Medical Billing and Coding Specialist Salary in Texas: $29,100 (2026)

Quick Answer:Across Texas's 109 metropolitan areas, the average median medical billing and coding specialist pay sits at $29,100/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 29-2072. Because Texas sits at BEA RPP 96.0 (4% below the U.S. baseline), that statewide median translates to roughly $30,313 in nationally-comparable purchasing power. Highest-paying metros: Midland ($30,589), Dallas ($30,241), Fort Worth ($30,044).

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

$29,100

Avg Median Salary

$13.99

Avg Hourly Rate

16,613

Metro Employed

109

Cities

In Texas, the average median salary for medical billing and coding specialists in 2026 is projected to be $29,100, which falls short of the national median of $30,349 by 4.1%. Salaries vary significantly across the state; Midland ranks as the highest paying city at $31,299, while Texarkana is the lowest at $20,735. This disparity is driven by local demand, cost of living, and the concentration of healthcare facilities in more urbanized areas. Texas has no specific state licensing requirements for medical billing and coding specialists, but adherence to national certification standards can enhance job prospects. The scope of practice laws allows for versatility in roles, helping to drive demand in a state with a growing population. The projected growth rate for this field in Texas is 2.32% annually, indicating a steady demand for professionals. With a total employment of 16,613 in this sector, major metropolitan areas like Dallas ($30,943) and Fort Worth ($30,741) also offer competitive salaries. The job market appears stable, driven by the continual need for healthcare services and the administration of medical records, suggesting a favorable outlook for those entering this field in Texas.

Texas Medical Billing and Coding Specialist Salary Range

Entry Level (10th %ile)

$20,566

avg across 109 cities

Median

$29,100

state average

Top Earners (90th %ile)

$45,105

avg across 109 cities

Overall salary range in Texas: $13,370 (lowest entry-level) to $50,283 (highest top earner)

Texas vs National Average

Texas

$29,100

National Median

$30,349

Texas medical billing and coding specialists earn 4.12% less than the national median ($-1,249/year difference).

Texas Medical Billing and Coding Specialist Salary Distribution (2026)

Medical Billing and Coding Specialist salaries in Texas range from $20,566 (entry-level, 10th percentile) to $45,105 (top earners, 90th percentile), with a median of $29,100. The Texas median is $1,249 below the US national median of $30,349. The average hourly rate is $13.99/hr. Approximately 16,613 medical billing and coding specialists are employed across 109 cities.

2021 BLS Actual

$42,934

2025 BLS Actual

$28,440

2026 Current Est.

$29,100

2021–2027 Growth

+-30.6%

Salary Trajectory for Medical Billing and Coding Specialists in Texas (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	$42,934	Actual
2022	$39,632	Actual
2023	$45,110	Actual
2024	$47,817	Actual
2025	$28,440	Actual
2026(current)	$29,100	Estimated
2027	$29,775	Projected

Based on 5 years of BLS OEWS data for the Texas metropolitan area, the median medical billing and coding specialist salary grew -33.8% from $42,934 (2021) to $28,440 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $29,775 by 2027 — a total increase of $-13,159 (-30.65%) from 2021.

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

Midland

80 employed · $15.05/hr

$31,299

+7.56% vs avg

Dallas

5,210 employed · $14.88/hr

$30,943

+6.33% vs avg

Fort Worth

219 employed · $14.78/hr

$30,741

+5.64% vs avg

Houston

3,680 employed · $14.62/hr

$30,415

+4.52% vs avg

Victoria

60 employed · $14.62/hr

$30,415

+4.52% vs avg

Lowest Paying Cities in Texas

City	Median Salary	vs State Avg	Hourly
Texarkana	$20,735	-28.75%	$9.97
Corpus Christi	$22,598	-22.34%	$10.87
Edinburg	$22,675	-22.08%	$10.90
Laredo	$22,771	-21.75%	$10.95
Brownsville	$23,026	-20.87%	$11.07

Best Value Cities for Medical Billing and Coding Specialists in Texas

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

City	Nominal Salary	CoL Index	Adjusted Salary
Victoria	$30,415	89.839	$33,855
Midland	$31,299	95.783	$32,677
Killeen	$29,340	91.132	$32,195
Fort Worth	$30,741	96	$32,022
Odessa	$29,916	93.896	$31,861

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

Salary by Experience Level in Texas

Experience Level	Estimated Annual	Est. Hourly	Description
Entry Level (0-2 years)	$20,566	$9.89	10th percentile, new graduates
Mid Career (3-7 years)	$29,100	$13.99	50th percentile, median salary
Experienced (7+ years)	$45,105	$21.69	90th percentile, top earners

