Medical Billing and Coding Specialist Salary in Ohio: $31,382 (2026)

Quick Answer:Across Ohio's 67 metropolitan areas, the average median medical billing and coding specialist pay sits at $31,382/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 29-2072. Because Ohio sits at BEA RPP 90.7 (9% below the U.S. baseline), that statewide median translates to roughly $34,600 in nationally-comparable purchasing power. Highest-paying metros: Cleveland ($35,931), Cincinnati ($29,783), Columbus ($29,713).

Medical Billing and Coding Specialist Salary in Ohio - 2025 BLS Data Infographic — Ohio medical billing and coding specialist salary overview (2026)

$31,382

Avg Median Salary

$15.09

Avg Hourly Rate

6,507

Metro Employed

Cities

The average median salary for medical billing and coding specialists in Ohio is projected to be $31,382 in 2026, which is slightly above the national median of $30,349, reflecting a positive variance of 3.4%. There is a significant difference in salaries across cities; Cleveland offers the highest average at $36,765, while Youngstown presents the lowest at $23,098. This disparity can be attributed to factors such as cost of living, demand for healthcare services, and the concentration of hospitals and clinics in metropolitan areas. Ohio's job market for medical billing and coding specialists shows a promising growth rate of 2.32% annually. Licensing requirements and scope of practice laws in the state emphasize accuracy and adherence to regulations, driving demand for skilled professionals. Top cities for employment and compensation include Cincinnati at $30,474, Columbus at $30,402, Akron at $29,364, and Beavercreek at $28,810, illustrating varied opportunities for specialists across the state. With a total of 6,507 specialists employed in Ohio, the job market remains stable, fostering opportunities for those entering this field. Understanding these salary dynamics and market conditions is essential for career planning in the medical billing and coding sector.

Ohio Medical Billing and Coding Specialist Salary Range

Entry Level (10th %ile)

$22,875

avg across 67 cities

Median

$31,382

state average

Top Earners (90th %ile)

$47,724

avg across 67 cities

Overall salary range in Ohio: $15,460 (lowest entry-level) to $55,897 (highest top earner)

Ohio vs National Average

Ohio

$31,382

National Median

$30,349

Ohio medical billing and coding specialists earn 3.40% more than the national median (+$1,033/year difference).

Ohio Medical Billing and Coding Specialist Salary Distribution (2026)

Medical Billing and Coding Specialist salaries in Ohio range from $22,875 (entry-level, 10th percentile) to $47,724 (top earners, 90th percentile), with a median of $31,382. The Ohio median is $1,033 above the US national median of $30,349. The average hourly rate is $15.09/hr. Approximately 6,507 medical billing and coding specialists are employed across 67 cities.

2021 BLS Actual

$45,241

2025 BLS Actual

$30,670

2026 Current Est.

$31,382

2021–2027 Growth

+-29.0%

Salary Trajectory for Medical Billing and Coding Specialists in Ohio (2021–2027)

2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.

BLS Actual Estimated Projected

Year	Annual Salary	Status
2021	$45,241	Actual
2022	$45,497	Actual
2023	$48,367	Actual
2024	$52,126	Actual
2025	$30,670	Actual
2026(current)	$31,382	Estimated
2027	$32,110	Projected

Based on 5 years of BLS OEWS data for the Ohio metropolitan area, the median medical billing and coding specialist salary grew -32.2% from $45,241 (2021) to $30,670 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $32,110 by 2027 — a total increase of $-13,131 (-29.02%) from 2021.

Note: Historical values (2021–2025) are actual BLS OEWS figures for the Ohio 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 Ohio

Cleveland

1,810 employed · $17.68/hr

$36,765

+17.15% vs avg

Cincinnati

1,300 employed · $14.65/hr

$30,474

-2.89% vs avg

Columbus

1,380 employed · $14.62/hr

$30,402

-3.12% vs avg

Akron

390 employed · $14.12/hr

$29,364

-6.43% vs avg

Beavercreek

8 employed · $13.85/hr

$28,810

-8.20% vs avg

Lowest Paying Cities in Ohio

City	Median Salary	vs State Avg	Hourly
Youngstown	$23,098	-26.40%	$11.10
Warren	$23,154	-26.22%	$11.13
Springfield	$23,531	-25.02%	$11.31
Mansfield	$25,809	-17.76%	$12.41
Solon	$26,050	-16.99%	$12.52

Best Value Cities for Medical Billing and Coding Specialists in Ohio

When adjusted for local cost of living, these Ohio cities offer the most purchasing power for medical billing and coding specialists.

