Medical Billing Salary

Ashland vs Louisville: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Ashland, KY and Louisville, KY. All figures are 2026 estimates projected from BLS 2025 data.

Ashland, KY
$31,231
$15.01/hr
Louisville, KY
$29,546
$14.20/hr

Side-by-Side Comparison

MetricAshland, KYLouisville, KY
Median Salary$31,231$29,546
Hourly Rate$15.01$14.20
Entry Level (P10)$23,334$19,733
25th Percentile$26,739$23,847
75th Percentile$38,283$37,818
Top Earner (P90)$46,212$45,796
Total Employed4132
Side-by-side bar chart comparing Ashland ($31,231) and Louisville ($29,546) medical billing and coding specialist salaries.AshlandLouisvilleMedian Salary$31,231$29,546Entry Level (P10)$23,334$19,733Top Earner (P90)$46,212$45,796US Median $30,349

Verdict

Ashland, KY offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Louisville.

The salary gap between Ashland and Louisville is $1,685 (5.70%). Ashland's median is +2.91% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Ashland spans $22,878,Louisville spans $26,063. Louisville has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Ashland
P10 (Entry)$23,334
P25$26,739
Median$31,231
P75$38,283
P90 (Top)$46,212
Louisville
P10 (Entry)$19,733
P25$23,847
Median$29,546
P75$37,818
P90 (Top)$45,796

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Ashland ($34,973 effective) pays 5.70% more than Louisville ($33,086 effective).

Ashland
Nominal: $31,231
CoL Index: 89.3
Adjusted: $34,973
Louisville
Nominal: $29,546
CoL Index: 89.3
Adjusted: $33,086

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Ashland if…

  • Higher median salary ($31,231/year)
  • Better top-earner potential ($46,212)
  • Better purchasing power (CoL-adjusted: $34,973)
  • You prefer the Kentucky area and lifestyle

Choose Louisville if…

  • Larger job market (132 employed)
  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Ashland grew -18.3% from 2024 to 2025, compared to -32.6% growth in Louisville over the same period.

Ashland, KY

+-18.3%

$37,379 (2024) → $30,523 (2025)

Louisville, KY

+-32.6%

$42,838 (2024) → $28,876 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Ashland or Louisville?

Ashland has a higher median medical billing and coding specialist salary at $31,231/year, compared to Louisville at $29,546/year — a difference of $1,685 (5.70%).

What is the hourly rate difference between Ashland and Louisville?

Ashland medical billing and coding specialists earn $15.01/hr while Louisville hygienists earn $14.20/hr (2026 est.).

Should I relocate from Ashland to Louisville as a medical billing and coding specialist?

Consider more than just salary when comparing Ashland and Louisville. Factor in cost of living (CoL-adjusted: Ashland = $34,973, Louisville = $33,086), job availability (4 vs 132 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Ashland vs Louisville?

Entry-level (10th percentile) medical billing and coding specialists earn $23,334 in Ashland and $19,733 in Louisville. The Ashland area offers higher starting salaries.

Related Comparisons

AP

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.

Clinically reviewed by Liam Johnson, RHITData verified by Sofia Nguyen, CCS

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