Medical Billing Salary

Frederick vs Hagerstown: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Frederick, MD and Hagerstown, MD. All figures are 2026 estimates projected from BLS 2025 data.

Frederick, MD
$18,822
$9.05/hr
Hagerstown, MD
$30,783
$14.81/hr

Side-by-Side Comparison

MetricFrederick, MDHagerstown, MD
Median Salary$18,822$30,783
Hourly Rate$9.05$14.81
Entry Level (P10)$14,084$21,768
25th Percentile$16,215$23,929
75th Percentile$24,092$38,824
Top Earner (P90)$29,173$48,829
Total Employed15120
Side-by-side bar chart comparing Frederick ($18,822) and Hagerstown ($30,783) medical billing and coding specialist salaries.FrederickHagerstownMedian Salary$18,822$30,783Entry Level (P10)$14,084$21,768Top Earner (P90)$29,173$48,829US Median $30,349

Verdict

Hagerstown, MD offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Frederick.

The salary gap between Frederick and Hagerstown is $11,961 (63.55%). Hagerstown's median is +1.43% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Frederick spans $15,089,Hagerstown spans $27,061. Hagerstown has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Frederick
P10 (Entry)$14,084
P25$16,215
Median$18,822
P75$24,092
P90 (Top)$29,173
Hagerstown
P10 (Entry)$21,768
P25$23,929
Median$30,783
P75$38,824
P90 (Top)$48,829

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Hagerstown ($32,688 effective) pays 89.82% more than Frederick ($17,220 effective).

Frederick
Nominal: $18,822
CoL Index: 109.3
Adjusted: $17,220
Hagerstown
Nominal: $30,783
CoL Index: 94.171
Adjusted: $32,688

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

Which City Is Right for You?

Choose Frederick if…

  • You prefer the Maryland area and lifestyle

Choose Hagerstown if…

  • Higher median salary ($30,783/year)
  • Better top-earner potential ($48,829)
  • Larger job market (120 employed)
  • Better purchasing power (CoL-adjusted: $32,688)
  • You prefer the Maryland area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Frederick grew -70.3% from 2024 to 2025, compared to -35.5% growth in Hagerstown over the same period.

Frederick, MD

+-70.3%

$62,019 (2024) → $18,395 (2025)

Hagerstown, MD

+-35.5%

$46,660 (2021) → $30,085 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Frederick or Hagerstown?

Hagerstown has a higher median medical billing and coding specialist salary at $30,783/year, compared to Frederick at $18,822/year — a difference of $11,961 (63.55%).

What is the hourly rate difference between Frederick and Hagerstown?

Frederick medical billing and coding specialists earn $9.05/hr while Hagerstown hygienists earn $14.81/hr (2026 est.).

Should I relocate from Frederick to Hagerstown as a medical billing and coding specialist?

Consider more than just salary when comparing Frederick and Hagerstown. Factor in cost of living (CoL-adjusted: Frederick = $17,220, Hagerstown = $32,688), job availability (15 vs 120 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Frederick vs Hagerstown?

Entry-level (10th percentile) medical billing and coding specialists earn $14,084 in Frederick and $21,768 in Hagerstown. The Hagerstown area offers higher starting salaries.
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