Medical Billing and Coding Specialist Salary in Rockville, MD: $18,756 (2026)
Quick Answer:A full-time medical billing and coding specialist in Rockville, MD earns a median $18,756/year (≈ $9.01/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Rockville's price level (9% above national, BEA RPP 109.3), that paycheck buys what $17,160 would nationally. Nominal pay sits 2.5% below the Maryland state average.
Based on BLS state-level estimates · View source
In 2026, medical billing and coding specialists in Rockville, Maryland, are projected to earn a median annual salary of $18,756. This figure represents a significant drop compared to the national median of $30,349, reflecting a local market that can be challenging for workers. Salary estimates range from $13,932 at the 10th percentile to $29,072 at the 90th percentile, with variances depending on qualifications and specialties. Workers in higher-paying sectors, such as inpatient coding (CCS), typically earn more than those focusing on outpatient coding (CPC) or risk adjustment (HCC). Such salary differentials highlight the importance of specialty knowledge and credentials in this evolving market, where comprehensive coding skills are increasingly in demand.
About the Rockville Market
Salary estimated from Maryland average ($58,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $13,932 | $6.70 |
| Lower Range (P25) | $15,670 | $7.53 |
| Median (P50)(typical) | $18,756 | $9.01 |
| Upper Range (P75) | $23,844 | $11.46 |
| Top Earners (P90) | $29,072 | $13.98 |
Median Salary Position
38.2% below the national average
2026 Salary Percentile Distribution in Rockville
In Rockville, MD, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $15,140 (2026 est.). At $18,756, the local median is 38.2% below the national median of $30,349.
Salary Calculator
At 40 hours/week in Rockville: You'd be in the lower-middle range
How Rockville Medical Billing and Coding Specialist Pay Compares
Rockville median: $18,756/year (2026)
| Compared To | Median Salary | Rockville Pays |
|---|---|---|
| Maryland Average | $19,237 | -2.50% less |
| National Average | $30,349 | -38.20% less |
Medical Billing and Coding Specialists in Rockville, MD earn a median of $18,756 per year (2026 est.), which is 38.20% lower than the national median of $30,349 and 2.50% below the Maryland state average of $19,237.
Cost-of-Living Adjusted Salary
Rockville has a cost of living 9.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Rockville, MD has a cost-of-living index of 109.3 (above the national average of 100). While the nominal salary of $18,756 is competitive, the higher cost of living reduces purchasing power to an effective $17,160 — a 8.51% reduction.
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2021 BLS Actual
$16,725
2025 BLS Actual
$18,331
2026 Current Est.
$18,756
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Rockville (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $16,725 | Actual |
| 2022 | $16,912 | Actual |
| 2023 | $17,485 | Actual |
| 2024 | $61,804 | Actual |
| 2025 | $18,331 | Actual |
| 2026(current) | $18,756 | Estimated |
| 2027 | $19,191 | Projected |
Based on 5 years of BLS OEWS data for the Rockville metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $16,725 (2021) to $18,331 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $19,191 by 2027 — a total increase of $2,466 (14.74%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Rockville 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) | $13,932 – $15,670 |
| 3-5 years (Mid Career) | $15,670 – $18,756 |
| 5+ years (Experienced) | $18,756 – $23,844 |
| 10+ years (Top Earner) | $23,844 – $29,072 |
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 Rockville
The competitive landscape for medical billing and coding specialists in Rockville is shaped by the local job market, which has around 15 specialists employed. With a cost of living index of 109.3, professionals must be aware of how their earnings translate into local purchasing power. Employers in physician group practices or hospital inpatient coding departments tend to offer the most competitive salaries, while third-party coding firms often provide remote work options with flexibility. The disparity in compensation is influenced by several factors, including the complexity of the coding specialization, additional credentials such as CPC or CCS, and possible productivity bonuses for higher performance. To enhance earning potential, specialists should consider expanding their qualifications, staying updated on industry changes, or seeking out roles with employers that emphasize robust coding compliance and audit processes.
More salary data for Rockville, MD:
Frequently Asked Questions
How much do medical billing and coding specialists make in Rockville, MD in 2026?
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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 $18,331 for medical billing and coding specialistsin the Rockville 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 Rockville 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