Medical Billing and Coding Specialist Hourly Pay in Las Vegas, NV: $14.01 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Las Vegas, NV runs $14.01 at the median for 2026 — annualizing to $29,133 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Las Vegas's regional price level (BEA RPP 100.2, 0% above national), each hour of work buys what $13.98 nationally would. A 24-hour part-time schedule grosses $17,481 per year.
Official BLS data · View source

In Las Vegas, the hourly pay for a medical billing and coding specialist is projected to hit a median rate of $14.01 in 2026, which falls slightly below the national median of $14.59. This hourly rate can have a significant impact on those seeking part-time or per-diem work; for example, a specialist working three days a week can expect to earn about $672 bi-weekly before taxes or around $17,472 annually. The jobs in this field are commonly found in settings like hospital health information management (HIM) departments, remote offices, and coding company production floors. The hourly wage can vary widely, ranging from $10.55 for entry-level positions to $23.13 for more experienced professionals, indicating a significant earning potential for those who advance their skills in areas such as risk adjustment coding or billing in specialized settings.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $10.55 | $84.39 |
| Lower Range (P25) | $11.52 | $92.17 |
| Median (P50) | $14.01 | $112.06 |
| Upper Range (P75) | $19.58 | $156.67 |
| Top Earners (P90) | $23.13 | $185.08 |
Estimated Annual Income by Work Schedule in Las Vegas
Based on $14.01/hr median hourly rate · 2026 est.
At $14.01/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Las Vegas, NV can expect to earn approximately $29,136 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $16,809. With a cost-of-living index of 100.22 (above the national average), these earnings may be offset by higher expenses in Las Vegas.
Hourly Rate Calculator
Schedule Comparison in Las Vegas
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $560.30 | $2,428 | $29,136 |
| Part-Time (24 hrs) | $336.18 | $1,457 | $17,481 |
| Per Diem (16 hrs) | $224.12 | $971 | $11,654 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Las Vegas) | $14.01 |
| 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 |
Medical Billing and Coding Specialists in Las Vegas, NV earn a median of $29,133 per year (2026 est.), which is 4.01% lower than the national median of $30,349 and 68.40% above the Nevada state average of $17,300.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $14.01/hr = $17,481/year (purchasing power: $17,444).
Working 40h/week (full-time) = $29,136/year (purchasing power: $29,073).
CoL index: 100.215 (100 = national average).
2021 BLS Actual
$18.05/hr
2025 BLS Actual
$13.69/hr
2026 Current Est.
$14.01/hr
2021–2027 Growth
+-20.6%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Las Vegas (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $18.05/hr | Actual |
| 2022 | $18.26/hr | Actual |
| 2023 | $21.03/hr | Actual |
| 2024 | $33.02/hr | Actual |
| 2025 | $13.69/hr | Actual |
| 2026(current) | $14.01/hr | Estimated |
| 2027 | $14.33/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Las Vegas grew -24.2% from $18.05/hr (2021) to $13.69/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $14.33/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 Las Vegas 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 Las Vegas
Considering part-time schedules, a medical billing and coding specialist working 24 hours a week might take home around $17,472 without a full-time commitment. Conversely, per-diem specialists often command higher rates and can earn between $25 to $42 an hour, especially if they hold certifications like CCS, with inpatient coders earning between $35 and $55 per hour. In this competitive market, the type of employer significantly influences pay—physician practices or ambulatory surgery centers may offer different compensation structures than larger hospital coding departments or consulting firms. While higher hourly rates can be enticing, many specialists also weigh the benefits of full-time positions, such as health insurance, against the flexibility of lower-paying, hourly-per-diem roles. Those in Las Vegas looking to negotiate their pay should highlight their certifications and experience while understanding local market conditions and employer expectations in order to make informed decisions about their career paths.
More salary data for Las Vegas, NV:
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 Las Vegas. 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, 5-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