Medical Billing and Coding Specialist Salary in Rochester, NH: $18,180 (2026)
Quick Answer:A full-time medical billing and coding specialist in Rochester, NH earns a median $18,180/year (≈ $8.74/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Rochester's price level (7% above national, BEA RPP 107.3), that paycheck buys what $16,943 would nationally. Nominal pay sits 3.7% below the New Hampshire state average.
Based on BLS state-level estimates · View source
In 2026, medical billing and coding specialists in Rochester, New Hampshire, are projected to earn a median annual salary of $18,180, significantly lower than the national median of $30,349. The salary range for this profession varies from $14,150 at the 10th percentile to $28,179 at the 90th percentile, reflecting diverse opportunities based on experience and specialization. These numbers are derived from 2025 BLS data, adjusted for regional cost factors, highlighting the unique economic context in Rochester NH. Credential stacking—such as obtaining certifications like the Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and Certified Risk Adjustment Coder (CRC)—can enhance lifetime earnings and open doors to higher-paying roles, particularly in a market where specialized skills are increasingly in demand.
About the Rochester Market
Salary estimated from New Hampshire average ($54,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $14,150 | $6.80 |
| Lower Range (P25) | $15,995 | $7.69 |
| Median (P50)(typical) | $18,180 | $8.74 |
| Upper Range (P75) | $22,897 | $11.01 |
| Top Earners (P90) | $28,179 | $13.55 |
Median Salary Position
40.1% below the national average
2026 Salary Percentile Distribution in Rochester
In Rochester, NH, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $14,029 (2026 est.). At $18,180, the local median is 40.1% below the national median of $30,349.
Salary Calculator
At 40 hours/week in Rochester: You'd be in the lower-middle range
How Rochester Medical Billing and Coding Specialist Pay Compares
Rochester median: $18,180/year (2026)
| Compared To | Median Salary | Rochester Pays |
|---|---|---|
| New Hampshire Average | $18,879 | -3.70% less |
| National Average | $30,349 | -40.10% less |
Medical Billing and Coding Specialists in Rochester, NH earn a median of $18,180 per year (2026 est.), which is 40.10% lower than the national median of $30,349 and 3.70% below the New Hampshire state average of $18,879.
Cost-of-Living Adjusted Salary
Rochester has a cost of living 7.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Rochester, NH has a cost-of-living index of 107.3 (above the national average of 100). While the nominal salary of $18,180 is competitive, the higher cost of living reduces purchasing power to an effective $16,943 — a 6.8% reduction.
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2021 BLS Actual
$16,211
2025 BLS Actual
$17,768
2026 Current Est.
$18,180
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Rochester (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $16,211 | Actual |
| 2022 | $16,392 | Actual |
| 2023 | $16,948 | Actual |
| 2024 | $55,774 | Actual |
| 2025 | $17,768 | Actual |
| 2026(current) | $18,180 | Estimated |
| 2027 | $18,602 | Projected |
Based on 5 years of BLS OEWS data for the Rochester metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $16,211 (2021) to $17,768 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $18,602 by 2027 — a total increase of $2,391 (14.75%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Rochester 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) | $14,150 – $15,995 |
| 3-5 years (Mid Career) | $15,995 – $18,180 |
| 5+ years (Experienced) | $18,180 – $22,897 |
| 10+ years (Top Earner) | $22,897 – $28,179 |
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 Rochester
Currently, the job market in Rochester employs 7 medical billing and coding specialists, indicating a relatively small, stable workforce. The cost of living index in the area stands at 107.3, suggesting a higher-than-average expense for residents, which can impact take-home purchasing power. Employers that tend to offer higher compensation for medical coders include physician group practices, hospital coding departments, and third-party coding companies. Factors influencing salary variance include the coding specialty, such as inpatient coding (+ CCS credential), risk adjustment coding, and the remote work trend that has become prominent since 2020. To maximize pay potential in Rochester, professionals are advised to pursue additional certifications, stay current on coding guidelines, particularly for ICD-10-CM updates, and consider positions that leverage remote work opportunities while focusing on high-demand areas like HCC coding.
More salary data for Rochester, 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 $17,768 for medical billing and coding specialistsin the Rochester 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 Rochester 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