Medical Billing and Coding Specialist Salary in Pierre, SD: $15,346 (2026)
Quick Answer:A full-time medical billing and coding specialist in Pierre, SD earns a median $15,346/year (≈ $7.38/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Pierre's price level (7% below national, BEA RPP 92.8), that paycheck buys what $16,537 would nationally. Nominal pay sits 6.1% below the South Dakota state average.
Based on BLS state-level estimates · View source
In 2026, the average medical billing and coding specialist salary in Pierre, South Dakota, is projected to be $15,346, significantly below the national median of $30,349. This reflects a salary range from $11,205 at the 10th percentile to $23,260 at the 90th percentile. For specialists considering credential stacking, such as obtaining certifications from AAPC or AHIMA, starting with the Certified Professional Coder (CPC) and advancing to Certified Coding Specialist (CCS) or Certified Risk Adjustment Coder (CRC) can enhance lifetime earnings and open doors to higher-paying opportunities. The local figures are derived from 2025 BLS state-level data, with adjustments for regional price parities indicating a unique job market in Pierre.
About the Pierre Market
Salary estimated from South Dakota average ($44,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $11,205 | $5.38 |
| Lower Range (P25) | $13,850 | $6.66 |
| Median (P50)(typical) | $15,346 | $7.38 |
| Upper Range (P75) | $19,153 | $9.21 |
| Top Earners (P90) | $23,260 | $11.18 |
Median Salary Position
49.43% below the national average
2026 Salary Percentile Distribution in Pierre
In Pierre, SD, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $12,055 (2026 est.). At $15,346, the local median is 49.43% below the national median of $30,349.
Salary Calculator
At 40 hours/week in Pierre: You'd be in the lower-middle range
How Pierre Medical Billing and Coding Specialist Pay Compares
Pierre median: $15,346/year (2026)
| Compared To | Median Salary | Pierre Pays |
|---|---|---|
| South Dakota Average | $16,343 | -6.10% less |
| National Average | $30,349 | -49.43% less |
Medical Billing and Coding Specialists in Pierre, SD earn a median of $15,346 per year (2026 est.), which is 49.43% lower than the national median of $30,349 and 6.10% below the South Dakota state average of $16,343.
Cost-of-Living Adjusted Salary
Pierre has a cost of living 7.20% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Pierre, SD has a cost-of-living index of 92.8 (below the national average of 100). A medical billing and coding specialist earning $15,346 nominally has purchasing power equivalent to $16,537 in an average-cost city — an effective 7.76% boost.
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2021 BLS Actual
$13,684
2025 BLS Actual
$14,998
2026 Current Est.
$15,346
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Pierre (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $13,684 | Actual |
| 2022 | $13,837 | Actual |
| 2023 | $14,306 | Actual |
| 2024 | $38,362 | Actual |
| 2025 | $14,998 | Actual |
| 2026(current) | $15,346 | Estimated |
| 2027 | $15,702 | Projected |
Based on 5 years of BLS OEWS data for the Pierre metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $13,684 (2021) to $14,998 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $15,702 by 2027 — a total increase of $2,018 (14.75%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Pierre 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) | $11,205 – $13,850 |
| 3-5 years (Mid Career) | $13,850 – $15,346 |
| 5+ years (Experienced) | $15,346 – $19,153 |
| 10+ years (Top Earner) | $19,153 – $23,260 |
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 Pierre
The job market for medical billing and coding specialists in Pierre currently employs only four professionals, providing a limited but focused competition for available positions. With a cost of living index of 92.8, the purchasing power in Pierre allows specialists to maintain a reasonable standard of living despite the lower salaries compared to national averages. Employers in physician group practice coding and hospital inpatient coding departments typically offer the highest compensation. The disparity in pay is driven by several factors, including the complexities of specialty coding, additional credentials, and whether positions are in-person or remote. To maximize earning potential in Pierre, specialists should pursue continuous education and certifications, stay updated on coding regulations and changes, and consider supplementary roles in risk adjustment coding, which has seen significant growth in demand.
More salary data for Pierre, SD:
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 $14,998 for medical billing and coding specialistsin the Pierre 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 Pierre 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