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

All 109 Cities in Texas

#	City	Median Salary	Hourly	Entry (P10)	Top (P90)	Employed
1	Midland	$31,299	$15.05	$23,073	$50,283	80
2	Dallas	$30,943	$14.88	$22,522	$47,589	5,210
3	Fort Worth	$30,741	$14.78	$22,154	$47,648	219
4	Houston	$30,415	$14.62	$22,640	$47,779	3,680
5	Victoria	$30,415	$14.62	$20,487	$46,366	60
6	Arlington	$30,317	$14.58	$20,375	$46,993	83
7	The Woodlands	$30,050	$14.45	$21,917	$46,578	21
8	Pasadena	$30,017	$14.43	$21,960	$46,526	32
9	Odessa	$29,916	$14.39	$20,830	$48,663	50
10	San Marcos	$29,752	$14.30	$21,432	$46,115	13
11	Killeen	$29,340	$14.11	$21,127	$44,486	220
12	Round Rock	$29,277	$14.08	$20,016	$45,379	26
13	Temple	$29,100	$13.99	$21,943	$45,105	14
14	Austin	$29,073	$13.98	$15,364	$47,298	1,320
15	Abilene	$28,717	$13.80	$20,902	$41,483	80
16	El Paso	$28,403	$13.66	$15,940	$39,399	560
17	Amarillo	$28,136	$13.53	$18,456	$40,486	170
18	Irving	$28,052	$13.49	$19,000	$43,481	51
19	Plano	$27,959	$13.44	$18,875	$43,337	57
20	San Angelo	$27,850	$13.38	$21,542	$35,631	120
21	Garland	$27,814	$13.37	$18,580	$43,112	43
22	Frisco	$27,714	$13.32	$18,335	$42,957	38
23	New Braunfels	$27,602	$13.27	$19,237	$42,783	15
24	San Antonio	$27,364	$13.16	$20,379	$42,883	1,670
25	Conroe	$27,147	$13.06	$19,719	$42,077	15
26	Richardson	$27,096	$13.03	$18,355	$41,999	24
27	Carrollton	$27,092	$13.03	$18,345	$41,993	20
28	Grand Prairie	$27,046	$13.00	$18,215	$41,922	43
29	Galveston	$26,848	$12.90	$18,990	$41,614	10
30	DeSoto	$26,829	$12.90	$18,946	$41,586	9
31	Missouri City	$26,802	$12.88	$18,910	$41,543	12
32	Wichita Falls	$26,765	$12.87	$17,673	$37,032	110
33	Sugar Land	$26,687	$12.83	$19,538	$41,365	21
34	Allen	$26,685	$12.83	$19,506	$41,362	19
35	League City	$26,662	$12.82	$19,371	$41,325	22
36	Cedar Park	$26,649	$12.81	$18,531	$41,307	12
37	Georgetown	$26,640	$12.81	$18,427	$41,292	12
38	Baytown	$26,630	$12.80	$18,512	$41,276	16
39	Denton	$26,614	$12.80	$19,371	$41,252	33
40	Wylie	$26,610	$12.79	$18,358	$41,246	10
41	Cleburne	$26,607	$12.79	$19,910	$41,204	7
42	Mesquite	$26,603	$12.79	$19,346	$41,235	21
43	Pharr	$26,583	$12.78	$18,404	$41,203	18
44	McKinney	$26,580	$12.78	$19,185	$41,198	44
45	Pearland	$26,525	$12.75	$19,143	$41,114	19
46	Burleson	$26,507	$12.74	$19,696	$39,996	11
47	Pflugerville	$26,473	$12.73	$18,153	$41,033	16
48	Longview	$26,462	$12.73	$20,047	$38,581	110
49	Cedar Hill	$26,461	$12.72	$19,585	$40,772	8
50	Tyler	$26,409	$12.70	$20,432	$49,358	170
51	Flower Mound	$26,397	$12.69	$20,090	$40,915	12
52	Kyle	$26,379	$12.68	$20,050	$40,888	13
53	College Station	$26,349	$12.67	$17,738	$37,922	120
54	Del Rio	$26,349	$12.67	$19,287	$39,382	9
55	Coppell	$26,287	$12.64	$19,165	$40,745	8
56	Forney	$26,245	$12.62	$19,065	$40,016	6
57	Rowlett	$26,218	$12.61	$18,800	$40,638	15
58	The Colony	$26,179	$12.59	$18,906	$39,720	9
59	Anna	$26,168	$12.59	$18,881	$40,561	4
60	Huntsville	$26,140	$12.56	$18,813	$40,517	11
61	Lubbock	$26,100	$12.55	$17,228	$38,533	200
62	Mansfield	$26,058	$12.52	$19,191	$40,390	18
63	Weatherford	$26,053	$12.52	$18,606	$39,283	9
64	Euless	$26,040	$12.52	$19,259	$40,363	14
65	Weslaco	$26,023	$12.51	$18,536	$40,336	9
66	Hurst	$26,011	$12.50	$18,507	$39,203	9
67	Grapevine	$25,979	$12.49	$19,117	$40,268	12
68	Leander	$25,973	$12.48	$18,996	$40,258	11
69	Little Elm	$25,971	$12.48	$18,414	$39,066	12
70	Lancaster	$25,948	$12.47	$18,360	$40,220	8
71	North Richland Hills	$25,930	$12.46	$19,005	$40,191	17
72	Duncanville	$25,926	$12.46	$18,306	$40,185	8
73	Copperas Cove	$25,876	$12.44	$20,323	$40,107	7
74	Friendswood	$25,872	$12.44	$20,204	$40,101	8
75	Seguin	$25,763	$12.39	$20,024	$39,877	7
76	Rockwall	$25,728	$12.37	$19,966	$39,820	12
77	Corinth	$25,702	$12.36	$19,731	$37,609	6
78	Schertz	$25,678	$12.35	$19,046	$39,582	6
79	Corsicana	$25,657	$12.34	$19,620	$37,396	6
80	San Juan	$25,639	$12.33	$19,752	$39,741	9
81	Kingsville	$25,637	$12.33	$19,747	$39,439	5
82	Prosper	$25,630	$12.32	$19,731	$39,480	7
83	Sherman	$25,614	$12.31	$18,855	$34,302	50
84	Waco	$25,595	$12.31	$16,611	$34,812	110
85	Sachse	$25,567	$12.29	$19,578	$39,260	5
86	Bastrop	$25,563	$12.29	$19,385	$38,016	6
87	Socorro	$25,519	$12.27	$19,437	$39,554	5
88	Eagle Pass	$25,471	$12.25	$19,241	$38,930	5
89	Keller	$25,434	$12.23	$19,261	$38,803	7
90	Lufkin	$25,404	$12.22	$19,191	$38,639	8
91	Haltom City	$25,402	$12.22	$19,159	$38,617	11
92	Nacogdoches	$25,402	$12.22	$19,159	$38,632	7
93	Benbrook	$25,381	$12.21	$18,936	$38,918	6
94	University Park	$25,357	$12.19	$18,876	$38,836	5
95	Fredericksburg	$25,198	$12.11	$19,849	$38,293	5
96	Port Arthur	$25,059	$12.04	$18,138	$38,842	12
97	Stephenville	$25,019	$12.03	$20,182	$36,193	6
98	Horizon City	$24,911	$11.97	$19,884	$37,261	6
99	Murphy	$24,743	$11.90	$19,498	$37,549	5
100	Tomball	$24,547	$11.80	$19,015	$36,107	5
101	Beaumont	$24,497	$11.78	$20,279	$37,667	130
102	Mission	$23,442	$11.27	$16,443	$36,335	22
103	Harlingen	$23,436	$11.27	$16,772	$36,306	14
104	McAllen	$23,234	$11.17	$13,370	$37,875	410
105	Brownsville	$23,026	$11.07	$16,515	$35,951	190
106	Laredo	$22,771	$10.95	$16,564	$38,171	60
107	Edinburg	$22,675	$10.90	$16,199	$35,147	22
108	Corpus Christi	$22,598	$10.87	$17,880	$34,895	190
109	Texarkana	$20,735	$9.97	$14,771	$36,930	60

