Medical Billing and Coding Specialist Hourly Pay in Austin, TX: $13.98 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Austin, TX runs $13.98 at the median for 2026 — annualizing to $29,073 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Austin's regional price level (BEA RPP 98.1, 2% below national), each hour of work buys what $14.25 nationally would. A 24-hour part-time schedule grosses $17,443 per year.
Official BLS data · View source

In Austin, the current medical billing and coding specialist hourly pay stands at $13.98, which is slightly lower than the national hourly median of $14.59. This rate translates to a range from $7.39 for entry-level positions up to $22.75 for those at the top of the pay scale. For specialists working part-time, such as those in remote home offices or in traditional settings like hospitals and clinics, this hourly rate can significantly influence their earnings. For instance, a part-time professional working three days a week can expect a stable income focused on flexibility. This hourly data is sourced from the Bureau of Labor Statistics and provides a crucial perspective on the earning potential within the medical billing and coding landscape.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $7.39 | $59.10 |
| Lower Range (P25) | $11.23 | $89.88 |
| Median (P50) | $13.98 | $111.82 |
| Upper Range (P75) | $18.29 | $146.36 |
| Top Earners (P90) | $22.75 | $181.97 |
Estimated Annual Income by Work Schedule in Austin
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 Austin, TX 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 98.07 (below the national average), these earnings stretch further in Austin.
Hourly Rate Calculator
Schedule Comparison in Austin
| 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 (Austin) | $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 Austin, TX earn a median of $29,073 per year (2026 est.), which is 4.20% lower than the national median of $30,349 and 8.60% above the Texas state average of $26,771.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $13.98/hr = $17,443/year (purchasing power: $17,787).
Working 40h/week (full-time) = $29,072/year (purchasing power: $29,645).
CoL index: 98.066 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$22.22/hr
2025 BLS Actual
$13.66/hr
2026 Current Est.
$13.98/hr
2021–2027 Growth
+-35.6%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Austin (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $22.22/hr | Actual |
| 2022 | $19.09/hr | Actual |
| 2023 | $21.10/hr | Actual |
| 2024 | $22.75/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 Austin grew -38.5% from $22.22/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 Austin 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 Austin
Considering part-time work, a medical billing and coding specialist earning an approximate hourly rate can generate an annual income much lower than their full-time counterparts. When considering per-diem or agency roles, medical coders may bill anywhere between $25 and $42 per hour, with specialties like CCS inpatient coding and CRC risk adjustment potentially earning even more—up to $55 and $65 per hour, respectively. Hourly rates vary depending on employer types in Austin, from physician group practices to consulting firms, impacting both work-life balance and financial stability. While some specialists may opt for lower hourly wages in exchange for valuable benefits like health insurance, others might pursue higher pay without benefits to maximize earnings. Those negotiating their hourly rate should take into account the local market dynamics, emphasize their credentialing through AAPC or AHIMA, and consider the demand for skills in areas like risk adjustment coding, which is on the rise as healthcare evolves.
More salary data for Austin, TX:
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 Austin. 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