Medical Billing and Coding Specialist Salary in Portsmouth, NH: $18,123 (2026)
Quick Answer:A full-time medical billing and coding specialist in Portsmouth, NH earns a median $18,123/year (≈ $8.72/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Portsmouth's price level (7% above national, BEA RPP 107.3), that paycheck buys what $16,890 would nationally. Nominal pay sits 4.0% below the New Hampshire state average.
Based on BLS state-level estimates · View source
In 2026, medical billing and coding specialists in Portsmouth, New Hampshire, can expect a median annual salary of $18,123, which falls significantly below the national average of $30,349. This disparity highlights the local job market's unique dynamics and its adaptation to remote work trends that have expanded geographic competition for talent. Salary variation in Portsmouth is evident, with earnings ranging from $13,868 at the lower end (10th percentile) to $26,437 at the higher end (90th percentile). These figures represent local estimates based on 2025 BLS data, adjusted for regional cost variations and providing valuable insight into what professionals in this field can realistically earn in this coastal city.
About the Portsmouth Market
Salary estimated from New Hampshire average ($54,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $13,868 | $6.67 |
| Lower Range (P25) | $15,712 | $7.55 |
| Median (P50)(typical) | $18,123 | $8.72 |
| Upper Range (P75) | $22,021 | $10.59 |
| Top Earners (P90) | $26,437 | $12.71 |
Median Salary Position
40.28% below the national average
2026 Salary Percentile Distribution in Portsmouth
In Portsmouth, NH, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $12,569 (2026 est.). At $18,123, the local median is 40.28% below the national median of $30,349.
Salary Calculator
At 40 hours/week in Portsmouth: You'd be in the lower-middle range
How Portsmouth Medical Billing and Coding Specialist Pay Compares
Portsmouth median: $18,123/year (2026)
| Compared To | Median Salary | Portsmouth Pays |
|---|---|---|
| New Hampshire Average | $18,878 | -4.00% less |
| National Average | $30,349 | -40.28% less |
Medical Billing and Coding Specialists in Portsmouth, NH earn a median of $18,123 per year (2026 est.), which is 40.28% lower than the national median of $30,349 and 4.00% below the New Hampshire state average of $18,878.
Cost-of-Living Adjusted Salary
Portsmouth has a cost of living 7.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Portsmouth, NH has a cost-of-living index of 107.3 (above the national average of 100). While the nominal salary of $18,123 is competitive, the higher cost of living reduces purchasing power to an effective $16,890 — a 6.8% reduction.
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2021 BLS Actual
$42,930
2025 BLS Actual
$17,712
2026 Current Est.
$18,123
2021–2027 Growth
+-56.8%
Salary Trajectory for Medical Billing and Coding Specialists in Portsmouth (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $42,930 | Actual |
| 2022 | $48,790 | Actual |
| 2023 | $53,830 | Actual |
| 2024 | $55,596 | Actual |
| 2025 | $17,712 | Actual |
| 2026(current) | $18,123 | Estimated |
| 2027 | $18,543 | Projected |
Based on 5 years of BLS OEWS data for the Portsmouth metropolitan area, the median medical billing and coding specialist salary grew -58.7% from $42,930 (2021) to $17,712 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $18,543 by 2027 — a total increase of $-24,387 (-56.81%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Portsmouth 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) | $13,868 – $15,712 |
| 3-5 years (Mid Career) | $15,712 – $18,123 |
| 5+ years (Experienced) | $18,123 – $22,021 |
| 10+ years (Top Earner) | $22,021 – $26,437 |
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 Portsmouth
In Portsmouth, the job market for medical billing and coding specialists appears modest, with only five professionals currently employed in the field. The cost of living index stands at 107.3, indicating that everyday expenses are slightly higher than the national average, impacting overall purchasing power for those in this profession. Among local employers, physician group practice coding offices and hospital inpatient coding departments tend to offer more competitive salaries compared to third-party coding companies and ambulatory surgery centers. The pay gap reflects various factors including specialty expertise—where professionals with certifications like inpatient CCS command higher wages—and the prevalence of productivity bonuses based on coding efficiency. Specialists looking to maximize their potential earnings in Portsmouth should focus on obtaining multiple certifications such as CPC and CRC, embracing remote work opportunities, and continuously enhancing their knowledge of ICD-10-CM and CPT updates essential for career progression in this evolving field.
More salary data for Portsmouth, NH:
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 $17,712 for medical billing and coding specialistsin the Portsmouth 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 Portsmouth 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