More Texas Salary Data

Hourly Rates

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

Midland →Dallas →Fort Worth →

Entry Level

Starting salaries for new medical billing and coding specialists.

Midland →Dallas →Fort Worth →

Senior / Experienced

Top earner salaries for experienced medical billing and coding specialists.

Midland →Dallas →Fort Worth →

Compare Cities in Texas

Dallas, TXvsHouston, TX Dallas, TXvsSan Antonio, TX Dallas, TXvsAustin, TX Dallas, TXvsEl Paso, TX Dallas, TXvsMcallen, TX Dallas, TXvsKilleen, TX

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Explore More Medical Billing and Coding Specialist Salary Data

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Frequently Asked Questions

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

The average median medical billing and coding specialist salary in Texas is $29,100/year across 109 metro areas, based on estimated 2026 (projected from 2025 BLS data). Salaries range from $20,735 in Texarkana to $31,299 in Midland. This makes Texas 4.12% below the national median of $30,349. The state employs approximately 16,613 medical billing and coding specialists.

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

Midland offers the highest medical billing and coding specialist salary in Texas at $31,299/year ($15.05/hr), based on estimated 2026 (projected from 2025 BLS data). The top 3 highest-paying cities are Midland ($31,299), Dallas ($30,943), Fort Worth ($30,741). 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 Texas medical billing and coding specialist pay compare to the national average?

Texas's average medical billing and coding specialist salary of $29,100 is 4.12% below the national median of $30,349 in 2026. The state employs approximately 16,613 medical billing and coding specialists across 109 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 Texas?

Entry-level medical billing and coding specialists (10th percentile) in Texas earn approximately $20,566/year on average, based on estimated 2026 (projected from 2025 BLS data). Starting salaries range from $13,370 in lower-paying areas to $23,073 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 Texas?

Texas employs approximately 16,613 medical billing and coding specialists across 109 metropolitan areas, based on the latest BLS data. This makes Texas 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 Texas city offers the best value for medical billing and coding specialists?

When adjusted for cost of living, Victoria offers the highest purchasing power for medical billing and coding specialists in Texas, with an adjusted salary of $33,855 (nominal: $30,415, CoL index: 89.839). This means your dollar goes 11% 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 Texas. State averages are employment-weighted across 109 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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