Medical Billing Salary

Buffalo vs Hempstead: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Buffalo, NY and Hempstead, NY. All figures are 2026 estimates projected from BLS 2025 data.

Buffalo, NY
$35,743
$17.19/hr
Hempstead, NY
$29,554
$14.21/hr

Side-by-Side Comparison

MetricBuffalo, NYHempstead, NY
Median Salary$35,743$29,554
Hourly Rate$17.19$14.21
Entry Level (P10)$23,548$21,381
25th Percentile$28,189$25,001
75th Percentile$42,254$37,830
Top Earner (P90)$49,643$45,809
Total Employed8309
Side-by-side bar chart comparing Buffalo ($35,743) and Hempstead ($29,554) medical billing and coding specialist salaries.BuffaloHempsteadMedian Salary$35,743$29,554Entry Level (P10)$23,548$21,381Top Earner (P90)$49,643$45,809US Median $30,349

Verdict

Buffalo, NY offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Hempstead.

The salary gap between Buffalo and Hempstead is $6,189 (20.94%). Buffalo's median is +17.77% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Buffalo spans $26,095,Hempstead spans $24,428. Buffalo has a wider pay range, meaning more potential for high earners but also more variation.

Buffalo
P10 (Entry)$23,548
P25$28,189
Median$35,743
P75$42,254
P90 (Top)$49,643
Hempstead
P10 (Entry)$21,381
P25$25,001
Median$29,554
P75$37,830
P90 (Top)$45,809

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Buffalo ($37,293 effective) pays 46.25% more than Hempstead ($25,500 effective).

Buffalo
Nominal: $35,743
CoL Index: 95.844
Adjusted: $37,293
Hempstead
Nominal: $29,554
CoL Index: 115.9
Adjusted: $25,500

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

Which City Is Right for You?

Choose Buffalo if…

  • Higher median salary ($35,743/year)
  • Better top-earner potential ($49,643)
  • Larger job market (830 employed)
  • Better purchasing power (CoL-adjusted: $37,293)
  • You prefer the New York area and lifestyle

Choose Hempstead if…

  • You prefer the New York area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Buffalo grew -26.1% from 2021 to 2025, compared to -55.5% growth in Hempstead over the same period.

Buffalo, NY

+-26.1%

$47,270 (2021) → $34,933 (2025)

Hempstead, NY

+-55.5%

$64,902 (2024) → $28,884 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Buffalo or Hempstead?

Buffalo has a higher median medical billing and coding specialist salary at $35,743/year, compared to Hempstead at $29,554/year — a difference of $6,189 (20.94%).

What is the hourly rate difference between Buffalo and Hempstead?

Buffalo medical billing and coding specialists earn $17.19/hr while Hempstead hygienists earn $14.21/hr (2026 est.).

Should I relocate from Buffalo to Hempstead as a medical billing and coding specialist?

Consider more than just salary when comparing Buffalo and Hempstead. Factor in cost of living (CoL-adjusted: Buffalo = $37,293, Hempstead = $25,500), job availability (830 vs 9 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Buffalo vs Hempstead?

Entry-level (10th percentile) medical billing and coding specialists earn $23,548 in Buffalo and $21,381 in Hempstead. The Buffalo 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