Medical Billing and Coding Specialist Hourly Pay in Salisbury, NC: $13.28 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Salisbury, NC runs $13.28 at the median for 2026 — annualizing to $27,619 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Salisbury's regional price level (BEA RPP 93.6, 6% below national), each hour of work buys what $14.19 nationally would. A 24-hour part-time schedule grosses $16,575 per year.
Based on BLS state-level estimates · View source

In Salisbury, North Carolina, the projected hourly pay for a medical billing and coding specialist is $13.28, which falls below the national median of $14.59 per hour. This rate is particularly relevant for those considering part-time roles, such as working three days a week. In such schedules, a medical billing and coding specialist typically earns around $1,270 monthly while enjoying the flexibility of part-time hours. The hourly wage range in the area starts at $9.68 for entry-level positions, reaching up to $19.80 for the most experienced professionals. Given the shift in the industry towards remote work, many specialists may find opportunities in home office settings, hospital health information management departments, or third-party coding companies, which often feature competitive hourly rates influenced by experience and specialization.
About the Salisbury Market
Salary estimated from North Carolina average ($46,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $9.68 | $77.44 |
| Lower Range (P25) | $11.20 | $89.63 |
| Median (P50) | $13.28 | $106.25 |
| Upper Range (P75) | $16.28 | $130.23 |
| Top Earners (P90) | $19.80 | $158.39 |
Estimated Annual Income by Work Schedule in Salisbury
Based on $13.28/hr median hourly rate · 2026 est.
At $13.28/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Salisbury, NC can expect to earn approximately $27,625 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $15,937. With a cost-of-living index of 93.60 (below the national average), these earnings stretch further in Salisbury.
Hourly Rate Calculator
Schedule Comparison in Salisbury
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $531.25 | $2,302 | $27,625 |
| Part-Time (24 hrs) | $318.75 | $1,381 | $16,575 |
| Per Diem (16 hrs) | $212.50 | $921 | $11,050 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Salisbury) | $13.28 |
| 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 Salisbury, NC earn a median of $27,619 per year (2026 est.), which is 9.00% lower than the national median of $30,349 and 1.70% below the North Carolina state average of $28,097.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $13.28/hr = $16,575/year (purchasing power: $17,708).
Working 40h/week (full-time) = $27,625/year (purchasing power: $29,514).
CoL index: 93.6 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$11.84/hr
2025 BLS Actual
$12.98/hr
2026 Current Est.
$13.28/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Salisbury (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $11.84/hr | Actual |
| 2022 | $11.97/hr | Actual |
| 2023 | $12.38/hr | Actual |
| 2024 | $20.34/hr | Actual |
| 2025 | $12.98/hr | Actual |
| 2026(current) | $13.28/hr | Estimated |
| 2027 | $13.59/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Salisbury grew 9.6% from $11.84/hr (2021) to $12.98/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $13.59/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 Salisbury 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 Salisbury
For those contemplating a part-time career in medical billing and coding, 24-hour work weeks can yield an annual income significantly less than full-time counterparts, typically leading to around $15,240 yearly. For those looking into per-diem opportunities, rates can be considerably higher, with agency or locum coders billing between $25 and $42 per hour. Highly specialized professionals, such as inpatient CCS coders or CRC risk adjustment specialists, can command rates upwards of $35 to $65 per hour. Hourly earnings in Salisbury vary by employer type; those working for physician group practices or hospitals may see different rates compared to those in consulting firms or coding audit teams for insurance companies. While many specialists weigh the trade-off between lower hourly rates with employer-provided benefits against the flexibility of higher hourly rates without health insurance, negotiation strategies in Salisbury should emphasize local market standards and highlight relevant credentials from AAPC or AHIMA.
More salary data for Salisbury, NC:
Frequently Asked Questions
What is the hourly rate for medical billing and coding specialists in Salisbury in 2026?
How much do part-time medical billing and coding specialists make in Salisbury?
Are medical billing and coding specialists in Salisbury paid hourly or salary?
How much does a full-time medical billing and coding specialist make per year in Salisbury?
Do medical billing and coding specialists earn more per hour working part-time in Salisbury?
Related Pages
Compare Salaries
Career Resources
Nearby Cities in North Carolina
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 Salisbury. 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 Salisbury 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