Medical Billing Salary

Medical Billing and Coding Specialist Salary in California: $37,534 (2026)

Quick Answer:Across California's 158 metropolitan areas, the average median medical billing and coding specialist pay sits at $37,534/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 29-2072. Because California sits at BEA RPP 113.1 (13% above the U.S. baseline), that statewide median translates to roughly $33,187 in nationally-comparable purchasing power. Highest-paying metros: Sunnyvale ($51,579), Santa Clara ($51,241), San Jose ($50,396).

Medical Billing and Coding Specialist Salary in California - 2025 BLS Data Infographic
California medical billing and coding specialist salary overview (2026)
$37,534
Avg Median Salary
$18.04
Avg Hourly Rate
20,479
Metro Employed
158
Cities

In California, medical billing and coding specialists earn an average median salary of $37,534 in 2026, which is significantly higher than the national median of $30,349, resulting in a 23.7% salary advantage. The disparity in pay across cities is notable; for instance, Sunnyvale offers the highest average salary at $52,776, while Modesto has the lowest at $28,628, creating a salary gap of $24,148. This difference can be attributed to factors such as the cost of living, demand for healthcare services, and local economic conditions. California's unique requirements, including specific state licensing and scope of practice laws, also influence salary levels and job opportunities. The demand for medical billing and coding specialists in the state is strong, driven by the expanding healthcare sector and the need for coding professionals to navigate complex insurance systems. With a projected annual growth rate of 2.32%, the job market is expected to remain stable. Top regions for employment include Santa Clara at $52,430, San Jose at $51,565, Vallejo at $48,799, and Oakland at $45,158, affirming the state's varied economic landscape and job accessibility for specialists in this field.

California Medical Billing and Coding Specialist Salary Range

Entry Level (10th %ile)
$26,174
avg across 158 cities
Median
$37,534
state average
Top Earners (90th %ile)
$59,876
avg across 158 cities

Overall salary range in California: $22,884 (lowest entry-level) to $89,921 (highest top earner)

California vs National Average

California
$37,534
National Median
$30,349

California medical billing and coding specialists earn 23.67% more than the national median (+$7,185/year difference).

California Medical Billing and Coding Specialist Salary Distribution (2026)

Vertical bar chart showing California medical billing and coding specialist salary percentiles: 10th percentile $26,174, 25th $30,109, Median $37,534, 75th $48,136, 90th $59,876. US national median is $30,349.$16.8K$33.5K$50.3K$67.1K$26.2K10thEntry Level$30.1K25thEarly Career$37.5KMedianMid Career$48.1K75thExperienced$59.9K90thTop EarnerUS Median $30.3K

Medical Billing and Coding Specialist salaries in California range from $26,174 (entry-level, 10th percentile) to $59,876 (top earners, 90th percentile), with a median of $37,534. The California median is $7,185 above the US national median of $30,349. The average hourly rate is $18.04/hr. Approximately 20,479 medical billing and coding specialists are employed across 158 cities.

2021 BLS Actual

$51,763

2025 BLS Actual

$36,683

2026 Current Est.

$37,534

2021–2027 Growth

+-25.8%

Salary Trajectory for Medical Billing and Coding Specialists in California (20212027)

2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.

BLS Actual Estimated Projected
Salary trajectory chart for medical billing and coding specialists in California. Baseline $51,763 in 2025, projected to $38,405 by 2027.$31.6K$40.5K$49.3K$58.2K$67.1K20212022202320242025202620272025 BLS$51.8K$56.8K$55.0K$62.0K$36.7K$37.5K$38.4K
YearAnnual SalaryStatus
2021$51,763Actual
2022$56,821Actual
2023$55,012Actual
2024$62,008Actual
2025$36,683Actual
2026(current)$37,534Estimated
2027$38,405Projected

Based on 5 years of BLS OEWS data for the California metropolitan area, the median medical billing and coding specialist salary grew -29.1% from $51,763 (2021) to $36,683 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $38,405 by 2027 — a total increase of $-13,358 (-25.81%) from 2021.

Note: Historical values (20212025) are actual BLS OEWS figures for the California metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 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.

