Medical Billing and Coding Specialist Hourly Pay in Bismarck, ND: $13.33 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Bismarck, ND runs $13.33 at the median for 2026 — annualizing to $27,727 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Bismarck's regional price level (BEA RPP 91.0, 9% below national), each hour of work buys what $14.65 nationally would. A 24-hour part-time schedule grosses $16,639 per year.
Official BLS data · View source
In Bismarck, North Dakota, the medical billing and coding specialist hourly pay is projected to be $13.33 in 2026. This figure reflects a slight decrease compared to the national median hourly rate of $14.59. For part-time workers, especially those engaged in three-day workweeks, this translates to roughly $1,066 monthly before taxes, providing a decent supplemental income but likely insufficient for full financial support. Moreover, many specialists opt for per-diem roles, often gaining flexibility while working from home or in diverse settings such as hospital HIM departments and third-party coding companies. The hourly pay range in Bismarck spans from $11.49 for entry-level positions to about $24.99 for the most experienced professionals, offering opportunities across various clinical environments and catering to different lifestyle needs.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $11.49 | $91.92 |
| Lower Range (P25) | $11.49 | $91.92 |
| Median (P50) | $13.33 | $106.66 |
| Upper Range (P75) | $17.61 | $140.87 |
| Top Earners (P90) | $24.99 | $199.89 |
Estimated Annual Income by Work Schedule in Bismarck
Based on $13.33/hr median hourly rate · 2026 est.
At $13.33/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Bismarck, ND can expect to earn approximately $27,731 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $15,999. With a cost-of-living index of 91.02 (below the national average), these earnings stretch further in Bismarck.
Hourly Rate Calculator
Schedule Comparison in Bismarck
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $533.29 | $2,311 | $27,731 |
| Part-Time (24 hrs) | $319.98 | $1,387 | $16,639 |
| Per Diem (16 hrs) | $213.32 | $924 | $11,092 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Bismarck) | $13.33 |
| 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 Bismarck, ND earn a median of $27,727 per year (2026 est.), which is 8.64% lower than the national median of $30,349 and 71.20% above the North Dakota state average of $16,195.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $13.33/hr = $16,639/year (purchasing power: $18,279).
Working 40h/week (full-time) = $27,731/year (purchasing power: $30,466).
CoL index: 91.024 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$22.73/hr
2025 BLS Actual
$13.03/hr
2026 Current Est.
$13.33/hr
2021–2027 Growth
+-40.0%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Bismarck (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 | $22.87/hr | Actual |
| 2023 | $24.46/hr | Actual |
| 2024 | $28.63/hr | Actual |
| 2025 | $13.03/hr | Actual |
| 2026(current) | $13.33/hr | Estimated |
| 2027 | $13.64/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Bismarck grew -42.7% from $22.73/hr (2021) to $13.03/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $13.64/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 Bismarck 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 Bismarck
Exploring the financial prospects within this profession reveals significant earning potential for those who wish to work part-time or in per-diem positions. A medical billing and coding specialist working three days a week for 24 hours annually could realize a gross income of around $32,000, substantially lower than if employed full-time. On the other hand, per-diem medical billing and coding specialist pay in Bismarck can range markedly higher, with independent contractors billing anywhere from $25 to $42 per hour, and specialized coders like CCS inpatient coders earning $35 to $55 hourly. Job opportunities span various employer types, including physician practices, hospital coding departments, and remote third-party coding firms. However, the decision to pursue higher hourly rates often comes at the cost of benefits such as health insurance. Thus, professionals must weigh the trade-offs between pay and benefits carefully. Negotiating effectively is key—demonstrating your expertise in coding systems like ICD-10-CM and CPT can provide leverage when discussing your value and potential salary with employers in Bismarck, ND.
More salary data for Bismarck, ND:
Frequently Asked Questions
What is the hourly rate for medical billing and coding specialists in Bismarck in 2026?
How much do part-time medical billing and coding specialists make in Bismarck?
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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 Bismarck. 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