Medical Billing and Coding Specialist Salary in Hawaii: $33,761 (2026)
Quick Answer:Across Hawaii's 10 metropolitan areas, the average median medical billing and coding specialist pay sits at $33,761/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 29-2072. Because Hawaii sits at BEA RPP 119.3 (19% above the U.S. baseline), that statewide median translates to roughly $28,299 in nationally-comparable purchasing power. Highest-paying metros: Urban Honolulu ($37,828), Honolulu ($21,838), Kaneohe ($20,394).
In Hawaii, the average median salary for medical billing and coding specialists in 2026 is projected to be $33,762, which is significantly higher than the national median of $30,349, representing an 11.2% increase. Urban Honolulu leads as the highest paying city with an average salary of $38,706, while Hilo presents the lowest at $19,927, illustrating a salary gap of $18,779 between these locations. This difference is largely driven by factors such as the cost of living, healthcare demand in urban areas, and the availability of positions. In Hawaii, medical billing and coding specialists must adhere to state licensing requirements and comply with specific scope of practice laws, which can impact job roles and responsibilities. The demand for these professionals is influenced by the growing healthcare sector in the state, contributing to an overall job market that is projected to grow at a rate of 2.32% annually. With a total of 435 specialists employed across the state, cities such as Honolulu ($22,345), Kaneohe ($20,867), Mililani Town ($20,829), and Kailua ($20,816) showcase varying salary levels due to local economic conditions and healthcare needs. This landscape indicates a stable outlook for career growth in medical billing and coding throughout Hawaii.
Hawaii Medical Billing and Coding Specialist Salary Range
Overall salary range in Hawaii: $14,372 (lowest entry-level) to $54,390 (highest top earner)
Hawaii vs National Average
Hawaii medical billing and coding specialists earn 11.24% more than the national median (+$3,412/year difference).
Hawaii Medical Billing and Coding Specialist Salary Distribution (2026)
Medical Billing and Coding Specialist salaries in Hawaii range from $23,743 (entry-level, 10th percentile) to $48,311 (top earners, 90th percentile), with a median of $33,761. The Hawaii median is $3,412 above the US national median of $30,349. The average hourly rate is $16.23/hr. Approximately 435 medical billing and coding specialists are employed across 10 cities.
2021 BLS Actual
$48,350
2025 BLS Actual
$32,996
2026 Current Est.
$33,761
2021–2027 Growth
+-28.6%
Salary Trajectory for Medical Billing and Coding Specialists in Hawaii (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $48,350 | Actual |
| 2022 | $62,903 | Actual |
| 2023 | $63,809 | Actual |
| 2024 | $64,253 | Actual |
| 2025 | $32,996 | Actual |
| 2026(current) | $33,761 | Estimated |
| 2027 | $34,544 | Projected |
Based on 5 years of BLS OEWS data for the Hawaii metropolitan area, the median medical billing and coding specialist salary grew -31.8% from $48,350 (2021) to $32,996 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $34,544 by 2027 — a total increase of $-13,806 (-28.55%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Hawaii 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.
Top 5 Highest Paying Cities in Hawaii
Lowest Paying Cities in Hawaii
| City | Median Salary |
|---|---|
| Hilo | $19,927 |
| Kahului | $19,958 |
| Pearl City | $20,381 |
| Waipahu | $20,577 |
| East Honolulu | $20,585 |
Best Value Cities for Medical Billing and Coding Specialists in Hawaii
When adjusted for local cost of living, these Hawaii cities offer the most purchasing power for medical billing and coding specialists.
| City | Nominal Salary | CoL Index | Adjusted Salary |
|---|---|---|---|
| Urban Honolulu | $38,706 | 110.961 | $34,883 |
| Honolulu | $22,345 | 119.3 | $18,730 |
| Kaneohe | $20,867 | 119.3 | $17,491 |
| Mililani Town | $20,829 | 119.3 | $17,459 |
| Kailua | $20,816 | 119.3 | $17,448 |
Adjusted salary = nominal salary × (100 / CoL index). CoL index: 100 = national average. Lower index = lower cost of living.
Salary by Experience Level in Hawaii
| Experience Level | Estimated Annual |
|---|---|
| Entry Level (0-2 years) | $23,743 |
| Mid Career (3-7 years) | $33,761 |
| Experienced (7+ years) | $48,311 |
Estimates based on BLS percentile data averaged across Hawaii metro areas. Individual pay varies by employer, certifications, and specialization.
All 10 Cities in Hawaii
| # | City | Median Salary |
|---|---|---|
| 1 | Urban Honolulu | $38,706 |
| 2 | Honolulu | $22,345 |
| 3 | Kaneohe | $20,867 |
| 4 | Mililani Town | $20,829 |
| 5 | Kailua | $20,816 |
| 6 | East Honolulu | $20,585 |
| 7 | Waipahu | $20,577 |
| 8 | Pearl City | $20,381 |
| 9 | Kahului | $19,958 |
| 10 | Hilo | $19,927 |
More Hawaii Salary Data
Hourly Rates
Explore medical billing and coding specialist hourly pay in Hawaii cities.
Entry Level
Starting salaries for new medical billing and coding specialists.
Senior / Experienced
Top earner salaries for experienced medical billing and coding specialists.
Explore More Medical Billing and Coding Specialist Salary Data
Frequently Asked Questions
How much do medical billing and coding specialists make in Hawaii in 2026?
What is the highest paying city for medical billing and coding specialists in Hawaii?
How does Hawaii medical billing and coding specialist pay compare to the national average?
What is the entry-level medical billing and coding specialist salary in Hawaii?
How many medical billing and coding specialists are employed in Hawaii?
Which Hawaii city offers the best value for medical billing and coding specialists?
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
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 Hawaii. State averages are employment-weighted across 10 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