Top 5 Highest Paying Cities in California

#1
Sunnyvale
26 employed · $25.38/hr
$52,776
+40.61% vs avg
#2
Santa Clara
32 employed · $25.21/hr
$52,430
+39.69% vs avg
#3
San Jose
920 employed · $24.79/hr
$51,565
+37.38% vs avg
#4
Vallejo
130 employed · $23.46/hr
$48,799
+30.01% vs avg
#5
Oakland
78 employed · $21.71/hr
$45,158
+20.31% vs avg

Lowest Paying Cities in California

CityMedian Salary
Modesto$28,628
Yuba City$30,005
San Luis Obispo$31,970
Bakersfield$32,801
Brea$33,283

Best Value Cities for Medical Billing and Coding Specialists in California

When adjusted for local cost of living, these California cities offer the most purchasing power for medical billing and coding specialists.

CityNominal SalaryCoL IndexAdjusted Salary
San Jose$51,565110.423$46,698
Sunnyvale$52,776113.1$46,663
Santa Clara$52,430113.1$46,357
Vallejo$48,799108.479$44,985
Sacramento$44,598106.67$41,809

Adjusted salary = nominal salary × (100 / CoL index). CoL index: 100 = national average. Lower index = lower cost of living.

Salary by Experience Level in California

Experience LevelEstimated Annual
Entry Level (0-2 years)$26,174
Mid Career (3-7 years)$37,534
Experienced (7+ years)$59,876

Estimates based on BLS percentile data averaged across California metro areas. Individual pay varies by employer, certifications, and specialization.

All 158 Cities in California

#CityMedian Salary
1Sunnyvale$52,776
2Santa Clara$52,430
3San Jose$51,565
4Vallejo$48,799
5Oakland$45,158
6Folsom$44,900
7Sacramento$44,598
8Roseville$44,414
9Fremont$44,162
10San Francisco$44,153
11Stockton$37,358
12Santa Ana$37,168
13Lodi$36,842
14Santa Maria$36,765
15Santa Rosa$36,599
16Chula Vista$36,527
17San Diego$36,485
18Fontana$36,480
19Irvine$36,440
20Pomona$36,262
21Petaluma$36,249
22Simi Valley$36,242
23Escondido$36,234
24Carlsbad$36,180
25Fairfield$36,168
26El Centro$36,112
27Fullerton$36,035
28Daly City$36,004
29El Monte$35,993
30Vista$35,973
31Concord$35,964
32Santa Cruz$35,951
33Clovis$35,910
34Garden Grove$35,873
35Temecula$35,865
36Santa Clarita$35,842
37Lancaster$35,795
38Inglewood$35,795
39Corona$35,749
40Richmond$35,743
41Rialto$35,726
42Anaheim$35,704
43Torrance$35,681
44Elk Grove$35,613
45Oceanside$35,604
46Whittier$35,594
47San Rafael$35,591
48Rancho Cucamonga$35,559
49Hayward$35,539
50Woodland$35,531
51Buena Park$35,524
52Encinitas$35,521
53Downey$35,519
54Dublin$35,500
55Redlands$35,489
56Chino$35,469
57Westminster$35,458
58Santa Monica$35,455
59San Mateo$35,452
60Tulare$35,442
61San Buenaventura$35,428
62Moreno Valley$35,405
63Mission Viejo$35,405
64Pleasanton$35,400
65Redding$35,387
66Ontario$35,383
67Pasadena$35,350
68Santee$35,325
69Glendale$35,292
70Mountain View$35,275
71Pittsburg$35,272
72Visalia$35,264
73Novato$35,260
74Costa Mesa$35,247
75Berkeley$35,210
76Huntington Beach$35,202
77Long Beach$35,196
78Jurupa Valley$35,170
79Hemet$35,160
80Union City$35,158
81West Covina$35,154
82Chino Hills$35,144
83Gilroy$35,094
84Los Angeles$35,079
85San Marcos$35,074
86Tustin$35,044
87San Ramon$35,042
88Eastvale$35,008
89Murrieta$35,007
90Vacaville$35,007
91Brentwood$34,991
92Hesperia$34,974
93Lake Elsinore$34,972
94San Bernardino$34,956
95Citrus Heights$34,927
96Riverside$34,913
97El Cajon$34,896
98San Clemente$34,886
99Bellflower$34,872
100Palmdale$34,856
101La Mirada$34,856
102Apple Valley$34,849
103Menifee$34,839
104Yucaipa$34,825
105Hanford$34,824
106Norwalk$34,823
107Napa$34,818
108Rancho Cordova$34,791
109Montebello$34,758
110Compton$34,744
111Porterville$34,719
112Lompoc$34,714
113Hawthorne$34,661
114Fresno$34,658
115Antioch$34,650
116Burbank$34,647
117Alhambra$34,566
118Livermore$34,566
119Orange$34,556
120South Gate$34,554
121Victorville$34,547
122West Sacramento$34,535
123Poway$34,527
124San Leandro$34,480
125Merced$34,456
126Indio$34,441
127Lake Forest$34,441
128Oxnard$34,403
129Carson$34,380
130Rocklin$34,374
131Salinas$34,349
132Newport Beach$34,316
133Redwood City$34,313
134Turlock$34,305
135Manteca$34,294
136Perris$34,292
137Thousand Oaks$34,264
138Madera$34,263
139Baldwin Park$34,203
140Palo Alto$34,203
141Lakewood$34,188
142Chico$34,118
143Beaumont$34,088
144Tracy$34,080
145Alameda$34,068
146Laguna Niguel$34,060
147Milpitas$34,044
148Camarillo$33,971
149Oakley$33,958
150Davis$33,950
151Upland$33,924
152La Habra$33,874
153Lynwood$33,861
154Brea$33,283
155Bakersfield$32,801
156San Luis Obispo$31,970
157Yuba City$30,005
158Modesto$28,628

