54 | $100.36 |
| Median (P50) | $14.32 | $114.60 |
| Upper Range (P75) | $17.08 | $136.62 |
| Top Earners (P90) | $17.93 | $143.41 |
Estimated Annual Income by Work Schedule in Billings
Based on $14.32/hr median hourly rate · 2026 est.
At $14.32/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Billings, MT can expect to earn approximately $29,796 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $17,190. With a cost-of-living index of 93.53 (below the national average), these earnings stretch further in Billings.
Hourly Rate Calculator
Schedule Comparison in Billings
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $572.99 | $2,483 | $29,796 |
| Part-Time (24 hrs) | $343.80 | $1,490 | $17,877 |
| Per Diem (16 hrs) | $229.20 | $993 | $11,918 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Billings) | $14.32 |
| 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 Billings, MT earn a median of $29,785 per year (2026 est.), which is 1.86% lower than the national median of $30,349 and 0.90% below the Montana state average of $30,056.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $14.32/hr = $17,877/year (purchasing power: $19,115).
Working 40h/week (full-time) = $29,796/year (purchasing power: $31,858).
CoL index: 93.526 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$23.11/hr
2025 BLS Actual
$14.00/hr
2026 Current Est.
$14.32/hr
2021–2027 Growth
+-36.6%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Billings (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $23.11/hr | Actual |
| 2022 | $12.92/hr | Actual |
| 2023 | $22.40/hr | Actual |
| 2024 | $23.31/hr | Actual |
| 2025 | $14.00/hr | Actual |
| 2026(current) | $14.32/hr | Estimated |
| 2027 | $14.66/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Billings grew -39.4% from $23.11/hr (2021) to $14.00/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $14.66/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 Billings 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 Billings
For those considering part-time opportunities in Billings, a three-day workweek (24 hours total) could yield a reasonable annual income, significantly lower than full-time counterparts. While part-time specialists earning $14.32 per hour may take home around $7,000 annually, per diem medical billing and coding specialist pay in Billings can significantly differ. Professionals billing at rates of $25 to $42 per hour, particularly in specialized areas of coding like CCS inpatient or CRC risk adjustment, can enjoy higher returns. Additionally, rates may fluctuate based on employer types, with providers offering varying benefits packages. Some specialists accept lower hourly rates for the health insurance benefits provided by full-time roles, creating a complex decision-making process. Those negotiating hourly rates should emphasize their unique skills and experience, especially in growing fields like risk adjustment coding to secure better hourly rates within the Billings market.
More salary data for Billings, MT:
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 Billings. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Source: BLS, OEWS, 4-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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