Medical Billing and Coding Specialist Hourly Pay in Little Elm, TX: $12.48 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Little Elm, TX runs $12.48 at the median for 2026 — annualizing to $25,971 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Little Elm's regional price level (BEA RPP 96.0, 4% below national), each hour of work buys what $13.00 nationally would. A 24-hour part-time schedule grosses $15,579 per year.
Based on BLS state-level estimates · View source

In Little Elm, Texas, medical billing and coding specialists earn a median hourly pay of $12.48, which falls below the national median of $14.59. This discrepancy can impact part-time and per-diem workers, who might be seeking flexible schedules in environments such as remote home offices or busy hospital coding departments. Typically, earnings in this field range from $8.85 for entry-level roles to $18.79 for experienced professionals. Given the growing trend towards remote work post-2020, many specialists enjoy the convenience of working from home while managing their work-life balance, relying on such hourly rates to help support their day-to-day costs in a city with a lower-than-average cost of living index.
About the Little Elm 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) | $8.85 | $70.81 |
| Lower Range (P25) | $11.10 | $88.81 |
| Median (P50) | $12.48 | $99.86 |
| Upper Range (P75) | $15.38 | $123.03 |
| Top Earners (P90) | $18.79 | $150.29 |
Estimated Annual Income by Work Schedule in Little Elm
Based on $12.48/hr median hourly rate · 2026 est.
At $12.48/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Little Elm, TX can expect to earn approximately $25,965 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $14,980. With a cost-of-living index of 96.00 (below the national average), these earnings stretch further in Little Elm.
Hourly Rate Calculator
Schedule Comparison in Little Elm
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $499.32 | $2,164 | $25,965 |
| Part-Time (24 hrs) | $299.59 | $1,298 | $15,579 |
| Per Diem (16 hrs) | $199.73 | $865 | $10,386 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Little Elm) | $12.48 |
| 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 Little Elm, TX earn a median of $25,971 per year (2026 est.), which is 14.43% lower than the national median of $30,349 and 3.00% below the Texas state average of $26,774.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $12.48/hr = $15,579/year (purchasing power: $16,228).
Working 40h/week (full-time) = $25,965/year (purchasing power: $27,047).
CoL index: 96 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$11.13/hr
2025 BLS Actual
$12.20/hr
2026 Current Est.
$12.48/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Little Elm (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $11.13/hr | Actual |
| 2022 | $11.26/hr | Actual |
| 2023 | $11.64/hr | Actual |
| 2024 | $22.39/hr | Actual |
| 2025 | $12.20/hr | Actual |
| 2026(current) | $12.48/hr | Estimated |
| 2027 | $12.77/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Little Elm grew 9.6% from $11.13/hr (2021) to $12.20/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $12.77/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 Little Elm 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 Little Elm
When analyzing potential earnings for a part-time medical billing and coding specialist working three days a week, the annual take-home pay can be quite significant, even if it doesn't compare to full-time salaries. Per-diem medical billing and coding specialists often charge rates that vary substantially: some may bill anywhere from $25 to $42 per hour, while those with more advanced certifications, like CCS or CRC, could command rates upwards of $55 per hour. In Little Elm, rates can also vary depending on the employer; hospitals, third-party coding companies, and physician practices offer different compensation structures. While some professionals might opt for lower hourly pay to secure health benefits in a traditional employment setting, others might find the flexibility of higher pay through per-diem work appealing. It's advisable for hourly workers to strategically negotiate during hiring processes, especially considering the growth in high-demand specializations such as risk adjustment and HCC coding, to ensure their compensation reflects their skills and market value.
More salary data for Little Elm, TX:
Frequently Asked Questions
What is the hourly rate for medical billing and coding specialists in Little Elm 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 Little Elm. 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 Little Elm 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