Medical Billing and Coding Specialist Hourly Pay in Rochester, NH: $8.74 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Rochester, NH runs $8.74 at the median for 2026 — annualizing to $18,180 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Rochester's regional price level (BEA RPP 107.3, 7% above national), each hour of work buys what $8.14 nationally would. A 24-hour part-time schedule grosses $10,905 per year.
Based on BLS state-level estimates · View source
In Rochester, New Hampshire, the medical billing and coding specialist hourly pay is projected to be $8.74 in 2026, considerably lower than the national median of $14.59 per hour. This discrepancy reflects not only the local market's demand but also the cost of living in the area, which is slightly above the national average at 107.3. For part-time professionals working three days a week, this hourly rate translates to an annual income that can be challenging, particularly for those who seek stability through per-diem work settings like home offices, hospital HIM departments, third-party coding companies, and consulting firm client sites. The hourly range spans from $6.80 for entry-level positions to $13.55 for experienced specialists, indicating the potential for growth as coders gain experience and expertise in areas such as ICD-10-CM, CPT, and HCPCS coding.
About the Rochester 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) | $6.80 | $54.43 |
| Lower Range (P25) | $7.69 | $61.56 |
| Median (P50) | $8.74 | $69.91 |
| Upper Range (P75) | $11.01 | $88.08 |
| Top Earners (P90) | $13.55 | $108.38 |
Estimated Annual Income by Work Schedule in Rochester
Based on $8.74/hr median hourly rate · 2026 est.
At $8.74/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Rochester, NH can expect to earn approximately $18,175 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $10,486. With a cost-of-living index of 107.30 (above the national average), these earnings may be offset by higher expenses in Rochester.
Hourly Rate Calculator
Schedule Comparison in Rochester
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $349.53 | $1,515 | $18,175 |
| Part-Time (24 hrs) | $209.72 | $909 | $10,905 |
| Per Diem (16 hrs) | $139.81 | $606 | $7,270 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Rochester) | $8.74 |
| 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 Rochester, NH earn a median of $18,180 per year (2026 est.), which is 40.10% lower than the national median of $30,349 and 3.70% below the New Hampshire state average of $18,879.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $8.74/hr = $10,905/year (purchasing power: $10,163).
Working 40h/week (full-time) = $18,175/year (purchasing power: $16,939).
CoL index: 107.3 (100 = national average).
2021 BLS Actual
$7.79/hr
2025 BLS Actual
$8.54/hr
2026 Current Est.
$8.74/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Rochester (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $7.79/hr | Actual |
| 2022 | $7.88/hr | Actual |
| 2023 | $8.15/hr | Actual |
| 2024 | $26.81/hr | Actual |
| 2025 | $8.54/hr | Actual |
| 2026(current) | $8.74/hr | Estimated |
| 2027 | $8.94/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Rochester grew 9.6% from $7.79/hr (2021) to $8.54/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $8.94/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 Rochester 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 Rochester
The earning potential for part-time medical billing and coding specialists in Rochester reveals a stark contrast when considering full-time opportunities. Working just 24 hours a week, these specialists could take home approximately $20,280 annually, which, while modest, suits some who prefer a flexible work-life balance. On the other hand, per diem rates for medical coders vary significantly; independent or agency coders may charge between $25 to $42 per hour, with specialized inpatient coders earning between $35 and $55 per hour. The compensation depends heavily on the employer type, as physician group practices and outpatient facilities may offer lower hourly wages but solid benefits, while independent contractors might opt for higher hourly rates without benefits. Understanding and evaluating these trade-offs is vital for anyone entering the field. For those in Rochester, negotiating based on local pay norms, skills, and certifications from reliable bodies like AAPC or AHIMA can enhance one’s earning capacity.
More salary data for Rochester, 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 Rochester. 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 Rochester 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