Medical Billing and Coding Specialist Hourly Pay in Nashua, NH: $14.59 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Nashua, NH runs $14.59 at the median for 2026 — annualizing to $30,343 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Nashua's regional price level (BEA RPP 107.3, 7% above national), each hour of work buys what $13.60 nationally would. A 24-hour part-time schedule grosses $18,209 per year.
Based on BLS state-level estimates · View source
In Nashua, New Hampshire, the medical billing and coding specialist hourly pay stands at a median of $14.59, which aligns with the national hourly median of $14.59 for this role. This wage makes it feasible for those working part-time or per-diem schedules, which are common in various settings like remote home offices, hospital health information management (HIM) departments, and third-party coding firms. Entry-level specialists may start at about $10.19 per hour, while those at the top of their field can earn as much as $22.61 per hour. Given that these hourly rates are derived from annual salary projections, they provide a useful lens through which to evaluate the financial landscape of medical billing and coding positions within Nashua’s healthcare system.
About the Nashua Market
Salary estimated from New Hampshire average ($54,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $10.19 | $81.53 |
| Lower Range (P25) | $12.02 | $96.18 |
| Median (P50) | $14.59 | $116.73 |
| Upper Range (P75) | $18.38 | $147.01 |
| Top Earners (P90) | $22.61 | $180.90 |
Estimated Annual Income by Work Schedule in Nashua
Based on $14.59/hr median hourly rate · 2026 est.
At $14.59/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Nashua, NH can expect to earn approximately $30,349 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $17,509. With a cost-of-living index of 107.30 (above the national average), these earnings may be offset by higher expenses in Nashua.
Hourly Rate Calculator
Schedule Comparison in Nashua
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $583.63 | $2,529 | $30,349 |
| Part-Time (24 hrs) | $350.18 | $1,517 | $18,209 |
| Per Diem (16 hrs) | $233.45 | $1,012 | $12,140 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Nashua) | $14.59 |
| 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 Nashua, NH earn a median of $30,343 per year (2026 est.), which is 0.02% lower than the national median of $30,349 and 60.70% above the New Hampshire state average of $18,882.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $14.59/hr = $18,209/year (purchasing power: $16,971).
Working 40h/week (full-time) = $30,349/year (purchasing power: $28,284).
CoL index: 107.3 (100 = national average).
2021 BLS Actual
$13.01/hr
2025 BLS Actual
$14.26/hr
2026 Current Est.
$14.59/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Nashua (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $13.01/hr | Actual |
| 2022 | $13.16/hr | Actual |
| 2023 | $13.60/hr | Actual |
| 2024 | $27.77/hr | Actual |
| 2025 | $14.26/hr | Actual |
| 2026(current) | $14.59/hr | Estimated |
| 2027 | $14.93/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Nashua grew 9.6% from $13.01/hr (2021) to $14.26/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $14.93/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 Nashua 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 Nashua
Analyzing the financial trajectory for medical billing and coding specialists reveals interesting contrasts between part-time and full-time roles. For instance, a part-time schedule of three days a week could yield approximately $18,674 annually, while full-time positions would generate closer to $30,343 given the same hourly rate of $14.59. The allure of per diem work often leads professionals to higher earnings; 1099 coders can make between $25 to $42 an hour, particularly if specializing in lucrative fields like risk adjustment or serious illness management. Moreover, hourly rates can differ based on the type of employer—whether it’s a physician's group practice or a third-party coding company. Although some specialists may opt for lower pay in exchange for health benefits, others may negotiate higher rates at the cost of job security and consistent income. For those working in Nashua, understanding local compensation trends and negotiating effectively can significantly impact their career satisfaction and economic stability.
More salary data for Nashua, NH:
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 Nashua. 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 Nashua 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