Medical Billing and Coding Specialist Hourly Pay in Rochester, NY: $13.98 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Rochester, NY runs $13.98 at the median for 2026 — annualizing to $29,085 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 97.0, 3% below national), each hour of work buys what $14.40 nationally would. A 24-hour part-time schedule grosses $17,443 per year.
Official BLS data · View source
In Rochester, New York, the projected hourly pay for a medical billing and coding specialist stands at $13.98, slightly below the national median of $14.59 for 2026. This hourly rate is significant for both part-time and per-diem workers, who often seek flexible employment opportunities in diverse settings such as remote home offices, hospital health information management departments, physician group coding cubicles, and third-party coding company production floors. The hourly range can vary widely, with entry-level positions starting around $11.07, while top earners in the field can make up to $20.01 per hour. As professionals engage with various employers, from medical offices to insurance companies, this data reflects the current dynamics of the medical billing and coding specialist hourly pay in Rochester.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $11.07 | $88.57 |
| Lower Range (P25) | $13.55 | $108.38 |
| Median (P50) | $13.98 | $111.82 |
| Upper Range (P75) | $17.57 | $140.55 |
| Top Earners (P90) | $20.01 | $160.11 |
Estimated Annual Income by Work Schedule in Rochester
Based on $13.98/hr median hourly rate · 2026 est.
At $13.98/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Rochester, NY can expect to earn approximately $29,072 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $16,772. With a cost-of-living index of 97.03 (below the national average), these earnings stretch further in Rochester.
Hourly Rate Calculator
Schedule Comparison in Rochester
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $559.08 | $2,423 | $29,072 |
| Part-Time (24 hrs) | $335.45 | $1,454 | $17,443 |
| Per Diem (16 hrs) | $223.63 | $969 | $11,629 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Rochester) | $13.98 |
| 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, NY earn a median of $29,085 per year (2026 est.), which is 4.16% lower than the national median of $30,349 and 5.00% below the New York state average of $30,616.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $13.98/hr = $17,443/year (purchasing power: $17,976).
Working 40h/week (full-time) = $29,072/year (purchasing power: $29,960).
CoL index: 97.035 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$22.73/hr
2025 BLS Actual
$13.66/hr
2026 Current Est.
$13.98/hr
2021–2027 Growth
+-37.1%
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 | $22.73/hr | Actual |
| 2022 | $23.37/hr | Actual |
| 2023 | $24.41/hr | Actual |
| 2024 | $25.94/hr | Actual |
| 2025 | $13.66/hr | Actual |
| 2026(current) | $13.98/hr | Estimated |
| 2027 | $14.30/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 -39.9% from $22.73/hr (2021) to $13.66/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $14.30/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
For those considering part-time roles, taking a medical billing and coding specialist position three days a week at 24 hours can yield approximately $17,493 annually, significantly different from a full-time worker's earnings. In contrast, per diem medical billing and coding specialists can command higher pay, frequently billing $25 to $42 per hour on a 1099 basis. Coding specialists with certifications, such as CCS for inpatient coding, may see rates ranging from $35 to $55 per hour, tapping into the growing demand for risk adjustment and HCC coding in Medicare Advantage settings. Hourly rates also vary according to the type of employer; while physician group practices might offer lower pay, organizations like third-party coding firms may provide remote work at competitive rates. However, some specialists may opt for a lower hourly wage in exchange for benefits like health insurance. For effective negotiations, medical billing and coding specialists in Rochester should leverage their unique skills and market demand, considering locations or employers that align with their compensation needs.
More salary data for Rochester, NY:
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
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