Medical Billing and Coding Specialist Hourly Pay in Fairfax, VA: $13.00 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Fairfax, VA runs $13.00 at the median for 2026 — annualizing to $27,040 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Fairfax's regional price level (BEA RPP 103.2, 3% above national), each hour of work buys what $12.60 nationally would. A 24-hour part-time schedule grosses $16,230 per year.
Based on BLS state-level estimates · View source
Medical billing and coding specialists in Fairfax, Virginia, can expect a median hourly pay of $13.00, which falls below the national median of $14.59. This local pay rate offers unique implications for part-time and per-diem professionals, particularly those who may work three days a week or engage in flexible contracts. These specialists predominantly operate in remote home offices, hospital HIM departments, or third-party coding companies. Starting wages range from $9.79 for entry-level roles to approximately $19.33 for top-tier coders with significant experience, highlighting a diverse pay structure that can be influenced by specific employer settings and individual qualifications. Estimated hourly rates derived from annual data reflect the growing demand for this workforce, especially post-2020, as healthcare systems increasingly adopt remote work paradigms.
About the Fairfax Market
Salary estimated from Virginia average ($52,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $9.79 | $78.34 |
| Lower Range (P25) | $11.18 | $89.47 |
| Median (P50) | $13.00 | $104.04 |
| Upper Range (P75) | $15.99 | $127.94 |
| Top Earners (P90) | $19.33 | $154.63 |
Estimated Annual Income by Work Schedule in Fairfax
Based on $13.00/hr median hourly rate · 2026 est.
At $13.00/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Fairfax, VA can expect to earn approximately $27,050 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $15,606. With a cost-of-living index of 103.20 (above the national average), these earnings may be offset by higher expenses in Fairfax.
Hourly Rate Calculator
Schedule Comparison in Fairfax
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $520.19 | $2,254 | $27,050 |
| Part-Time (24 hrs) | $312.12 | $1,353 | $16,230 |
| Per Diem (16 hrs) | $208.08 | $902 | $10,820 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Fairfax) | $13.00 |
| 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 Fairfax, VA earn a median of $27,040 per year (2026 est.), which is 10.90% lower than the national median of $30,349 and 4.50% below the Virginia state average of $28,314.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $13.00/hr = $16,230/year (purchasing power: $15,727).
Working 40h/week (full-time) = $27,050/year (purchasing power: $26,211).
CoL index: 103.2 (100 = national average).
2021 BLS Actual
$11.60/hr
2025 BLS Actual
$12.71/hr
2026 Current Est.
$13.00/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Fairfax (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $11.60/hr | Actual |
| 2022 | $11.73/hr | Actual |
| 2023 | $12.12/hr | Actual |
| 2024 | $24.63/hr | Actual |
| 2025 | $12.71/hr | Actual |
| 2026(current) | $13.00/hr | Estimated |
| 2027 | $13.31/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Fairfax grew 9.6% from $11.60/hr (2021) to $12.71/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $13.31/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 Fairfax 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 Fairfax
When considering part-time work, a medical billing and coding specialist who operates for 24 hours weekly could take home around $16,000 annually if working at the median rate, substantially less than full-time employees. Alternatively, per-diem medical billing and coding specialists in Fairfax might command higher hourly rates, often ranging from $25 to $42, depending on their experience and the specific roles they assume. In Fairfax, different employer types, such as physician groups, hospitals, third-party coding firms, or consulting companies, have varied pay structures that reflect market needs and resources. Many specialists might opt for jobs with lower hourly wages that offer health benefits, creating a trade-off between immediate earnings and long-term security. To navigate these choices effectively, hourly workers should engage in direct negotiations, leveraging their AAPC or AHIMA certifications to secure better pay and conditions reflective of their expertise and the demands of the healthcare industry.
More salary data for Fairfax, VA:
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 Fairfax. 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 Fairfax 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