Medical Billing and Coding Specialist Salary in Puerto Rico: $16,805 (2026)
Quick Answer:Across Puerto Rico's 5 metropolitan areas, the average median medical billing and coding specialist pay sits at $16,805/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 29-2072. Because Puerto Rico sits at BEA RPP 75.0 (25% below the U.S. baseline), that statewide median translates to roughly $22,407 in nationally-comparable purchasing power. Highest-paying metros: San Juan ($16,675), Ponce ($16,605), Arecibo ($16,431).
If you are considering a career as a medical billing and coding specialist in Puerto Rico, it's essential to understand the salary landscape. The projected average median salary for this role in 2026 is $16,805, significantly lower than the national median of $30,349, representing a gap of 44.6%. Among the cities in Puerto Rico, San Juan offers the highest salary at $17,062, while Mayaguez has the lowest at $14,694, indicating a salary difference of $2,368. This variance can be attributed to factors such as the cost of living, local demand for healthcare services, and the concentration of healthcare facilities. In Puerto Rico, professionals in this field are subject to state licensing requirements and specific scope of practice laws that can influence job opportunities and salaries. The projected annual growth rate for this occupation is 2.32%, reflecting a steady demand driven by an increasing need for healthcare professionals and the complexity of billing and coding in an evolving medical landscape. Currently, there are about 1,780 individuals employed in this sector across five metro areas, with the top cities for employment being San Juan, Ponce, and Arecibo. Understanding these regional dynamics will equip you to make informed career decisions in this field.
Puerto Rico Medical Billing and Coding Specialist Salary Range
Overall salary range in Puerto Rico: $12,961 (lowest entry-level) to $34,385 (highest top earner)
Puerto Rico vs National Average
Puerto Rico medical billing and coding specialists earn 44.63% less than the national median ($-13,544/year difference).
Puerto Rico Medical Billing and Coding Specialist Salary Distribution (2026)
Medical Billing and Coding Specialist salaries in Puerto Rico range from $13,020 (entry-level, 10th percentile) to $33,180 (top earners, 90th percentile), with a median of $16,805. The Puerto Rico median is $13,544 below the US national median of $30,349. The average hourly rate is $8.08/hr. Approximately 1,780 medical billing and coding specialists are employed across 5 cities.
2021 BLS Actual
$21,977
2025 BLS Actual
$16,424
2026 Current Est.
$16,805
2021–2027 Growth
+-21.8%
Salary Trajectory for Medical Billing and Coding Specialists in Puerto Rico (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $21,977 | Actual |
| 2022 | $22,986 | Actual |
| 2023 | $22,114 | Actual |
| 2024 | $23,364 | Actual |
| 2025 | $16,424 | Actual |
| 2026(current) | $16,805 | Estimated |
| 2027 | $17,195 | Projected |
Based on 5 years of BLS OEWS data for the Puerto Rico metropolitan area, the median medical billing and coding specialist salary grew -25.3% from $21,977 (2021) to $16,424 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $17,195 by 2027 — a total increase of $-4,782 (-21.76%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Puerto Rico 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 Puerto Rico
Salary by Experience Level in Puerto Rico
| Experience Level | Estimated Annual |
|---|---|
| Entry Level (0-2 years) | $13,020 |
| Mid Career (3-7 years) | $16,805 |
| Experienced (7+ years) | $33,180 |
Estimates based on BLS percentile data averaged across Puerto Rico metro areas. Individual pay varies by employer, certifications, and specialization.
All 5 Cities in Puerto Rico
More Puerto Rico Salary Data
Hourly Rates
Explore medical billing and coding specialist hourly pay in Puerto Rico 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 Puerto Rico in 2026?
What is the highest paying city for medical billing and coding specialists in Puerto Rico?
How does Puerto Rico medical billing and coding specialist pay compare to the national average?
What is the entry-level medical billing and coding specialist salary in Puerto Rico?
How many medical billing and coding specialists are employed in Puerto Rico?
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 Puerto Rico. State averages are employment-weighted across 5 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