Medical Billing and Coding Specialist Hourly Pay in Fredericksburg, VA: $13.26 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Fredericksburg, VA runs $13.26 at the median for 2026 — annualizing to $27,573 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Fredericksburg's regional price level (BEA RPP 103.2, 3% above national), each hour of work buys what $12.85 nationally would. A 24-hour part-time schedule grosses $16,549 per year.
Based on BLS state-level estimates · View source
In Fredericksburg, the hourly pay for a medical billing and coding specialist is projected to be $13.26 in 2026, which is slightly lower than the national median of $14.59. For part-time workers operating three days a week, or those in per-diem roles, this translates into a steady yet modest income, reflecting the common environments these professionals work in, such as remote home offices, hospitals, physician offices, and third-party coding companies. The hourly wage varies significantly, with entry-level positions starting around $9.47 an hour while experienced specialists can earn up to $20.55. These estimates are based on annual salary data, allowing prospective coders to gauge what they might expect in terms of compensation and lifestyle in Fredericksburg.
About the Fredericksburg 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) | $9.47 | $75.80 |
| Lower Range (P25) | $11.85 | $94.79 |
| Median (P50) | $13.26 | $106.09 |
| Upper Range (P75) | $16.87 | $134.98 |
| Top Earners (P90) | $20.55 | $164.37 |
Estimated Annual Income by Work Schedule in Fredericksburg
Based on $13.26/hr median hourly rate · 2026 est.
At $13.26/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Fredericksburg, VA can expect to earn approximately $27,582 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $15,913. With a cost-of-living index of 103.20 (above the national average), these earnings may be offset by higher expenses in Fredericksburg.
Hourly Rate Calculator
Schedule Comparison in Fredericksburg
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $530.43 | $2,299 | $27,582 |
| Part-Time (24 hrs) | $318.26 | $1,379 | $16,549 |
| Per Diem (16 hrs) | $212.17 | $919 | $11,033 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Fredericksburg) | $13.26 |
| 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 Fredericksburg, VA earn a median of $27,573 per year (2026 est.), which is 9.15% lower than the national median of $30,349 and 2.60% below the Virginia state average of $28,309.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $13.26/hr = $16,549/year (purchasing power: $16,036).
Working 40h/week (full-time) = $27,582/year (purchasing power: $26,727).
CoL index: 103.2 (100 = national average).
2021 BLS Actual
$11.82/hr
2025 BLS Actual
$12.96/hr
2026 Current Est.
$13.26/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Fredericksburg (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $11.82/hr | Actual |
| 2022 | $11.96/hr | Actual |
| 2023 | $12.36/hr | Actual |
| 2024 | $25.12/hr | Actual |
| 2025 | $12.96/hr | Actual |
| 2026(current) | $13.26/hr | Estimated |
| 2027 | $13.57/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Fredericksburg grew 9.6% from $11.82/hr (2021) to $12.96/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $13.57/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 Fredericksburg 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 Fredericksburg
Working part-time, a medical billing and coding specialist might bring home approximately $17,000 annually with a standard 24-hour workweek, demonstrating the income disparity compared to full-time positions. For those exploring agency roles or per diem opportunities, the compensation can rise significantly—many agency coders bill between $25 and $42 per hour. Moreover, specialized roles such as CCS inpatient coding or CRC risk adjustment specialists command rates of $35 to $65 per hour, offering a compelling reason for some professionals to seek out per diem or locum tenens work despite the potential benefits offered by full-time positions. Pay rates also differ across types of employers in Fredericksburg. Hospital coding departments, physician practices, and consulting firms each contribute unique factors influencing pay, from offering health insurance to compensating for a higher hourly rate. For those negotiating wages, understanding the local market and the specific demands of various positions will enhance their bargaining power significantly in the realm of medical billing and coding specialist hourly pay in Fredericksburg.
More salary data for Fredericksburg, 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 Fredericksburg. 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 Fredericksburg 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