Medical Billing and Coding Specialist Salary in Middletown, OH: $28,093 (2026)
Quick Answer:A full-time medical billing and coding specialist in Middletown, OH earns a median $28,093/year (≈ $13.51/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Middletown's price level (9% below national, BEA RPP 90.7), that paycheck buys what $30,974 would nationally. Nominal pay sits 0.9% below the Ohio state average.
Based on BLS state-level estimates · View source
In 2026, the financial outlook for medical billing and coding specialists in Middletown, Ohio reflects a median annual salary of $28,093, which is noticeably below the national average of $30,349, marking a pay gap of approximately 7.43%. Salary estimates indicate a wide range within the local market, with entry-level positions earning as little as $20,911, while experienced professionals can command up to $43,427. The data, based on 2025 BLS OEWS data and adjusted for regional cost variances, illustrates that specialty areas such as inpatient coding (CCS) tend to offer higher pay rates compared to outpatient coding (CPC) and risk adjustment coding (CRC). This trend illustrates the job market dynamics specific to Middletown, where local demand influences compensation levels across different coding specialties.
About the Middletown Market
Salary estimated from Ohio average ($48,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $20,911 | $10.06 |
| Lower Range (P25) | $24,012 | $11.54 |
| Median (P50)(typical) | $28,093 | $13.51 |
| Upper Range (P75) | $35,306 | $16.97 |
| Top Earners (P90) | $43,427 | $20.87 |
Median Salary Position
7.43% below the national average
2026 Salary Percentile Distribution in Middletown
In Middletown, OH, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $22,516 (2026 est.). At $28,093, the local median is 7.43% 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: $28,093/year (2026)
| Compared To | Median Salary | Middletown Pays |
|---|---|---|
| Ohio Average | $28,348 | -0.90% less |
| National Average | $30,349 | -7.43% less |
Medical Billing and Coding Specialists in Middletown, OH earn a median of $28,093 per year (2026 est.), which is 7.43% lower than the national median of $30,349 and 0.90% below the Ohio state average of $28,348.
Cost-of-Living Adjusted Salary
Middletown has a cost of living 9.30% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Middletown, OH has a cost-of-living index of 90.7 (below the national average of 100). A medical billing and coding specialist earning $28,093 nominally has purchasing power equivalent to $30,974 in an average-cost city — an effective 10.26% boost.
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2021 BLS Actual
$25,051
2025 BLS Actual
$27,456
2026 Current Est.
$28,093
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 | $25,051 | Actual |
| 2022 | $25,330 | Actual |
| 2023 | $26,189 | Actual |
| 2024 | $43,151 | Actual |
| 2025 | $27,456 | Actual |
| 2026(current) | $28,093 | Estimated |
| 2027 | $28,745 | 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 $25,051 (2021) to $27,456 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $28,745 by 2027 — a total increase of $3,694 (14.75%) 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) | $20,911 – $24,012 |
| 3-5 years (Mid Career) | $24,012 – $28,093 |
| 5+ years (Experienced) | $28,093 – $35,306 |
| 10+ years (Top Earner) | $35,306 – $43,427 |
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
Examining the job market, only nine medical billing and coding specialists are currently employed in Middletown, offering limited opportunities in a market characterized by a cost-of-living index of 90.7, indicating affordability compared to the national average. Employers that typically offer higher pay include physician group practices, inpatient coding departments within hospitals, and third-party coding companies, often favoring remote work arrangements. The variation in pay often arises from several factors, including the type of coding specialty, certification stack (such as CPC combined with CCS or CRC), and potential bonuses linked to productivity metrics. To enhance earning potential in this Middletown market, specialists should consider pursuing additional credentials and seeking positions within higher-paying sectors, particularly those that value compliance and audit expertise, which can significantly boost overall salary potential.
More salary data for Middletown, OH:
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 $27,456 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