Alexandria vs Richmond: Medical Billing and Coding Specialist Salary (2026)
Compare medical billing and coding specialist salaries between Alexandria, VA and Richmond, VA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Alexandria, VA | Richmond, VA |
|---|---|---|
| Median Salary | $34,607▲ | $30,486 |
| Hourly Rate | $16.64▲ | $14.66 |
| Entry Level (P10) | $25,535▲ | $22,801 |
| 25th Percentile | $29,658▲ | $27,750 |
| 75th Percentile | $44,296▲ | $37,447 |
| Top Earner (P90) | $53,640▲ | $45,162 |
| Total Employed | 26 | 740▲ |
Verdict
Alexandria, VA offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Richmond.
The salary gap between Alexandria and Richmond is $4,121 (13.52%). Alexandria's median is +14.03% compared to the US national median of $30,349.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Alexandria spans $28,105,Richmond spans $22,361. Alexandria has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Alexandria ($33,534 effective) pays 7.64% more than Richmond ($31,153 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Alexandria if…
- ✓Higher median salary ($34,607/year)
- ✓Better top-earner potential ($53,640)
- ✓Better purchasing power (CoL-adjusted: $33,534)
- ✓You prefer the Virginia area and lifestyle
Choose Richmond if…
- ✓Larger job market (740 employed)
- ✓You prefer the Virginia area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Alexandria grew -37.1% from 2024 to 2025, compared to -36.5% growth in Richmond over the same period.
Alexandria, VA
$53,743 (2024) → $33,822 (2025)
Richmond, VA
$46,910 (2021) → $29,795 (2025)
View Full Salary Data
Alexandria, VA
Richmond, VA
Frequently Asked Questions
Which city pays medical billing and coding specialists more: Alexandria or Richmond?
What is the hourly rate difference between Alexandria and Richmond?
Should I relocate from Alexandria to Richmond as a medical billing and coding specialist?
What do entry-level medical billing and coding specialists earn in Alexandria vs Richmond?
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
All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.32% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.
Data Sources & Methodology
Source: BLS, OEWS , released .
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