Medical Billing and Coding Specialist Salary in Smyrna, DE: $16,584 (2026)
Quick Answer:A full-time medical billing and coding specialist in Smyrna, DE earns a median $16,584/year (≈ $7.97/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Smyrna's price level (2% above national, BEA RPP 101.7), that paycheck buys what $16,307 would nationally. Nominal pay sits 7.4% below the Delaware state average.
Based on BLS state-level estimates · View source
For 2026, the projected median annual salary for medical billing and coding specialists in Smyrna, Delaware, is $16,584, a considerable drop compared to the national median of $30,349. This median figure represents a salary range from $13,127 at the 10th percentile to $24,663 at the 90th percentile, highlighting a wide disparity in earnings potential within the local market. These estimates are based on 2025 BLS OEWS data, projected to 2026, which take into account regional price adjustments. As remote work has become increasingly standard in this field, the geographic competition for medical billing and coding positions has broadened, impacting both salary expectations and the local job market's dynamics in Smyrna.
About the Smyrna Market
Salary estimated from Delaware average ($52,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $13,127 | $6.31 |
| Lower Range (P25) | $14,682 | $7.06 |
| Median (P50)(typical) | $16,584 | $7.97 |
| Upper Range (P75) | $20,455 | $9.83 |
| Top Earners (P90) | $24,663 | $11.86 |
Median Salary Position
45.36% below the national average
2026 Salary Percentile Distribution in Smyrna
In Smyrna, DE, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $11,536 (2026 est.). At $16,584, the local median is 45.36% below the national median of $30,349.
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At 40 hours/week in Smyrna: You'd be in the lower-middle range
How Smyrna Medical Billing and Coding Specialist Pay Compares
Smyrna median: $16,584/year (2026)
| Compared To | Median Salary | Smyrna Pays |
|---|---|---|
| Delaware Average | $17,909 | -7.40% less |
| National Average | $30,349 | -45.36% less |
Medical Billing and Coding Specialists in Smyrna, DE earn a median of $16,584 per year (2026 est.), which is 45.36% lower than the national median of $30,349 and 7.40% below the Delaware state average of $17,909.
Cost-of-Living Adjusted Salary
Smyrna has a cost of living 1.70% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Smyrna, DE has a cost-of-living index of 101.7 (above the national average of 100). While the nominal salary of $16,584 is competitive, the higher cost of living reduces purchasing power to an effective $16,307 — a 1.67% reduction.
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2021 BLS Actual
$14,788
2025 BLS Actual
$16,208
2026 Current Est.
$16,584
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Smyrna (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $14,788 | Actual |
| 2022 | $14,953 | Actual |
| 2023 | $15,460 | Actual |
| 2024 | $48,993 | Actual |
| 2025 | $16,208 | Actual |
| 2026(current) | $16,584 | Estimated |
| 2027 | $16,969 | Projected |
Based on 5 years of BLS OEWS data for the Smyrna metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $14,788 (2021) to $16,208 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $16,969 by 2027 — a total increase of $2,181 (14.75%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Smyrna 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) | $13,127 – $14,682 |
| 3-5 years (Mid Career) | $14,682 – $16,584 |
| 5+ years (Experienced) | $16,584 – $20,455 |
| 10+ years (Top Earner) | $20,455 – $24,663 |
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 Smyrna
In Smyrna, only five medical billing and coding specialists are currently employed, reflecting a compact local job market. The cost of living index is 101.7, indicating that living expenses are slightly above the national average, which can affect take-home purchasing power. Among local employers, physician group practices and third-party coding companies typically offer the highest salaries, particularly for specialists with sought-after credentials such as CRC or CCS. Factors contributing to wage variability include the complexity of coding specialties, such as inpatient versus outpatient procedures, as well as additional certifications that enhance a coder's value in the job market. Those aspiring to maximize their earnings in Smyrna may benefit from pursuing multiple certifications, leveraging remote work options, and focusing on high-demand areas such as risk adjustment coding.
More salary data for Smyrna, DE:
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 $16,208 for medical billing and coding specialistsin the Smyrna 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
Salary data for Smyrna 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