Medical Billing Salary

Fernley vs Las Vegas: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Fernley, NV and Las Vegas, NV. All figures are 2026 estimates projected from BLS 2025 data.

Fernley, NV
$15,994
$7.68/hr
Las Vegas, NV
$29,133
$14.01/hr

Side-by-Side Comparison

MetricFernley, NVLas Vegas, NV
Median Salary$15,994$29,133
Hourly Rate$7.68$14.01
Entry Level (P10)$12,599$21,946
25th Percentile$14,115$23,958
75th Percentile$20,000$40,741
Top Earner (P90)$24,305$48,117
Total Employed61,640
Side-by-side bar chart comparing Fernley ($15,994) and Las Vegas ($29,133) medical billing and coding specialist salaries.FernleyLas VegasMedian Salary$15,994$29,133Entry Level (P10)$12,599$21,946Top Earner (P90)$24,305$48,117US Median $30,349

Verdict

Las Vegas, NV offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Fernley.

The salary gap between Fernley and Las Vegas is $13,139 (82.15%). Las Vegas's median is -4.01% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Fernley spans $11,706,Las Vegas spans $26,171. Las Vegas has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Fernley
P10 (Entry)$12,599
P25$14,115
Median$15,994
P75$20,000
P90 (Top)$24,305
Las Vegas
P10 (Entry)$21,946
P25$23,958
Median$29,133
P75$40,741
P90 (Top)$48,117

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Las Vegas ($29,070 effective) pays 78.67% more than Fernley ($16,271 effective).

Fernley
Nominal: $15,994
CoL Index: 98.3
Adjusted: $16,271
Las Vegas
Nominal: $29,133
CoL Index: 100.215
Adjusted: $29,070

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

Which City Is Right for You?

Choose Fernley if…

  • You prefer the Nevada area and lifestyle

Choose Las Vegas if…

  • Higher median salary ($29,133/year)
  • Better top-earner potential ($48,117)
  • Larger job market (1,640 employed)
  • Better purchasing power (CoL-adjusted: $29,070)
  • You prefer the Nevada area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Fernley grew -66.9% from 2024 to 2025, compared to -24.2% growth in Las Vegas over the same period.

Fernley, NV

+-66.9%

$47,248 (2024) → $15,631 (2025)

Las Vegas, NV

+-24.2%

$37,540 (2021) → $28,472 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Fernley or Las Vegas?

Las Vegas has a higher median medical billing and coding specialist salary at $29,133/year, compared to Fernley at $15,994/year — a difference of $13,139 (82.15%).

What is the hourly rate difference between Fernley and Las Vegas?

Fernley medical billing and coding specialists earn $7.68/hr while Las Vegas hygienists earn $14.01/hr (2026 est.).

Should I relocate from Fernley to Las Vegas as a medical billing and coding specialist?

Consider more than just salary when comparing Fernley and Las Vegas. Factor in cost of living (CoL-adjusted: Fernley = $16,271, Las Vegas = $29,070), job availability (6 vs 1,640 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Fernley vs Las Vegas?

Entry-level (10th percentile) medical billing and coding specialists earn $12,599 in Fernley and $21,946 in Las Vegas. The Las Vegas 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