More California Salary Data

Hourly Rates

Explore medical billing and coding specialist hourly pay in California cities.

Entry Level

Starting salaries for new medical billing and coding specialists.

Senior / Experienced

Top earner salaries for experienced medical billing and coding specialists.

Compare Cities in California

View all comparisons →

Explore More Medical Billing and Coding Specialist Salary Data

Frequently Asked Questions

How much do medical billing and coding specialists make in California in 2026?

The average median medical billing and coding specialist salary in California is $37,534/year across 158 metro areas, based on estimated 2026 (projected from 2025 BLS data). Salaries range from $28,628 in Modesto to $52,776 in Sunnyvale. This makes California one of the higher-paying states, at 23.67% above the national median of $30,349. The state employs approximately 20,479 medical billing and coding specialists.

What is the highest paying city for medical billing and coding specialists in California?

Sunnyvale offers the highest medical billing and coding specialist salary in California at $52,776/year ($25.38/hr), based on estimated 2026 (projected from 2025 BLS data). The top 3 highest-paying cities are Sunnyvale ($52,776), Santa Clara ($52,430), San Jose ($51,565). Higher pay in these metros is typically driven by cost of living, demand for medical billing and coding services, and competition among employers for licensed medical billing and coding specialists.

How does California medical billing and coding specialist pay compare to the national average?

California's average medical billing and coding specialist salary of $37,534 is 23.67% above the national median of $30,349 in 2026. The state employs approximately 20,479 medical billing and coding specialists across 158 metropolitan areas. When comparing salaries, consider cost-of-living differences — a lower nominal salary in an affordable area may provide better purchasing power than a higher salary in an expensive metro.

What is the entry-level medical billing and coding specialist salary in California?

Entry-level medical billing and coding specialists (10th percentile) in California earn approximately $26,174/year on average, based on estimated 2026 (projected from 2025 BLS data). Starting salaries range from $22,884 in lower-paying areas to $37,498 in the highest-paying metros. New graduates should expect salaries at the lower end and can typically reach the area median within 3–5 years of clinical experience.

How many medical billing and coding specialists are employed in California?

California employs approximately 20,479 medical billing and coding specialists across 158 metropolitan areas, based on the latest BLS data. This makes California one of the larger employers of medical billing and coding specialists nationally. Demand continues to grow as the medical billing and coding field expands and the population ages.

Which California city offers the best value for medical billing and coding specialists?

When adjusted for cost of living, San Jose offers the highest purchasing power for medical billing and coding specialists in California, with an adjusted salary of $46,698 (nominal: $51,565, CoL index: 110.423). This means your dollar goes 9% less far compared to the national average, making it important to negotiate higher base pay.
AP

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.

Clinically reviewed by Liam Johnson, RHITData verified by Sofia Nguyen, CCS

Methodology & Data Source

Statewide salary 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 each metro area's reported salary to estimate current 2026 medical billing and coding specialist compensation across California. State averages are employment-weighted across 158 metro areas — larger metro areas with more medical billing and coding specialistscontribute proportionally more to the average, producing figures that better reflect typical compensation. Individual pay varies by city, employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS, 5-year dataset (). Per-city data from annual BLS metropolitan area surveys.

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

Last verified: