Medical Billing Salary

Elizabethtown vs Louisville/Jefferson County: Medical Billing and Coding Specialist Salary (2026)

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

Elizabethtown, KY
$26,397
$12.70/hr
Louisville/Jefferson County, KY
$31,726
$15.26/hr

Side-by-Side Comparison

MetricElizabethtown, KYLouisville/Jefferson County, KY
Median Salary$26,397$31,726
Hourly Rate$12.70$15.26
Entry Level (P10)$21,934$22,937
25th Percentile$25,525$24,984
75th Percentile$36,088$43,898
Top Earner (P90)$42,301$44,225
Total Employed1101,610
Side-by-side bar chart comparing Elizabethtown ($26,397) and Louisville/Jefferson County ($31,726) medical billing and coding specialist salaries.ElizabethtownLouisville/Jefferson CountyMedian Salary$26,397$31,726Entry Level (P10)$21,934$22,937Top Earner (P90)$42,301$44,225US Median $30,349

Verdict

Louisville/Jefferson County, KY offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Elizabethtown.

The salary gap between Elizabethtown and Louisville/Jefferson County is $5,329 (20.19%). Louisville/Jefferson County's median is +4.54% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Elizabethtown spans $20,367,Louisville/Jefferson County spans $21,288. Louisville/Jefferson County has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Elizabethtown
P10 (Entry)$21,934
P25$25,525
Median$26,397
P75$36,088
P90 (Top)$42,301
Louisville/Jefferson County
P10 (Entry)$22,937
P25$24,984
Median$31,726
P75$43,898
P90 (Top)$44,225

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Louisville/Jefferson County ($34,087 effective) pays 16.96% more than Elizabethtown ($29,145 effective).

Elizabethtown
Nominal: $26,397
CoL Index: 90.572
Adjusted: $29,145
Louisville/Jefferson County
Nominal: $31,726
CoL Index: 93.074
Adjusted: $34,087

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

Which City Is Right for You?

Choose Elizabethtown if…

  • You prefer the Kentucky area and lifestyle

Choose Louisville/Jefferson County if…

  • Higher median salary ($31,726/year)
  • Better top-earner potential ($44,225)
  • Larger job market (1,610 employed)
  • Better purchasing power (CoL-adjusted: $34,087)
  • 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 Elizabethtown grew -40.7% from 2021 to 2025, compared to -34.0% growth in Louisville/Jefferson County over the same period.

Elizabethtown, KY

+-40.7%

$43,490 (2021) → $25,798 (2025)

Louisville/Jefferson County, KY

+-34.0%

$47,000 (2021) → $31,007 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Elizabethtown or Louisville/Jefferson County?

Louisville/Jefferson County has a higher median medical billing and coding specialist salary at $31,726/year, compared to Elizabethtown at $26,397/year — a difference of $5,329 (20.19%).

What is the hourly rate difference between Elizabethtown and Louisville/Jefferson County?

Elizabethtown medical billing and coding specialists earn $12.70/hr while Louisville/Jefferson County hygienists earn $15.26/hr (2026 est.).

Should I relocate from Elizabethtown to Louisville/Jefferson County as a medical billing and coding specialist?

Consider more than just salary when comparing Elizabethtown and Louisville/Jefferson County. Factor in cost of living (CoL-adjusted: Elizabethtown = $29,145, Louisville/Jefferson County = $34,087), job availability (110 vs 1,610 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Elizabethtown vs Louisville/Jefferson County?

Entry-level (10th percentile) medical billing and coding specialists earn $21,934 in Elizabethtown and $22,937 in Louisville/Jefferson County. The Louisville/Jefferson County 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