Medical Billing and Coding Specialist Salary in North Dakota: $26,065 (2026)
Quick Answer:Across North Dakota's 8 metropolitan areas, the average median medical billing and coding specialist pay sits at $26,065/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 29-2072. Because North Dakota sits at BEA RPP 92.0 (8% below the U.S. baseline), that statewide median translates to roughly $28,332 in nationally-comparable purchasing power. Highest-paying metros: Bismarck ($27,098), Fargo ($26,842), Grand Forks ($26,599).
In North Dakota, the average median salary for medical billing and coding specialists in 2026 is projected to be $26,065, which falls 14.1% below the national median of $30,349. Within the state, salaries can vary significantly, with Bismarck offering the highest average at $27,727 and Mandan at the lower end with $15,135. This difference of $12,592 might be influenced by factors such as regional healthcare demands, cost of living, and the availability of healthcare facilities. The job market for medical billing and coding specialists in North Dakota is expected to grow at an annual rate of 2.32%. With a total employment of 329 specialists statewide across eight metro areas, the demand for qualified professionals is steady. Cities like Fargo and Grand Forks also present reasonable salaries at $27,465 and $27,216, respectively. North Dakota has specific state licensing requirements and scope of practice laws that may impact job prospects. The demand for services is driven by an aging population and a growing focus on healthcare administration. Overall, while salaries lag behind national averages, the job market maintains a positive outlook, emphasizing the importance of training and skill development to enhance earning potential in this field.
North Dakota Medical Billing and Coding Specialist Salary Range
Overall salary range in North Dakota: $11,411 (lowest entry-level) to $51,963 (highest top earner)
North Dakota vs National Average
North Dakota medical billing and coding specialists earn 14.12% less than the national median ($-4,284/year difference).
North Dakota Medical Billing and Coding Specialist Salary Distribution (2026)
Medical Billing and Coding Specialist salaries in North Dakota range from $22,131 (entry-level, 10th percentile) to $45,954 (top earners, 90th percentile), with a median of $26,065. The North Dakota median is $4,284 below the US national median of $30,349. The average hourly rate is $12.53/hr. Approximately 329 medical billing and coding specialists are employed across 8 cities.
2021 BLS Actual
$46,733
2025 BLS Actual
$25,474
2026 Current Est.
$26,065
2021–2027 Growth
+-42.9%
Salary Trajectory for Medical Billing and Coding Specialists in North Dakota (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $46,733 | Actual |
| 2022 | $46,961 | Actual |
| 2023 | $54,397 | Actual |
| 2024 | $54,498 | Actual |
| 2025 | $25,474 | Actual |
| 2026(current) | $26,065 | Estimated |
| 2027 | $26,670 | Projected |
Based on 5 years of BLS OEWS data for the North Dakota metropolitan area, the median medical billing and coding specialist salary grew -45.5% from $46,733 (2021) to $25,474 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $26,670 by 2027 — a total increase of $-20,063 (-42.93%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the North Dakota 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.
Top 5 Highest Paying Cities in North Dakota
Lowest Paying Cities in North Dakota
| City | Median Salary |
|---|---|
| Mandan | $15,135 |
| Williston | $15,452 |
| Dickinson | $15,835 |
| Minot | $15,904 |
| West Fargo | $15,915 |
Best Value Cities for Medical Billing and Coding Specialists in North Dakota
When adjusted for local cost of living, these North Dakota cities offer the most purchasing power for medical billing and coding specialists.
| City | Nominal Salary | CoL Index | Adjusted Salary |
|---|---|---|---|
| Grand Forks | $27,216 | 86.663 | $31,404 |
| Bismarck | $27,727 | 91.024 | $30,461 |
| Fargo | $27,465 | 90.871 | $30,224 |
| West Fargo | $15,915 | 92 | $17,299 |
| Minot | $15,904 | 92 | $17,287 |
Adjusted salary = nominal salary × (100 / CoL index). CoL index: 100 = national average. Lower index = lower cost of living.
Salary by Experience Level in North Dakota
| Experience Level | Estimated Annual |
|---|---|
| Entry Level (0-2 years) | $22,131 |
| Mid Career (3-7 years) | $26,065 |
| Experienced (7+ years) | $45,954 |
Estimates based on BLS percentile data averaged across North Dakota metro areas. Individual pay varies by employer, certifications, and specialization.
All 8 Cities in North Dakota
| # | City | Median Salary |
|---|---|---|
| 1 | Bismarck | $27,727 |
| 2 | Fargo | $27,465 |
| 3 | Grand Forks | $27,216 |
| 4 | West Fargo | $15,915 |
| 5 | Minot | $15,904 |
| 6 | Dickinson | $15,835 |
| 7 | Williston | $15,452 |
| 8 | Mandan | $15,135 |
More North Dakota Salary Data
Hourly Rates
Explore medical billing and coding specialist hourly pay in North Dakota cities.
Entry Level
Starting salaries for new medical billing and coding specialists.
Senior / Experienced
Top earner salaries for experienced medical billing and coding specialists.
Explore More Medical Billing and Coding Specialist Salary Data
Frequently Asked Questions
How much do medical billing and coding specialists make in North Dakota in 2026?
What is the highest paying city for medical billing and coding specialists in North Dakota?
How does North Dakota medical billing and coding specialist pay compare to the national average?
What is the entry-level medical billing and coding specialist salary in North Dakota?
How many medical billing and coding specialists are employed in North Dakota?
Which North Dakota city offers the best value for medical billing and coding specialists?
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
Statewide 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. A 2.32% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to each metro area's reported salary to estimate current 2026 medical billing and coding specialist compensation across North Dakota. State averages are employment-weighted across 8 metro areas — larger metro areas with more medical billing and coding specialistscontribute proportionally more to the average, producing figures that better reflect typical compensation. Individual pay varies by city, employer, certifications, and experience.
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