Medical Billing and Coding Specialist Salary in Sacramento, CA: $44,598 (2026)
Quick Answer:A full-time medical billing and coding specialist in Sacramento, CA earns a median $44,598/year (≈ $21.45/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Sacramento's price level (7% above national, BEA RPP 106.7), that paycheck buys what $41,809 would nationally. Nominal pay sits 27.1% above the California state average.
Official BLS data · View source
In 2026, professionals in the medical billing and coding specialist field in Sacramento, CA, anticipate a median annual salary of $44,598. This figure represents a significant 46.95% increase above the national median of $30,349. Salaries within this sector vary widely, with a range from $28,172 at the 10th percentile to $63,209 at the 90th percentile, based on official Bureau of Labor Statistics (BLS) OEWS data. The compensation levels reflect different specialties, with inpatient CCS roles generally commanding higher pay compared to outpatient CPC or risk adjustment specialties, mirroring broader trends in healthcare coding that reward complexity and accuracy.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $28,172 | $13.55 |
| Lower Range (P25) | $33,548 | $16.13 |
| Median (P50)(typical) | $44,598 | $21.45 |
| Upper Range (P75) | $52,586 | $25.28 |
| Top Earners (P90) | $63,209 | $30.39 |
Median Salary Position
46.95% above the national average
2026 Salary Percentile Distribution in Sacramento
In Sacramento, CA, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $35,037 (2026 est.). At $44,598, the local median is 46.95% above the national median of $30,349.
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At 40 hours/week in Sacramento: You'd be in the lower-middle range
How Sacramento Medical Billing and Coding Specialist Pay Compares
Sacramento median: $44,598/year (2026)
| Compared To | Median Salary | Sacramento Pays |
|---|---|---|
| California Average | $35,089 | +27.10% more |
| National Average | $30,349 | +46.95% more |
Medical Billing and Coding Specialists in Sacramento, CA earn a median of $44,598 per year (2026 est.), which is 46.95% higher than the national median of $30,349 and 27.10% above the California state average of $35,089.
Cost-of-Living Adjusted Salary
Sacramento has a cost of living 6.67% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Sacramento, CA has a cost-of-living index of 106.67 (above the national average of 100). While the nominal salary of $44,598 is competitive, the higher cost of living reduces purchasing power to an effective $41,809 — a 6.25% reduction.
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2021 BLS Actual
$60,460
2025 BLS Actual
$43,587
2026 Current Est.
$44,598
2021–2027 Growth
+-24.5%
Salary Trajectory for Medical Billing and Coding Specialists in Sacramento (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $60,460 | Actual |
| 2022 | $63,380 | Actual |
| 2023 | $64,410 | Actual |
| 2024 | $75,210 | Actual |
| 2025 | $43,587 | Actual |
| 2026(current) | $44,598 | Estimated |
| 2027 | $45,633 | Projected |
Based on 5 years of BLS OEWS data for the Sacramento metropolitan area, the median medical billing and coding specialist salary grew -27.9% from $60,460 (2021) to $43,587 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $45,633 by 2027 — a total increase of $-14,827 (-24.52%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Sacramento 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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $28,172 – $33,548 |
| 3-5 years (Mid Career) | $33,548 – $44,598 |
| 5+ years (Experienced) | $44,598 – $52,586 |
| 10+ years (Top Earner) | $52,586 – $63,209 |
MBS salary ranges estimated from BLS percentile data. Individual medical billing and coding specialist compensation varies by employer, certifications, and specialization.
Medical Billing and Coding Specialist Job Market in Sacramento
Sacramento is home to approximately 1,340 medical billing and coding specialists, with a local cost-of-living index of 106.67 indicating increased living expenses relative to the national average. This economic reality impacts take-home purchasing power for professionals in the area. Employers that tend to offer the highest pay include those within hospital inpatient coding departments, physician group practices, and insurance companies focused on coding audits. The variation in compensation is influenced by factors such as specialty area, credentialing (e.g., CPC, CCS, CRC), and the combination of remote work versus in-office roles. To maximize earnings in Sacramento, coding specialists should consider enhancing their credentials, exploring roles in higher-paying sectors, and seeking positions that offer productivity bonuses, as these factors collectively contribute to earning potential within the local market.
More salary data for Sacramento, CA:
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
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. The BLS reported a median annual salary of $43,587 for medical billing and coding specialistsin the Sacramento metropolitan area. A 2.32% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
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