Medical Billing and Coding Specialist Salary in Sioux City, IA: $27,376 (2026)
Quick Answer:A full-time medical billing and coding specialist in Sioux City, IA earns a median $27,376/year (≈ $13.16/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Sioux City's price level (14% below national, BEA RPP 86.5), that paycheck buys what $31,665 would nationally. Nominal pay sits 7.2% below the Iowa state average.
Official BLS data · View source
Medical billing and coding specialists in Sioux City, Iowa, receive a median annual salary of $27,376, which falls below the national median of $30,349 for 2026. This salary is reflective of a range spanning from $22,100 at the 10th percentile to $36,847 at the 90th percentile, based on 2025 BLS OEWS data, projected to 2026. The shift to remote work has broadened the geographic compensation landscape, allowing local professionals to compete for positions that may traditionally be situated in higher-paying urban areas. As Sioux City continues to see job growth in this sector, understanding local market conditions can help coding specialists navigate their career trajectories more effectively.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $22,100 | $10.63 |
| Lower Range (P25) | $23,637 | $11.37 |
| Median (P50)(typical) | $27,376 | $13.16 |
| Upper Range (P75) | $31,269 | $15.03 |
| Top Earners (P90) | $36,847 | $17.71 |
Median Salary Position
9.8% below the national average
2026 Salary Percentile Distribution in Sioux City
In Sioux City, IA, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $14,747 (2026 est.). At $27,376, the local median is 9.8% below the national median of $30,349.
Salary Calculator
At 40 hours/week in Sioux City: You'd be in the lower-middle range
How Sioux City Medical Billing and Coding Specialist Pay Compares
Sioux City median: $27,376/year (2026)
| Compared To | Median Salary | Sioux City Pays |
|---|---|---|
| Iowa Average | $29,500 | -7.20% less |
| National Average | $30,349 | -9.80% less |
Medical Billing and Coding Specialists in Sioux City, IA earn a median of $27,376 per year (2026 est.), which is 9.80% lower than the national median of $30,349 and 7.20% below the Iowa state average of $29,500.
Cost-of-Living Adjusted Salary
Sioux City has a cost of living 13.55% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Sioux City, IA has a cost-of-living index of 86.454 (below the national average of 100). A medical billing and coding specialist earning $27,376 nominally has purchasing power equivalent to $31,665 in an average-cost city — an effective 15.67% boost.
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2021 BLS Actual
$37,100
2025 BLS Actual
$26,755
2026 Current Est.
$27,376
2021–2027 Growth
+-24.5%
Salary Trajectory for Medical Billing and Coding Specialists in Sioux City (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $37,100 | Actual |
| 2022 | $41,430 | Actual |
| 2023 | $44,660 | Actual |
| 2024 | $47,280 | Actual |
| 2025 | $26,755 | Actual |
| 2026(current) | $27,376 | Estimated |
| 2027 | $28,011 | Projected |
Based on 5 years of BLS OEWS data for the Sioux City metropolitan area, the median medical billing and coding specialist salary grew -27.9% from $37,100 (2021) to $26,755 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $28,011 by 2027 — a total increase of $-9,089 (-24.50%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Sioux City 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) | $22,100 – $23,637 |
| 3-5 years (Mid Career) | $23,637 – $27,376 |
| 5+ years (Experienced) | $27,376 – $31,269 |
| 10+ years (Top Earner) | $31,269 – $36,847 |
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 Sioux City
In Sioux City, approximately 80 medical billing and coding specialists are currently employed, which contributes to a competitive job market. The cost of living index is lower at 86.454, meaning the take-home purchasing power for workers can be more favorable than it appears when looking solely at salary figures. Employers in the area, such as physician group practices and hospital inpatient coding departments, tend to offer competitive wages, with additional pay potential tied to various specialty areas. For specialists aiming to maximize their pay in Sioux City, stacking credentials such as CPC, CCS, and CRC is beneficial. Furthermore, being adept in high-demand subspecialties like risk adjustment coding may present additional opportunities for higher compensation. Emphasizing productivity through metrics like codes processed per hour can also make a significant difference in earnings potential, particularly in an industry increasingly influenced by remote work dynamics.
More salary data for Sioux City, IA:
Frequently Asked Questions
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Career Resources
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 $26,755 for medical billing and coding specialistsin the Sioux City 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