Medical Billing and Coding Specialist Hourly Pay in Fort Worth, TX: $14.78 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Fort Worth, TX runs $14.78 at the median for 2026 — annualizing to $30,741 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Fort Worth's regional price level (BEA RPP 96.0, 4% below national), each hour of work buys what $15.39 nationally would. A 24-hour part-time schedule grosses $18,439 per year.
Based on BLS state-level estimates · View source
In Fort Worth, the medical billing and coding specialist hourly pay stands at a median of $14.78, which is slightly above the national median of $14.59. This rate reflects the evolving job market, where opportunities are often available in both traditional settings, such as hospital health information management (HIM) departments, and more flexible remote work environments that gained popularity post-2020. For those working part-time, say three days a week (approximately 24 hours), the reality translates to a manageable supplemental income, while per-diem workers find their hourly pay can vary significantly based on their experience and the nature of their assignments. The hourly pay range stretches from $10.65 for entry-level positions to as much as $22.91 for top earners in the profession within Fort Worth, allowing flexibility in earnings based on expertise and employer type.
About the Fort Worth Market
Salary estimated from Texas average ($50,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $10.65 | $85.21 |
| Lower Range (P25) | $12.51 | $100.11 |
| Median (P50) | $14.78 | $118.20 |
| Upper Range (P75) | $18.92 | $151.35 |
| Top Earners (P90) | $22.91 | $183.28 |
Estimated Annual Income by Work Schedule in Fort Worth
Based on $14.78/hr median hourly rate · 2026 est.
At $14.78/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Fort Worth, TX can expect to earn approximately $30,732 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $17,730. With a cost-of-living index of 96.00 (below the national average), these earnings stretch further in Fort Worth.
Hourly Rate Calculator
Schedule Comparison in Fort Worth
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $591.00 | $2,561 | $30,732 |
| Part-Time (24 hrs) | $354.60 | $1,537 | $18,439 |
| Per Diem (16 hrs) | $236.40 | $1,024 | $12,293 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Fort Worth) | $14.78 |
| 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 Fort Worth, TX earn a median of $30,741 per year (2026 est.), which is 1.29% higher than the national median of $30,349 and 14.90% above the Texas state average of $26,755.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $14.78/hr = $18,439/year (purchasing power: $19,208).
Working 40h/week (full-time) = $30,732/year (purchasing power: $32,013).
CoL index: 96 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$13.18/hr
2025 BLS Actual
$14.44/hr
2026 Current Est.
$14.78/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Fort Worth (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $13.18/hr | Actual |
| 2022 | $13.32/hr | Actual |
| 2023 | $13.77/hr | Actual |
| 2024 | $24.76/hr | Actual |
| 2025 | $14.44/hr | Actual |
| 2026(current) | $14.78/hr | Estimated |
| 2027 | $15.12/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Fort Worth grew 9.6% from $13.18/hr (2021) to $14.44/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $15.12/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 Fort Worth 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 Fort Worth
Understanding the financial landscape can empower medical billing and coding specialists to make informed decisions about their careers. A part-time specialist working 24 hours a week would typically earn about $18,701 annually, a substantial figure when combined with other income streams. Meanwhile, per diem medical billing and coding specialist pay in Fort Worth can be more lucrative, with many 1099 coders billing hourly rates between $25 and $42; some specialized positions, such as CCS inpatient coders, may command even higher rates ranging from $35 to $55 per hour. Different employers, whether they are physician group practices or insurance company consulting firms, might offer varying hourly rates based on the services and benefits they provide. This often leads specialists to weigh the balance between lower pay with health insurance benefits versus higher pay without them. For those considering contract work or negotiating their fees, knowing industry standards and maintaining certifications from AAPC or AHIMA could provide the leverage needed to secure competitive pay rates.
More salary data for Fort Worth, 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 Fort Worth. 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 Fort Worth 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