Medical Billing and Coding Specialist Hourly Pay in Lacey, WA: $14.59 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Lacey, WA runs $14.59 at the median for 2026 — annualizing to $30,359 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Lacey's regional price level (BEA RPP 107.4, 7% above national), each hour of work buys what $13.59 nationally would. A 24-hour part-time schedule grosses $18,209 per year.
Based on BLS state-level estimates · View source

For medical billing and coding specialists in Lacey, Washington, the estimated hourly pay is projected at $14.59 for 2026, which aligns with the national median of $14.59 per hour. This figure suggests that professionals working part-time, such as those in remote setups or hospital HIM departments, can expect to earn a viable wage. Specifically, for individuals who work a 24-hour week (about three days), the income translates to approximately $23,000 over a calendar year. The hourly earnings can vary widely depending on experience, with entry-level coders typically earning around $10.99 per hour, while more experienced specialists at the top end of the spectrum might command $22.62 per hour. These hourly estimates derived from annual salary predictions reflect the evolving nature of medical coding, including roles found in physician group coding offices and third-party coding companies.
About the Lacey Market
Salary estimated from Washington average ($62,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $10.99 | $87.91 |
| Lower Range (P25) | $12.64 | $101.09 |
| Median (P50) | $14.59 | $116.73 |
| Upper Range (P75) | $18.11 | $144.89 |
| Top Earners (P90) | $22.62 | $180.98 |
Estimated Annual Income by Work Schedule in Lacey
Based on $14.59/hr median hourly rate · 2026 est.
At $14.59/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Lacey, WA can expect to earn approximately $30,349 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $17,509. With a cost-of-living index of 107.40 (above the national average), these earnings may be offset by higher expenses in Lacey.
Hourly Rate Calculator
Schedule Comparison in Lacey
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $583.63 | $2,529 | $30,349 |
| Part-Time (24 hrs) | $350.18 | $1,517 | $18,209 |
| Per Diem (16 hrs) | $233.45 | $1,012 | $12,140 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Lacey) | $14.59 |
| 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 Lacey, WA earn a median of $30,359 per year (2026 est.), which is 0.03% higher than the national median of $30,349 and 12.30% below the Washington state average of $34,617.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $14.59/hr = $18,209/year (purchasing power: $16,955).
Working 40h/week (full-time) = $30,349/year (purchasing power: $28,258).
CoL index: 107.4 (100 = national average).
2021 BLS Actual
$13.01/hr
2025 BLS Actual
$14.26/hr
2026 Current Est.
$14.59/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Lacey (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $13.01/hr | Actual |
| 2022 | $13.16/hr | Actual |
| 2023 | $13.60/hr | Actual |
| 2024 | $31.43/hr | Actual |
| 2025 | $14.26/hr | Actual |
| 2026(current) | $14.59/hr | Estimated |
| 2027 | $14.93/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Lacey grew 9.6% from $13.01/hr (2021) to $14.26/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $14.93/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 Lacey 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 Lacey
Focusing on the part-time income potential, a medical billing and coding specialist working 24 hours a week would bring home roughly $23,000 annually compared to full-time counterparts earning significantly more. For per-diem positions, workers could see hourly pay ranging from $25 to $42 for general coding, with CCS inpatient coders earning $35 to $55 and specialized CRC risk adjustment specialists at Medicare Advantage firms potentially making $40 to $65 per hour on a 1099 basis. Within Lacey, the hourly rates can fluctuate based on the type of employer: physician practices, hospital coding departments, and consultancy roles may all offer distinct pay scales. It's not uncommon for professionals to choose lower hourly pay in exchange for benefits like health insurance, which can significantly impact the overall compensation package. When negotiating rates, especially for part-time or per diem roles, medical billing and coding specialists should emphasize their expertise and the vital industry skills obtained through credentialing with organizations like AAPC or AHIMA, particularly relevant given the growing emphasis on risk adjustment coding.
More salary data for Lacey, WA:
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 Lacey. 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 Lacey 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