Senior Medical Billing and Coding Specialist Salary in Butte, MT: $45,278 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Butte, MT — those at or above the 90th percentile — pull in $45,278/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Butte's price premium (BEA RPP 96.2, 4% below national) and that top-decile pay carries the same buying power as $47,067 in average-cost America. The 55% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source

For those seeking to excel in the medical billing and coding field in Butte, MT, the potential for a rewarding career is considerable. Individuals within this domain can reach impressive pay levels, with top earners projected to earn around $45,278 in 2026. In contrast, the median annual salary sits at $29,211, highlighting a substantial income gap that reflects the premium on extensive experience and specialized skills. Achieving top-tier pay typically requires not only technical proficiency, but also advanced certification in relevant coding practices. Senior professionals often hone their expertise through experience, further enhancing their qualifications with credentials such as CCS, CPC, or specialization in high-demand areas like risk adjustment or surgical coding.
About the Butte Market
Salary estimated from Montana average ($48,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Butte
Experienced medical billing and coding specialists at the top of the pay scale in Butte earn between $37,120 and $45,278 per year (2026 est.). This $24,494 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Butte median of $29,211 sits 3.75% below the US median.
Top MBS Salary Comparison
| Level | Butte | National |
|---|---|---|
| Median (P50) | $29,211 | $30,349 |
| 75th Percentile | $37,120 | $38,468 |
| 90th Percentile (Top 10%) | $45,278 | $48,159 |
In Butte, experienced medical billing and coding specialists (P90) earn 55.00% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Medical Billing and Coding Specialist Pay in Butte
Advanced Certifications in Montana
MT medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $29,211 median. Expanded-scope credentials are increasingly valued by Butte employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Butte command premium compensation, often reaching the $37,120–$45,278 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Butte metro area often pay above-market rates for experienced medical billing and coding specialists who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured medical billing and coding specialists in Butte with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Medical Billing and Coding Specialists in Montana who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Medical Billing and Coding Specialist Career & Wage Growth Path in Butte
Clinical Medical Billing and Coding Specialist
0-5 yearsSenior/Lead Medical Billing and Coding Specialist
5-10 yearsMedical Billing and Coding Specialist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedButte ranks #2 of 7 Montana cities for top earner medical billing and coding specialist salary (90th percentile: $45,278).
Top 10% medical billing and coding specialist compensation in Butte ($45,278) is 16.68% above the Montana average P90 ($38,804).
2021 BLS Actual
$40,461
2025 BLS Actual
$44,251
2026 Current Est.
$45,278
2021–2027 Growth
+14.5%
Salary Trajectory for Medical Billing and Coding Specialists in Butte (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $40,461 | Actual |
| 2022 | $41,148 | Actual |
| 2023 | $42,430 | Actual |
| 2024 | $69,556 | Actual |
| 2025 | $44,251 | Actual |
| 2026(current) | $45,278 | Estimated |
| 2027 | $46,328 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Butte saw their compensation grow 9.4% from $40,461 in 2021 to $44,251 in 2025, based on 5 years of BLS OEWS data for this metropolitan area. At a 2.32% annual growth rate, senior-level pay is projected to reach $46,328 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Butte 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.
Maximizing Your Medical Billing and Coding Specialist Earnings in Butte
A nuanced understanding of the various specializations within medical billing and coding can significantly impact senior medical billing and coding specialist pay in MT. For instance, coding for inpatient services or surgical procedures tends to command higher salaries compared to outpatient coding roles. Furthermore, compensation varies based on the type of employer; those working for hospital inpatient departments or consulting firms may find competitive wages that exceed the local averages, while those in third-party coding companies may enjoy the flexibility of remote work alongside valuable perks. Moreover, seasoned professionals often ascend to leadership positions, such as coding supervisors or HIM directors, which further enhance their earning potential. Credentials play a critical role in this sector; advanced qualifications can boost salaries in Butte, supported by the industry's shift toward remote work and the growing focus on risk adjustment coding, ultimately offering expansive opportunities for career advancement.
More salary data for Butte, MT:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Butte in 2026?
What drives higher medical billing and coding specialist pay in Butte?
What certifications boost medical billing and coding specialist salary in Butte?
Can experienced medical billing and coding specialists make six figures in Butte?
How much does medical billing and coding specialist salary increase over time in Butte?
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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
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $44,251 for medical billing and coding specialists in the Butte metro area. A 2.32% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
Data Sources & Methodology
Salary data for Butte 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