Medical Billing Salary

Little Rock vs Texarkana: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Little Rock, AR and Texarkana, AR. All figures are 2026 estimates projected from BLS 2025 data.

Little Rock, AR
$24,794
$11.92/hr
Texarkana, AR
$20,562
$9.88/hr

Side-by-Side Comparison

MetricLittle Rock, ARTexarkana, AR
Median Salary$24,794$20,562
Hourly Rate$11.92$9.88
Entry Level (P10)$20,699$15,978
25th Percentile$21,708$18,073
75th Percentile$29,507$25,880
Top Earner (P90)$39,393$31,849
Total Employed6707
Side-by-side bar chart comparing Little Rock ($24,794) and Texarkana ($20,562) medical billing and coding specialist salaries.Little RockTexarkanaMedian Salary$24,794$20,562Entry Level (P10)$20,699$15,978Top Earner (P90)$39,393$31,849US Median $30,349

Verdict

Little Rock, AR offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Texarkana.

The salary gap between Little Rock and Texarkana is $4,232 (20.58%). Little Rock's median is -18.30% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Little Rock spans $18,694,Texarkana spans $15,871. Little Rock has a wider pay range, meaning more potential for high earners but also more variation.

Little Rock
P10 (Entry)$20,699
P25$21,708
Median$24,794
P75$29,507
P90 (Top)$39,393
Texarkana
P10 (Entry)$15,978
P25$18,073
Median$20,562
P75$25,880
P90 (Top)$31,849

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Little Rock ($27,745 effective) pays 17.26% more than Texarkana ($23,662 effective).

Little Rock
Nominal: $24,794
CoL Index: 89.364
Adjusted: $27,745
Texarkana
Nominal: $20,562
CoL Index: 86.9
Adjusted: $23,662

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

Which City Is Right for You?

Choose Little Rock if…

  • Higher median salary ($24,794/year)
  • Better top-earner potential ($39,393)
  • Larger job market (670 employed)
  • Better purchasing power (CoL-adjusted: $27,745)
  • You prefer the Arkansas area and lifestyle

Choose Texarkana if…

  • You prefer the Arkansas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Little Rock grew -47.1% from 2021 to 2025, compared to -39.9% growth in Texarkana over the same period.

Little Rock, AR

+-47.1%

$45,840 (2021) → $24,232 (2025)

Texarkana, AR

+-39.9%

$33,435 (2024) → $20,096 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Little Rock or Texarkana?

Little Rock has a higher median medical billing and coding specialist salary at $24,794/year, compared to Texarkana at $20,562/year — a difference of $4,232 (20.58%).

What is the hourly rate difference between Little Rock and Texarkana?

Little Rock medical billing and coding specialists earn $11.92/hr while Texarkana hygienists earn $9.88/hr (2026 est.).

Should I relocate from Little Rock to Texarkana as a medical billing and coding specialist?

Consider more than just salary when comparing Little Rock and Texarkana. Factor in cost of living (CoL-adjusted: Little Rock = $27,745, Texarkana = $23,662), job availability (670 vs 7 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Little Rock vs Texarkana?

Entry-level (10th percentile) medical billing and coding specialists earn $20,699 in Little Rock and $15,978 in Texarkana. The Little Rock 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