Medical Billing and Coding Specialist Salary in Fairfax, VA: $27,040 (2026)
Quick Answer:A full-time medical billing and coding specialist in Fairfax, VA earns a median $27,040/year (≈ $13.00/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Fairfax's price level (3% above national, BEA RPP 103.2), that paycheck buys what $26,202 would nationally. Nominal pay sits 4.5% below the Virginia state average.
Based on BLS state-level estimates · View source

In 2026, the projected median annual compensation for medical billing and coding specialists in Fairfax, Virginia, is estimated to be $27,040. This figure is notably lower than the national median of $30,349, reflecting a pay gap of about 10.90%. The salary for this role exhibits a broad range, with the 10th percentile earning approximately $20,369 and the 90th percentile reaching up to $40,193. Local estimates, derived from BLS state-level data and adjusted for regional cost of living, indicate that this market's compensation varies widely based on specialized credentials. For those pursuing a career pathway culminating in certifications such as the Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and Certified Risk Adjustment Coder (CRC), there are significant long-term earning potential advantages, particularly in healthcare environments emphasizing compliance and advanced coding techniques.
About the Fairfax Market
Salary estimated from Virginia average ($52,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $20,369 | $9.79 |
| Lower Range (P25) | $23,272 | $11.18 |
| Median (P50)(typical) | $27,040 | $13.00 |
| Upper Range (P75) | $33,259 | $15.99 |
| Top Earners (P90) | $40,193 | $19.33 |
Median Salary Position
10.9% below the national average
2026 Salary Percentile Distribution in Fairfax
In Fairfax, VA, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $19,824 (2026 est.). At $27,040, the local median is 10.9% below the national median of $30,349.
Salary Calculator
At 40 hours/week in Fairfax: You'd be in the lower-middle range
How Fairfax Medical Billing and Coding Specialist Pay Compares
Fairfax median: $27,040/year (2026)
| Compared To | Median Salary | Fairfax Pays |
|---|---|---|
| Virginia Average | $28,314 | -4.50% less |
| National Average | $30,349 | -10.90% less |
Medical Billing and Coding Specialists in Fairfax, VA earn a median of $27,040 per year (2026 est.), which is 10.90% lower than the national median of $30,349 and 4.50% below the Virginia state average of $28,314.
Cost-of-Living Adjusted Salary
Fairfax has a cost of living 3.20% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Fairfax, VA has a cost-of-living index of 103.2 (above the national average of 100). While the nominal salary of $27,040 is competitive, the higher cost of living reduces purchasing power to an effective $26,202 — a 3.1% reduction.
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2021 BLS Actual
$24,112
2025 BLS Actual
$26,427
2026 Current Est.
$27,040
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Fairfax (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $24,112 | Actual |
| 2022 | $24,381 | Actual |
| 2023 | $25,207 | Actual |
| 2024 | $51,233 | Actual |
| 2025 | $26,427 | Actual |
| 2026(current) | $27,040 | Estimated |
| 2027 | $27,667 | Projected |
Based on 5 years of BLS OEWS data for the Fairfax metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $24,112 (2021) to $26,427 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $27,667 by 2027 — a total increase of $3,555 (14.74%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Fairfax 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) | $20,369 – $23,272 |
| 3-5 years (Mid Career) | $23,272 – $27,040 |
| 5+ years (Experienced) | $27,040 – $33,259 |
| 10+ years (Top Earner) | $33,259 – $40,193 |
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 Fairfax
Despite only four medical billing and coding specialists currently employed in Fairfax, the job market for this occupation is witnessing a modest annual growth rate of 2.32%. Residents should consider the cost-of-living index of 103.2, which suggests that living expenses are a bit higher than the national average, potentially impacting disposable income. Among local employers, physician group practice coding offices and third-party coding companies typically offer the most competitive pay, particularly for those with advanced credentials in inpatient coding or risk adjustment. The disparity in wages can be attributed to factors such as specialty types, credential stacking, and compliance knowledge. To maximize pay in this market, specialists should focus on acquiring multiple certifications and staying informed about the evolving standards in ICD-10-CM and CPT coding, as well as seeking remote work opportunities that have become prevalent in the industry.
More salary data for Fairfax, 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 $26,427 for medical billing and coding specialistsin the Fairfax 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 Fairfax 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