Medical Billing and Coding Specialist Hourly Pay in Mitchell, SD: $7.48 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Mitchell, SD runs $7.48 at the median for 2026 — annualizing to $15,549 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Mitchell's regional price level (BEA RPP 92.8, 7% below national), each hour of work buys what $8.06 nationally would. A 24-hour part-time schedule grosses $9,335 per year.
Based on BLS state-level estimates · View source

In Mitchell, South Dakota, the hourly pay for medical billing and coding specialists stands at a median rate of $7.48, significantly lower than the national median of $14.59. This wage reflects the entry-level to experienced range, where entry-level workers could earn as little as $5.63, and top earners may reach up to $11.07 per hour. For those considering part-time roles, typically three days a week, working around 24 hours could yield approximately $9,000 annually at the median rate. With many positions allowing for remote work, candidates often find opportunities in home offices, hospital health information management (HIM) departments, and third-party coding companies, which have surged in prevalence since 2020.
About the Mitchell Market
Salary estimated from South Dakota average ($44,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $5.63 | $45.02 |
| Lower Range (P25) | $6.41 | $51.24 |
| Median (P50) | $7.48 | $59.84 |
| Upper Range (P75) | $9.17 | $73.34 |
| Top Earners (P90) | $11.07 | $88.57 |
Estimated Annual Income by Work Schedule in Mitchell
Based on $7.48/hr median hourly rate · 2026 est.
At $7.48/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Mitchell, SD can expect to earn approximately $15,558 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $8,976. With a cost-of-living index of 92.80 (below the national average), these earnings stretch further in Mitchell.
Hourly Rate Calculator
Schedule Comparison in Mitchell
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $299.18 | $1,296 | $15,558 |
| Part-Time (24 hrs) | $179.51 | $778 | $9,335 |
| Per Diem (16 hrs) | $119.67 | $519 | $6,223 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Mitchell) | $7.48 |
| 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 Mitchell, SD earn a median of $15,549 per year (2026 est.), which is 48.77% lower than the national median of $30,349 and 4.80% below the South Dakota state average of $16,333.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $7.48/hr = $9,335/year (purchasing power: $10,059).
Working 40h/week (full-time) = $15,558/year (purchasing power: $16,765).
CoL index: 92.8 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$6.67/hr
2025 BLS Actual
$7.31/hr
2026 Current Est.
$7.48/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Mitchell (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $6.67/hr | Actual |
| 2022 | $6.74/hr | Actual |
| 2023 | $6.97/hr | Actual |
| 2024 | $18.69/hr | Actual |
| 2025 | $7.31/hr | Actual |
| 2026(current) | $7.48/hr | Estimated |
| 2027 | $7.65/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Mitchell grew 9.6% from $6.67/hr (2021) to $7.31/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $7.65/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 Mitchell 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 Mitchell
Part-time medical billing and coding specialists in Mitchell can expect to take home around $9,000 per year based on a typical 24-hour workweek at the median hourly rate, considerably less than full-time counterparts. Those engaging in per-diem or agency work can command far higher rates, often billing between $25 and $42 hourly for freelance contracts. Specialized roles like CCS inpatient coders and CRC risk adjustment specialists can reach $55 and $65 per hour, making these positions lucrative options. The variance in hourly rates stems from the type of employer, with physician group practices generally offering lower pay compared to third-party coding companies and consulting firms, which often compensate at higher rates but may not include benefits. Medical billing and coding specialists should be prepared to negotiate based on their experience while considering the benefits of health insurance that accompany lower hourly wages.
More salary data for Mitchell, SD:
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 Mitchell. 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 Mitchell 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