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What a medical coding earns, by metro

A medical coding in San Jose-Sunnyvale-Santa Clara has a median wage of $86,890. In Puerto Rico nonmetropolitan area the median is $21,840. That is a 3.98-fold difference for the same job title, which is unusually wide even by the standards of a country this large — and it means a national average for this role is close to meaningless.

Medical Coding — nationalBLS OEWS · May 2025
$51,140Median annual
$24.59Median hourly
$37,00010th percentile
$81,15090th percentile
194,720Employed nationally
Median means half earn more and half earn less — it says nothing about how far. The percentile columns are where the information is.

What the percentile band tells you

Ten per cent of medical codings earn below $37,000 and ten per cent above $81,150 — a 2.19× band. The upside from median to 90th percentile is 59%, which is a normal amount of room for experience and specialisation to matter. An offer below the 25th percentile is worth questioning; one above the 75th is worth taking seriously.

Why the range is 3.98× wide

The top of the table is spread across several states rather than concentrated in one, which points away from a pure cost-of-living story. Where a role pays 3.98× more in one market than another without a single expensive state dominating, the usual cause is local demand density — a few metros where the industry clusters and employers compete for the same small pool. The medical coding concentration table further down shows where that is happening.

Highest paying metros

Metropolitan areaMedianHourly LQEmployed
San Jose-Sunnyvale-Santa Clara CA $86,890 $41.78 0.65 920
Vallejo CA $82,230 $39.53 0.72 130
Sacramento-Roseville-Folsom CA $75,150 $36.13 0.99 1,340
San Francisco-Oakland-Fremont CA $74,400 $35.77 0.63 1,880
New Haven CT $67,290 $32.35 0.63 220
Iowa City IA $66,340 $31.90 2.79 330
Milwaukee-Waukesha WI $65,730 $31.60 0.73 750
Cheyenne WY $65,680 $31.58 1.06 60
Seattle-Tacoma-Bellevue WA $65,530 $31.51 1.08 2,830
Alaska nonmetropolitan area $65,470 $31.47 1.94 260
Urban Honolulu HI $65,220 $31.36 0.55 310
La Crosse-Onalaska WI-MN $64,590 $31.05 0.64 70
Corvallis OR $64,450 $30.98 2.09 100
Appleton WI $63,510 $30.54 0.63 100
Mount Vernon-Anacortes WA $63,360 $30.46 1.58 100
Bend OR $62,980 $30.28 1.63 220
Stockton-Lodi CA $62,950 $30.27 0.77 280
Columbia SC $62,650 $30.12 1.3 640
Charlottesville VA $62,600 $30.10 1.5 220
Winston-Salem NC $62,590 $30.09 1.53 520
Greenville NC $62,570 $30.08 3.86 390
Topeka KS $62,470 $30.03 2.16 310
Ann Arbor MI $62,420 $30.01 1.32 360
Santa Fe NM $62,280 $29.94 1.12 90
Northwest Colorado nonmetropolitan area $62,200 $29.90 0.58 100

Lowest paying metros

Metropolitan areaMedianHourly LQEmployed
Puerto Rico nonmetropolitan area $21,840 $10.50 1.1 40
Mayaguez PR $24,760 $11.90 2.15 140
Aguadilla PR $25,890 $12.45 0.93 60
Arecibo PR $28,330 $13.62 1.1 50
Ponce PR $28,630 $13.77 1.84 150
San Juan-Bayamon-Caguas PR $28,750 $13.82 1.6 1,380
Texarkana TX-AR $34,940 $16.80 0.87 60
Sebring FL $36,470 $17.53 1.81 60
West Arkansas nonmetropolitan area $36,910 $17.74 1.02 110
Fort Smith AR-OK $37,020 $17.80 1.04 120

Where the role is most concentrated

Metropolitan areaMedianHourly LQEmployed
Fairbanks-College AK $61,090 $29.37 4.22 190
Greenville NC $62,570 $30.08 3.86 390
Muncie IN $43,160 $20.75 2.96 170
Iowa City IA $66,340 $31.90 2.79 330
Anchorage AK $60,620 $29.15 2.76 610
Huntington-Ashland WV-KY-OH $52,000 $25.00 2.68 470
Midland MI $52,050 $25.02 2.67 120
Hattiesburg MS $43,600 $20.96 2.54 200
East Kentucky nonmetropolitan area $38,850 $18.68 2.51 290
Evansville IN $49,070 $23.59 2.47 420
Pinehurst-Southern Pines NC $47,360 $22.77 2.37 130
Columbia MO $60,960 $29.31 2.25 300

Largest employers by metro

Metropolitan areaMedianHourly LQEmployed
New York-Newark-Jersey City NY-NJ $61,190 $29.42 0.68 8,090
Los Angeles-Long Beach-Anaheim CA $59,110 $28.42 0.92 7,240
Dallas-Fort Worth-Arlington TX $52,140 $25.07 1.03 5,210
Miami-Fort Lauderdale-West Palm Beach FL $49,010 $23.56 1.28 4,530
Chicago-Naperville-Elgin IL-IN $57,970 $27.87 0.8 4,510
Houston-Pasadena-The Woodlands TX $51,250 $24.64 0.89 3,680
Philadelphia-Camden-Wilmington PA-NJ-DE-MD $49,700 $23.89 0.9 3,260
Seattle-Tacoma-Bellevue WA $65,530 $31.51 1.08 2,830
Atlanta-Sandy Springs-Roswell GA $58,950 $28.34 0.77 2,790
Boston-Cambridge-Newton MA-NH $60,460 $29.07 0.78 2,630
Phoenix-Mesa-Chandler AZ $47,450 $22.81 0.83 2,480
Tampa-St. Petersburg-Clearwater FL $50,020 $24.05 1.35 2,450

Current openings

About this data

Figures come from the BLS Occupational Employment and Wage Statistics programme, May 2025 release, SOC code 29-2072. OEWS surveys employers, so it reports what is actually paid rather than what job advertisements claim, and it excludes the self-employed. Estimates cover 502 of 528 metropolitan areas — near-complete coverage, which means the ranges above are reliable rather than drawn from a handful of markets. Read the methodology.