Medical Billing and Coding Specialist Salary in Fredericksburg, TX: $25,198 (2026)
Quick Answer:A full-time medical billing and coding specialist in Fredericksburg, TX earns a median $25,198/year (≈ $12.11/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Fredericksburg's price level (4% below national, BEA RPP 96.0), that paycheck buys what $26,248 would nationally. Nominal pay sits 5.9% below the Texas state average.
Based on BLS state-level estimates · View source
In 2026, the medical billing and coding specialist salary in Fredericksburg, TX, is projected to reach a median of $25,198. This figure represents a significant contrast to the national median of $30,349, illustrating an approximate 16.97% shortfall. Salaries in Fredericksburg vary widely, with a range extending from $19,849 at the lower end to $38,293 at the higher end. Local estimates are derived from 2025 BLS data and adjusted for the region's cost of living. For professionals in Fredericksburg, advancing through credential stacking—starting with the Certified Professional Coder (CPC) certification and progressing to Certified Coding Specialist (CCS) and Certified Risk Adjustment Coder (CRC)—can enhance lifetime earning potential. The job market reflects these dynamics, with strong demand for skilled coders specializing in outpatient and inpatient settings.
About the Fredericksburg Market
Salary estimated from Texas average ($50,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $19,849 | $9.55 |
| Lower Range (P25) | $22,238 | $10.69 |
| Median (P50)(typical) | $25,198 | $12.11 |
| Upper Range (P75) | $31,511 | $15.15 |
| Top Earners (P90) | $38,293 | $18.41 |
Median Salary Position
16.97% below the national average
2026 Salary Percentile Distribution in Fredericksburg
In Fredericksburg, TX, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $18,444 (2026 est.). At $25,198, the local median is 16.97% below the national median of $30,349.
Salary Calculator
At 40 hours/week in Fredericksburg: You'd be in the lower-middle range
How Fredericksburg Medical Billing and Coding Specialist Pay Compares
Fredericksburg median: $25,198/year (2026)
| Compared To | Median Salary | Fredericksburg Pays |
|---|---|---|
| Texas Average | $26,778 | -5.90% less |
| National Average | $30,349 | -16.97% less |
Medical Billing and Coding Specialists in Fredericksburg, TX earn a median of $25,198 per year (2026 est.), which is 16.97% lower than the national median of $30,349 and 5.90% below the Texas state average of $26,778.
Cost-of-Living Adjusted Salary
Fredericksburg has a cost of living 4.00% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Fredericksburg, TX has a cost-of-living index of 96 (below the national average of 100). A medical billing and coding specialist earning $25,198 nominally has purchasing power equivalent to $26,248 in an average-cost city — an effective 4.17% boost.
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2021 BLS Actual
$22,470
2025 BLS Actual
$24,627
2026 Current Est.
$25,198
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Fredericksburg (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $22,470 | Actual |
| 2022 | $22,720 | Actual |
| 2023 | $23,491 | Actual |
| 2024 | $45,190 | Actual |
| 2025 | $24,627 | Actual |
| 2026(current) | $25,198 | Estimated |
| 2027 | $25,783 | Projected |
Based on 5 years of BLS OEWS data for the Fredericksburg metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $22,470 (2021) to $24,627 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $25,783 by 2027 — a total increase of $3,313 (14.74%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Fredericksburg 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) | $19,849 – $22,238 |
| 3-5 years (Mid Career) | $22,238 – $25,198 |
| 5+ years (Experienced) | $25,198 – $31,511 |
| 10+ years (Top Earner) | $31,511 – $38,293 |
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 Fredericksburg
The local employment landscape for medical billing and coding specialists in Fredericksburg is modest, with only five professionals currently in the field. The cost of living index stands at 96, indicating that living expenses are below the national average, which can positively impact take-home pay in this region. In terms of competitive salaries, coding professionals may find higher earnings in specific settings, such as hospital inpatient departments and consulting firms, which typically offer more robust compensation packages. The variation in pay can be attributed to factors like specialty focus, additional certifications, and the potential for productivity bonuses, especially in roles requiring in-depth audits. To maximize earning potential, it is advisable for medical coders in the area to consider pursuing subsequent credentials and specializing in high-demand areas such as risk adjustment and compliance. Staying updated with ICD-10-CM and CPT changes is essential for long-term career growth in this evolving job market.
More salary data for Fredericksburg, TX:
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 $24,627 for medical billing and coding specialistsin the Fredericksburg 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 Fredericksburg 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