Medical Billing and Coding Specialist Salary in San Marcos, TX: $29,752 (2026)
Quick Answer:A full-time medical billing and coding specialist in San Marcos, TX earns a median $29,752/year (≈ $14.30/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in San Marcos's price level (4% below national, BEA RPP 96.0), that paycheck buys what $30,992 would nationally. Nominal pay sits 11.2% above the Texas state average.
Based on BLS state-level estimates · View source
In 2026, the medical billing and coding specialist salary in San Marcos is projected to reach a median of $29,752, slightly below the national median of $30,349. This reflects the local market's variations, with salaries ranging from $21,432 at the 10th percentile to $46,115 for those at the 90th percentile. Specialists involved in inpatient coding (CCS) typically earn more, as this role often comes with added responsibilities and complexity compared to outpatient coding (CPC) or risk adjustment (CRC) positions. The figures presented are based on 2025 BLS data, projected to 2026, and reflect the adjusted cost of living in the San Marcos area, which has a cost of living index of 96. As the demand for medical coding continues to rise, those with advanced skills and credentials may find enhanced opportunities to boost their earnings.
About the San Marcos Market
Salary estimated from Texas average ($50,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $21,432 | $10.30 |
| Lower Range (P25) | $25,100 | $12.06 |
| Median (P50)(typical) | $29,752 | $14.30 |
| Upper Range (P75) | $37,366 | $17.97 |
| Top Earners (P90) | $46,115 | $22.17 |
Median Salary Position
1.97% below the national average
2026 Salary Percentile Distribution in San Marcos
In San Marcos, TX, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $24,683 (2026 est.). At $29,752, the local median is 1.97% below the national median of $30,349.
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At 40 hours/week in San Marcos: You'd be in the lower-middle range
How San Marcos Medical Billing and Coding Specialist Pay Compares
San Marcos median: $29,752/year (2026)
| Compared To | Median Salary | San Marcos Pays |
|---|---|---|
| Texas Average | $26,755 | +11.20% more |
| National Average | $30,349 | -1.97% less |
Medical Billing and Coding Specialists in San Marcos, TX earn a median of $29,752 per year (2026 est.), which is 1.97% lower than the national median of $30,349 and 11.20% above the Texas state average of $26,755.
Cost-of-Living Adjusted Salary
San Marcos 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.
San Marcos, TX has a cost-of-living index of 96 (below the national average of 100). A medical billing and coding specialist earning $29,752 nominally has purchasing power equivalent to $30,992 in an average-cost city — an effective 4.17% boost.
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2021 BLS Actual
$26,530
2025 BLS Actual
$29,077
2026 Current Est.
$29,752
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in San Marcos (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $26,530 | Actual |
| 2022 | $26,825 | Actual |
| 2023 | $27,735 | Actual |
| 2024 | $48,628 | Actual |
| 2025 | $29,077 | Actual |
| 2026(current) | $29,752 | Estimated |
| 2027 | $30,442 | Projected |
Based on 5 years of BLS OEWS data for the San Marcos metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $26,530 (2021) to $29,077 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $30,442 by 2027 — a total increase of $3,912 (14.75%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the San Marcos 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) | $21,432 – $25,100 |
| 3-5 years (Mid Career) | $25,100 – $29,752 |
| 5+ years (Experienced) | $29,752 – $37,366 |
| 10+ years (Top Earner) | $37,366 – $46,115 |
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 San Marcos
The local job market shows a modest presence with 13 medical billing and coding specialists currently employed in the San Marcos area, indicating a relatively tight workforce. While the cost of living is below the national average, resulting in higher purchasing power for the local salaries, the opportunities for skilled specialists can vary widely based on employer type. Coding offices affiliated with physician group practices and hospital inpatient departments typically offer higher wages compared to third-party remote coding companies. Factors influencing the disparity between lower and higher pay include specialty coding, credentialing—where additional certifications like CCS and CRC can elevate salaries—admin roles with audit and compliance responsibilities, and potential productivity bonuses for efficient coding output. For those looking to maximize their pay in this market, pursuing multiple credentials through recognized organizations like AAPC or AHIMA, and considering remote work options can prove advantageous as coding practices continue to evolve toward a predominantly remote model.
More salary data for San Marcos, 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 $29,077 for medical billing and coding specialistsin the San Marcos 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 San Marcos 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