Medical Billing and Coding Specialist Hourly Pay in Vermillion, SD: $7.25 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Vermillion, SD runs $7.25 at the median for 2026 — annualizing to $15,087 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Vermillion's regional price level (BEA RPP 92.8, 7% below national), each hour of work buys what $7.82 nationally would. A 24-hour part-time schedule grosses $9,054 per year.
Based on BLS state-level estimates · View source

In 2026, the medical billing and coding specialist hourly pay in Vermillion is estimated to be $7.25, which is significantly lower than the national median of $14.59. This wage indicates some challenges for part-time workers—those working 24 hours a week might only earn about $9,120 annually, which may not provide a sustainable living. Many specialists are found in a variety of settings including remote home offices, hospital health information management (HIM) departments, or coding offices within physician groups. Typically, hourly pay for these professionals ranges from $5.71 for entry-level positions to $10.76 for those at the top of their field, suggesting that there is potential for growth in this career path, yet the rates remain low compared to national averages.
About the Vermillion 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) | $5.71 | $45.68 |
| Lower Range (P25) | $6.40 | $51.16 |
| Median (P50) | $7.25 | $58.04 |
| Upper Range (P75) | $9.07 | $72.52 |
| Top Earners (P90) | $10.76 | $86.11 |
Estimated Annual Income by Work Schedule in Vermillion
Based on $7.25/hr median hourly rate · 2026 est.
At $7.25/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Vermillion, SD can expect to earn approximately $15,089 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $8,705. With a cost-of-living index of 92.80 (below the national average), these earnings stretch further in Vermillion.
Hourly Rate Calculator
Schedule Comparison in Vermillion
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $290.18 | $1,257 | $15,089 |
| Part-Time (24 hrs) | $174.11 | $754 | $9,054 |
| Per Diem (16 hrs) | $116.07 | $503 | $6,036 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Vermillion) | $7.25 |
| 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 Vermillion, SD earn a median of $15,087 per year (2026 est.), which is 50.29% lower than the national median of $30,349 and 7.60% below the South Dakota state average of $16,328.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $7.25/hr = $9,054/year (purchasing power: $9,756).
Working 40h/week (full-time) = $15,089/year (purchasing power: $16,260).
CoL index: 92.8 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$6.47/hr
2025 BLS Actual
$7.09/hr
2026 Current Est.
$7.25/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Vermillion (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $6.47/hr | Actual |
| 2022 | $6.54/hr | Actual |
| 2023 | $6.76/hr | Actual |
| 2024 | $18.13/hr | Actual |
| 2025 | $7.09/hr | Actual |
| 2026(current) | $7.25/hr | Estimated |
| 2027 | $7.42/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Vermillion grew 9.6% from $6.47/hr (2021) to $7.09/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $7.42/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 Vermillion 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 Vermillion
Earning potential for part-time medical billing and coding specialists in Vermillion emphasizes the reality of a profession often tied to hourly wages. A worker engaged part-time may have to supplement income or seek additional projects due to lower earnings compared to full-time counterparts. Per diem medical billing and coding specialists can really enhance their earnings with hourly rates that vary dramatically; for instance, they often bill anywhere from $25 to $42 per hour, particularly for specialized skills like CCS inpatient coding or risk adjustment coding. In Vermillion, establishments such as physician group practices and third-party coding companies can offer different compensation packages, often with benefits weighing against higher hourly wages. Understanding the market can provide critical insights for negotiation—specialists should come prepared with data about local pay rates and the demand for their skills. Many may opt for slightly lower hourly rates in exchange for health benefits, illustrating a balancing act between immediate pay and overall job security.
More salary data for Vermillion, 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 Vermillion. 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 Vermillion 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