Medical Billing and Coding Specialist Salary in Middletown, NY: $29,587 (2026)
Quick Answer:A full-time medical billing and coding specialist in Middletown, NY earns a median $29,587/year (≈ $14.22/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Middletown's price level (16% above national, BEA RPP 115.9), that paycheck buys what $25,528 would nationally. Nominal pay sits 3.3% below the New York state average.
Based on BLS state-level estimates · View source
In 2026, the projected annual compensation for a medical billing and coding specialist in Middletown, NY, is estimated to be $29,587, which is slightly lower than the national median of $30,349. Local salaries demonstrate a range from $23,226 at the lower end to $45,860 for the most experienced in the field. These figures reflect adjustments based on state-level BLS data and regional cost assessments which take into account factors like the higher cost of living in Middletown compared to the national average. As remote work has become increasingly standard in the medical coding field, the geographic compensation landscape has expanded, enabling local professionals to compete with national averages while addressing the unique dynamics of the Middletown job market.
About the Middletown Market
Salary estimated from New York average ($58,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $23,226 | $11.16 |
| Lower Range (P25) | $25,520 | $12.27 |
| Median (P50)(typical) | $29,587 | $14.22 |
| Upper Range (P75) | $37,406 | $17.99 |
| Top Earners (P90) | $45,860 | $22.05 |
Median Salary Position
2.51% below the national average
2026 Salary Percentile Distribution in Middletown
In Middletown, NY, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $22,634 (2026 est.). At $29,587, the local median is 2.51% below the national median of $30,349.
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At 40 hours/week in Middletown: You'd be in the lower-middle range
How Middletown Medical Billing and Coding Specialist Pay Compares
Middletown median: $29,587/year (2026)
| Compared To | Median Salary | Middletown Pays |
|---|---|---|
| New York Average | $30,597 | -3.30% less |
| National Average | $30,349 | -2.51% less |
Medical Billing and Coding Specialists in Middletown, NY earn a median of $29,587 per year (2026 est.), which is 2.51% lower than the national median of $30,349 and 3.30% below the New York state average of $30,597.
Cost-of-Living Adjusted Salary
Middletown has a cost of living 15.90% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Middletown, NY has a cost-of-living index of 115.9 (above the national average of 100). While the nominal salary of $29,587 is competitive, the higher cost of living reduces purchasing power to an effective $25,528 — a 13.72% reduction.
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2021 BLS Actual
$26,383
2025 BLS Actual
$28,916
2026 Current Est.
$29,587
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Middletown (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $26,383 | Actual |
| 2022 | $26,677 | Actual |
| 2023 | $27,582 | Actual |
| 2024 | $64,973 | Actual |
| 2025 | $28,916 | Actual |
| 2026(current) | $29,587 | Estimated |
| 2027 | $30,273 | Projected |
Based on 5 years of BLS OEWS data for the Middletown metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $26,383 (2021) to $28,916 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $30,273 by 2027 — a total increase of $3,890 (14.74%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Middletown 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) | $23,226 – $25,520 |
| 3-5 years (Mid Career) | $25,520 – $29,587 |
| 5+ years (Experienced) | $29,587 – $37,406 |
| 10+ years (Top Earner) | $37,406 – $45,860 |
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 Middletown
Despite the relatively modest earnings, the job market for medical billing and coding specialists in Middletown is stable with only seven professionals currently employed in this role. The local cost of living index stands at 115.9, higher than the national average, which can constrain effective purchasing power for those in the field. Employers in Middletown, including local physician group practices and consulting firms, might offer competitive salaries that align more closely with the higher ends of the pay spectrum based on specialty coding skills (inpatient CCS, outpatient CPC, etc.) and additional credentials. Factors influencing the difference between entry-level and high-end pay include credential stacking, such as obtaining certifications from AAPC or AHIMA, pursuing subspecialties in compliance, and enhancing productivity through remote coding efficiencies. Maximizing earning potential in this local market may involve pursuing relevant certifications, gaining specialized experience in risk adjustment coding, and exploring opportunities in telecommuting roles that are increasingly prevalent in today’s medical billing landscape.
More salary data for Middletown, NY:
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 $28,916 for medical billing and coding specialistsin the Middletown 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 Middletown 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