Medical Billing and Coding Specialist Salary in Alexandria, VA: $34,607 (2026)
Quick Answer:A full-time medical billing and coding specialist in Alexandria, VA earns a median $34,607/year (≈ $16.64/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Alexandria's price level (3% above national, BEA RPP 103.2), that paycheck buys what $33,534 would nationally. Nominal pay sits 22.2% above the Virginia state average.
Based on BLS state-level estimates · View source
In Alexandria, Virginia, the projected 2026 median annual salary for medical billing and coding specialists is $34,607, which is notably higher than the national median of $30,349, representing a 14.03% increase. The salary range for these professionals spans from $25,535 at the 10th percentile to $53,640 at the 90th percentile, reflecting a diverse pay structure influenced by specialty areas. Individuals engaged in inpatient coding generally command higher salaries compared to those focused on outpatient coding and risk adjustment. This variance is derived from the complexity and responsibilities associated with different roles, along with adjustments for local cost-of-living factors based on estimates derived from BLS state-level data and regional analyses, which indicate Alexandria’s cost-of-living index is slightly above the national average.
About the Alexandria Market
Salary estimated from Virginia average ($52,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $25,535 | $12.28 |
| Lower Range (P25) | $29,658 | $14.26 |
| Median (P50)(typical) | $34,607 | $16.64 |
| Upper Range (P75) | $44,296 | $21.29 |
| Top Earners (P90) | $53,640 | $25.78 |
Median Salary Position
14.03% above the national average
2026 Salary Percentile Distribution in Alexandria
In Alexandria, VA, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $28,105 (2026 est.). At $34,607, the local median is 14.03% above the national median of $30,349.
Salary Calculator
At 40 hours/week in Alexandria: You'd be in the lower-middle range
How Alexandria Medical Billing and Coding Specialist Pay Compares
Alexandria median: $34,607/year (2026)
| Compared To | Median Salary | Alexandria Pays |
|---|---|---|
| Virginia Average | $28,320 | +22.20% more |
| National Average | $30,349 | +14.03% more |
Medical Billing and Coding Specialists in Alexandria, VA earn a median of $34,607 per year (2026 est.), which is 14.03% higher than the national median of $30,349 and 22.20% above the Virginia state average of $28,320.
Cost-of-Living Adjusted Salary
Alexandria has a cost of living 3.20% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Alexandria, VA has a cost-of-living index of 103.2 (above the national average of 100). While the nominal salary of $34,607 is competitive, the higher cost of living reduces purchasing power to an effective $33,534 — a 3.1% reduction.
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2021 BLS Actual
$30,859
2025 BLS Actual
$33,822
2026 Current Est.
$34,607
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Alexandria (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $30,859 | Actual |
| 2022 | $31,203 | Actual |
| 2023 | $32,261 | Actual |
| 2024 | $53,743 | Actual |
| 2025 | $33,822 | Actual |
| 2026(current) | $34,607 | Estimated |
| 2027 | $35,410 | Projected |
Based on 5 years of BLS OEWS data for the Alexandria metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $30,859 (2021) to $33,822 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $35,410 by 2027 — a total increase of $4,551 (14.75%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Alexandria 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) | $25,535 – $29,658 |
| 3-5 years (Mid Career) | $29,658 – $34,607 |
| 5+ years (Experienced) | $34,607 – $44,296 |
| 10+ years (Top Earner) | $44,296 – $53,640 |
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 Alexandria
The job market for medical billing and coding specialists in Alexandria is relatively strong, with 26 professionals employed in the sector. However, the cost-of-living index at 103.2 suggests that while salaries are competitive, take-home purchasing power may be impacted. Among local employers, physician group practices and hospital inpatient coding departments generally pay the most, with third-party coding companies offering flexible remote work options that can appeal to many candidates. The pay discrepancy can largely be attributed to factors such as coding specialty, credential stacking, and productivity bonuses. Professionals looking to enhance their earnings in Alexandria should consider pursuing additional certifications from AAPC or AHIMA and focusing on high-demand areas like risk adjustment and compliance coding.
More salary data for Alexandria, VA:
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 $33,822 for medical billing and coding specialistsin the Alexandria 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 Alexandria 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