City	Nominal Salary	CoL Index	Adjusted Salary
Cleveland	$36,765	93.923	$39,144
Cincinnati	$30,474	95.37	$31,953
Sandusky	$28,468	89.281	$31,886
Columbus	$30,402	95.469	$31,845
Beavercreek	$28,810	90.7	$31,764

Adjusted salary = nominal salary × (100 / CoL index). CoL index: 100 = national average. Lower index = lower cost of living.

Salary by Experience Level in Ohio

Experience Level	Estimated Annual	Est. Hourly	Description
Entry Level (0-2 years)	$22,875	$11.00	10th percentile, new graduates
Mid Career (3-7 years)	$31,382	$15.09	50th percentile, median salary
Experienced (7+ years)	$47,724	$22.94	90th percentile, top earners

Estimates based on BLS percentile data averaged across Ohio metro areas. Individual pay varies by employer, certifications, and specialization.

All 67 Cities in Ohio

#	City	Median Salary	Hourly	Entry (P10)	Top (P90)	Employed
1	Cleveland	$36,765	$17.68	$23,448	$55,897	1,810
2	Cincinnati	$30,474	$14.65	$23,429	$47,286	1,300
3	Columbus	$30,402	$14.62	$23,916	$47,756	1,380
4	Akron	$29,364	$14.12	$22,700	$43,827	390
5	Beavercreek	$28,810	$13.85	$21,871	$44,656	8
6	Dayton	$28,765	$13.83	$22,682	$43,880	320
7	Lorain	$28,650	$13.77	$19,784	$44,407	12
8	Parma	$28,571	$13.73	$20,465	$44,210	12
9	Sandusky	$28,468	$13.68	$22,284	$37,494	30
10	Cuyahoga Falls	$28,454	$13.68	$20,075	$43,866	11
11	Kettering	$28,377	$13.64	$21,042	$43,985	10
12	Hamilton	$28,355	$13.63	$19,933	$43,951	11
13	Canton	$28,219	$13.57	$20,741	$39,103	220
14	Lakewood	$28,200	$13.56	$19,603	$43,711	11
15	Bowling Green	$28,164	$13.54	$21,083	$42,679	7
16	Lancaster	$28,154	$13.54	$21,062	$43,639	7
17	Zanesville	$28,152	$13.54	$21,056	$42,640	5
18	Lima	$28,106	$13.52	$22,172	$36,693	90
19	Westlake	$28,103	$13.51	$20,938	$42,470	5
20	Toledo	$28,094	$13.51	$22,005	$38,165	310
21	Middletown	$28,093	$13.51	$20,911	$43,427	9
22	Grove City	$28,011	$13.47	$20,714	$42,149	7
23	Delaware	$27,990	$13.46	$20,661	$42,003	7
24	Gahanna	$27,985	$13.46	$20,650	$42,056	9
25	Westerville	$27,967	$13.44	$20,607	$41,995	8
26	Huber Heights	$27,902	$13.41	$20,331	$41,767	11
27	North Ridgeville	$27,879	$13.40	$20,395	$41,690	8
28	North Royalton	$27,840	$13.38	$20,184	$41,554	7
29	Massillon	$27,836	$13.38	$21,392	$43,146	7
30	North Olmsted	$27,741	$13.33	$20,064	$42,999	8
31	Reynoldsburg	$27,693	$13.31	$19,832	$42,924	8
32	Strongsville	$27,600	$13.27	$19,612	$42,780	8
33	Brunswick	$27,429	$13.19	$21,558	$42,515	6
34	Wooster	$27,429	$13.19	$21,471	$42,515	6
35	Elyria	$27,386	$13.17	$19,955	$42,448	14
36	Shaker Heights	$27,330	$13.14	$21,318	$42,362	7
37	Medina	$27,312	$13.13	$21,303	$42,334	6
38	Dublin	$27,224	$13.09	$21,091	$42,092	9
39	Fairfield	$27,221	$13.09	$21,056	$42,193	9
40	Mentor	$27,194	$13.08	$20,989	$42,150	9
41	Mason	$27,074	$13.02	$20,617	$41,574	7
42	Avon	$27,040	$13.00	$20,454	$40,157	6
43	Marion	$26,999	$12.98	$20,524	$41,233	7
44	Stow	$26,997	$12.98	$20,434	$41,310	9
45	Newark	$26,982	$12.97	$20,512	$41,256	10
46	Findlay	$26,953	$12.95	$20,444	$41,158	8
47	Green	$26,911	$12.93	$20,231	$41,713	4
48	Barberton	$26,911	$12.93	$20,344	$41,015	6
49	Austintown	$26,901	$12.93	$20,205	$40,979	7
50	Cleveland Heights	$26,896	$12.93	$20,307	$40,963	9
51	Upper Arlington	$26,861	$12.91	$20,197	$40,777	9
52	Xenia	$26,861	$12.91	$20,225	$40,777	7
53	Hilliard	$26,828	$12.90	$20,034	$40,731	9
54	Oxford	$26,744	$12.86	$19,695	$40,691	6
55	Chillicothe	$26,687	$12.83	$19,467	$40,560	6
56	Perrysburg	$26,589	$12.78	$21,578	$40,163	6
57	Trotwood	$26,580	$12.78	$21,557	$40,133	6
58	Athens	$26,299	$12.65	$20,069	$39,250	5
59	Tiffin	$26,152	$12.58	$20,522	$38,696	6
60	Wadsworth	$26,130	$12.56	$20,357	$38,688	6
61	Avon Lake	$26,111	$12.55	$20,394	$38,561	5
62	Centerville	$26,054	$12.52	$20,168	$38,433	6
63	Solon	$26,050	$12.52	$20,272	$39,250	6
64	Mansfield	$25,809	$12.41	$21,044	$34,605	40
65	Springfield	$23,531	$11.31	$15,460	$32,925	30
66	Warren	$23,154	$11.13	$16,496	$35,889	9
67	Youngstown	$23,098	$11.10	$17,246	$35,940	160

