Medical Billing and Coding Specialist Hourly Pay in Rockwall, TX: $12.37 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Rockwall, TX runs $12.37 at the median for 2026 — annualizing to $25,728 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Rockwall's regional price level (BEA RPP 96.0, 4% below national), each hour of work buys what $12.89 nationally would. A 24-hour part-time schedule grosses $15,438 per year.
Based on BLS state-level estimates · View source

In Rockwall, Texas, the medical billing and coding specialist hourly pay is projected to be $12.37 in 2026, which is noticeably lower than the national hourly median of $14.59. This difference highlights the importance of considering remote work options, as many professionals in this field now operate from home offices, a trend that gained momentum post-2020. The hourly wage range in Rockwall stretches from $9.60 at the entry level up to $19.14 for more experienced coders, reflecting various roles across different work settings such as hospital HIM departments, physician practice coding cubicles, and third-party coding production floors. With part-time or per-diem workers typically earning less than full-time employees, understanding the potential earnings can guide career decisions in this dynamic healthcare sector.
About the Rockwall 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) | $9.60 | $76.78 |
| Lower Range (P25) | $10.87 | $86.93 |
| Median (P50) | $12.37 | $98.96 |
| Upper Range (P75) | $15.56 | $124.50 |
| Top Earners (P90) | $19.14 | $153.15 |
Estimated Annual Income by Work Schedule in Rockwall
Based on $12.37/hr median hourly rate · 2026 est.
At $12.37/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Rockwall, TX can expect to earn approximately $25,731 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $14,845. With a cost-of-living index of 96.00 (below the national average), these earnings stretch further in Rockwall.
Hourly Rate Calculator
Schedule Comparison in Rockwall
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $494.82 | $2,144 | $25,731 |
| Part-Time (24 hrs) | $296.89 | $1,287 | $15,438 |
| Per Diem (16 hrs) | $197.93 | $858 | $10,292 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Rockwall) | $12.37 |
| 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 Rockwall, TX earn a median of $25,728 per year (2026 est.), which is 15.23% lower than the national median of $30,349 and 3.90% below the Texas state average of $26,772.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $12.37/hr = $15,438/year (purchasing power: $16,082).
Working 40h/week (full-time) = $25,731/year (purchasing power: $26,803).
CoL index: 96 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$11.03/hr
2025 BLS Actual
$12.09/hr
2026 Current Est.
$12.37/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Rockwall (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $11.03/hr | Actual |
| 2022 | $11.15/hr | Actual |
| 2023 | $11.53/hr | Actual |
| 2024 | $22.18/hr | Actual |
| 2025 | $12.09/hr | Actual |
| 2026(current) | $12.37/hr | Estimated |
| 2027 | $12.66/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Rockwall grew 9.6% from $11.03/hr (2021) to $12.09/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $12.66/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 Rockwall 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 Rockwall
Taking a closer look at part-time work, a medical billing and coding specialist in Rockwall who works three days a week for a total of 24 hours would earn roughly $28,572 annually, which is significantly lower than full-time potential, yet it provides flexibility for personal commitments. Per diem coding specialists, often classified as independent contractors, can command much higher billing rates, typically ranging from $25 to $42 per hour. Specific roles, such as CCS inpatient coders and CRC specialists working with Medicare Advantage plans, can achieve rates between $35 and $65 per hour. It's essential to consider the trade-offs between hourly rates and health benefits offered by full-time positions across various employers, including consulting firms, ambulatory surgery centers, and insurance companies in Rockwall. For those negotiating their hourly rates, emphasizing specific coding credentials from recognized bodies like AAPC or AHIMA can be advantageous in securing a competitive pay rate that aligns with the local market.
More salary data for Rockwall, TX:
Frequently Asked Questions
What is the hourly rate for medical billing and coding specialists in Rockwall in 2026?
How much do part-time medical billing and coding specialists make in Rockwall?
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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 Rockwall. 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 Rockwall 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