Fremont vs Grand Island: Medical Billing and Coding Specialist Salary (2026)
Compare medical billing and coding specialist salaries between Fremont, NE and Grand Island, NE. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Fremont, NE | Grand Island, NE |
|---|---|---|
| Median Salary | $15,628 | $30,652▲ |
| Hourly Rate | $7.51 | $14.73▲ |
| Entry Level (P10) | $11,080 | $22,557▲ |
| 25th Percentile | $13,554 | $24,753▲ |
| 75th Percentile | $19,832 | $40,118▲ |
| Top Earner (P90) | $24,224 | $47,162▲ |
| Total Employed | 4 | 50▲ |
Verdict
Grand Island, NE offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Fremont.
The salary gap between Fremont and Grand Island is $15,024 (96.14%). Grand Island's median is +1.00% compared to the US national median of $30,349.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Fremont spans $13,144,Grand Island spans $24,605. Grand Island has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Grand Island ($35,372 effective) pays 107.10% more than Fremont ($17,080 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Fremont if…
- ✓You prefer the Nebraska area and lifestyle
Choose Grand Island if…
- ✓Higher median salary ($30,652/year)
- ✓Better top-earner potential ($47,162)
- ✓Larger job market (50 employed)
- ✓Better purchasing power (CoL-adjusted: $35,372)
- ✓You prefer the Nebraska area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Fremont grew -62.6% from 2024 to 2025, compared to -19.1% growth in Grand Island over the same period.
Fremont, NE
$40,842 (2024) → $15,274 (2025)
Grand Island, NE
$37,020 (2021) → $29,957 (2025)
View Full Salary Data
Fremont, NE
Grand Island, NE
Frequently Asked Questions
Which city pays medical billing and coding specialists more: Fremont or Grand Island?
What is the hourly rate difference between Fremont and Grand Island?
Should I relocate from Fremont to Grand Island as a medical billing and coding specialist?
What do entry-level medical billing and coding specialists earn in Fremont vs Grand Island?
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.
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