Medical Billing and Coding Specialist Hourly Pay in El Paso, TX: $13.66 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in El Paso, TX runs $13.66 at the median for 2026 — annualizing to $28,403 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against El Paso's regional price level (BEA RPP 89.9, 10% below national), each hour of work buys what $15.19 nationally would. A 24-hour part-time schedule grosses $17,047 per year.
Official BLS data · View source

In 2026, the medical billing and coding specialist hourly pay in El Paso, TX, is projected to be $13.66, slightly below the national median of $14.59. This hourly rate can be particularly informative for those considering part-time opportunities; working three days a week (approximately 24 hours) could yield a yearly income that underscores the potential benefits of flexible scheduling in this field. Entry-level positions typically start around $7.66 per hour, while more experienced specialists can earn up to $18.94 hourly. With many professionals working remotely from home offices or in hospital HIM departments, this flexibility can significantly attract workers seeking an ideal work-life balance amid evolving industry demands.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $7.66 | $61.31 |
| Lower Range (P25) | $10.12 | $80.96 |
| Median (P50) | $13.66 | $109.28 |
| Upper Range (P75) | $18.27 | $146.19 |
| Top Earners (P90) | $18.94 | $151.52 |
Estimated Annual Income by Work Schedule in El Paso
Based on $13.66/hr median hourly rate · 2026 est.
At $13.66/hr, a medical billing and coding specialist working full-time (40 hr/wk) in El Paso, TX can expect to earn approximately $28,412 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $16,392. With a cost-of-living index of 89.91 (below the national average), these earnings stretch further in El Paso.
Hourly Rate Calculator
Schedule Comparison in El Paso
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $546.39 | $2,368 | $28,412 |
| Part-Time (24 hrs) | $327.83 | $1,421 | $17,047 |
| Per Diem (16 hrs) | $218.56 | $947 | $11,365 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (El Paso) | $13.66 |
| 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 El Paso, TX earn a median of $28,403 per year (2026 est.), which is 6.41% lower than the national median of $30,349 and 6.10% above the Texas state average of $26,770.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $13.66/hr = $17,047/year (purchasing power: $18,960).
Working 40h/week (full-time) = $28,412/year (purchasing power: $31,600).
CoL index: 89.912 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$18.11/hr
2025 BLS Actual
$13.35/hr
2026 Current Est.
$13.66/hr
2021–2027 Growth
+-22.8%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in El Paso (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $18.11/hr | Actual |
| 2022 | $18.48/hr | Actual |
| 2023 | $19.97/hr | Actual |
| 2024 | $22.11/hr | Actual |
| 2025 | $13.35/hr | Actual |
| 2026(current) | $13.66/hr | Estimated |
| 2027 | $13.98/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in El Paso grew -26.3% from $18.11/hr (2021) to $13.35/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $13.98/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 El Paso 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 El Paso
The part-time earning potential reflects a practical lifestyle choice, allowing individuals to balance work and personal commitments. For example, a medical billing and coding specialist working a reduced schedule might take home a lower annual income than full-time counterparts but still benefit from enhanced flexibility. Per diem medical billing and coding specialists in El Paso can earn significantly more, charging up to $42 per hour for independent contract work. Various employers have distinct pay scales; coding offices in physician groups, for instance, might offer less than third-party coding firms that allow for remote work, while hospitals may provide better benefits at slightly lower hourly wages. Thus, some specialists may opt for lower hourly rates associated with employer-sponsored health insurance, weighing their priorities accordingly. Skills in risk adjustment and the newest coding standards (ICD-10-CM, HCPCS) can bolster negotiating power as demand increases in specialties that work with Medicare Advantage plans.
More salary data for El Paso, TX:
Frequently Asked Questions
What is the hourly rate for medical billing and coding specialists in El Paso in 2026?
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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 El Paso. 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