More Ohio Salary Data

Hourly Rates

Explore medical billing and coding specialist hourly pay in Ohio cities.

Cleveland →Cincinnati →Columbus →

Entry Level

Starting salaries for new medical billing and coding specialists.

Cleveland →Cincinnati →Columbus →

Senior / Experienced

Top earner salaries for experienced medical billing and coding specialists.

Cleveland →Cincinnati →Columbus →

Compare Cities in Ohio

Cleveland, OHvsColumbus, OH Cleveland, OHvsCincinnati, OH Columbus, OHvsCincinnati, OH Cleveland, OHvsAkron, OH Cleveland, OHvsDayton, OH Cleveland, OHvsToledo, OH

View all comparisons →

Explore More Medical Billing and Coding Specialist Salary Data

National OverviewMedian salary & full US data Entry-Level SalariesStarting pay & new grad earnings Hourly Pay RatesPer-hour rates & part-time income Highest Paying StatesTop states ranked by salary

Frequently Asked Questions

How much do medical billing and coding specialists make in Ohio in 2026?

The average median medical billing and coding specialist salary in Ohio is $31,382/year across 67 metro areas, based on estimated 2026 (projected from 2025 BLS data). Salaries range from $23,098 in Youngstown to $36,765 in Cleveland. This makes Ohio one of the higher-paying states, at 3.40% above the national median of $30,349. The state employs approximately 6,507 medical billing and coding specialists.

What is the highest paying city for medical billing and coding specialists in Ohio?

Cleveland offers the highest medical billing and coding specialist salary in Ohio at $36,765/year ($17.68/hr), based on estimated 2026 (projected from 2025 BLS data). The top 3 highest-paying cities are Cleveland ($36,765), Cincinnati ($30,474), Columbus ($30,402). Higher pay in these metros is typically driven by cost of living, demand for medical billing and coding services, and competition among employers for licensed medical billing and coding specialists.

How does Ohio medical billing and coding specialist pay compare to the national average?

Ohio's average medical billing and coding specialist salary of $31,382 is 3.40% above the national median of $30,349 in 2026. The state employs approximately 6,507 medical billing and coding specialists across 67 metropolitan areas. When comparing salaries, consider cost-of-living differences — a lower nominal salary in an affordable area may provide better purchasing power than a higher salary in an expensive metro.

What is the entry-level medical billing and coding specialist salary in Ohio?

Entry-level medical billing and coding specialists (10th percentile) in Ohio earn approximately $22,875/year on average, based on estimated 2026 (projected from 2025 BLS data). Starting salaries range from $15,460 in lower-paying areas to $23,916 in the highest-paying metros. New graduates should expect salaries at the lower end and can typically reach the area median within 3–5 years of clinical experience.

How many medical billing and coding specialists are employed in Ohio?

Ohio employs approximately 6,507 medical billing and coding specialists across 67 metropolitan areas, based on the latest BLS data. This makes Ohio one of the larger employers of medical billing and coding specialists nationally. Demand continues to grow as the medical billing and coding field expands and the population ages.

Which Ohio city offers the best value for medical billing and coding specialists?

When adjusted for cost of living, Cleveland offers the highest purchasing power for medical billing and coding specialists in Ohio, with an adjusted salary of $39,144 (nominal: $36,765, CoL index: 93.923). This means your dollar goes 6% further compared to the national average, making it an attractive option for maximizing real income.

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.

Clinically reviewed by Liam Johnson, RHITData verified by Sofia Nguyen, CCS

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 Ohio. State averages are employment-weighted across 67 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 (2021–2025). 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

Last verified: June 10, 2026

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