Medical Billing Salary

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

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

Louisville/Jefferson County, KY
$31,726
$15.26/hr
Paducah, KY
$27,257
$13.11/hr

Side-by-Side Comparison

MetricLouisville/Jefferson County, KYPaducah, KY
Median Salary$31,726$27,257
Hourly Rate$15.26$13.11
Entry Level (P10)$22,937$21,727
25th Percentile$24,984$22,504
75th Percentile$43,898$35,126
Top Earner (P90)$44,225$38,818
Total Employed1,61080
Side-by-side bar chart comparing Louisville/Jefferson County ($31,726) and Paducah ($27,257) medical billing and coding specialist salaries.Louisville/Jefferson CountyPaducahMedian Salary$31,726$27,257Entry Level (P10)$22,937$21,727Top Earner (P90)$44,225$38,818US 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 Paducah.

The salary gap between Louisville/Jefferson County and Paducah is $4,469 (16.40%). 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 Louisville/Jefferson County spans $21,288,Paducah spans $17,091. Louisville/Jefferson County has a wider pay range, meaning more potential for high earners but also more variation.

Louisville/Jefferson County
P10 (Entry)$22,937
P25$24,984
Median$31,726
P75$43,898
P90 (Top)$44,225
Paducah
P10 (Entry)$21,727
P25$22,504
Median$27,257
P75$35,126
P90 (Top)$38,818

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Louisville/Jefferson County ($34,087 effective) pays 7.65% more than Paducah ($31,663 effective).

Louisville/Jefferson County
Nominal: $31,726
CoL Index: 93.074
Adjusted: $34,087
Paducah
Nominal: $27,257
CoL Index: 86.084
Adjusted: $31,663

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

Which City Is Right for You?

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

Choose Paducah if…

  • 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 Louisville/Jefferson County grew -34.0% from 2021 to 2025, compared to -39.4% growth in Paducah over the same period.

Louisville/Jefferson County, KY

+-34.0%

$47,000 (2021) → $31,007 (2025)

Paducah, KY

+-39.4%

$43,990 (2024) → $26,639 (2025)

View Full Salary Data

Frequently Asked Questions

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

Louisville/Jefferson County has a higher median medical billing and coding specialist salary at $31,726/year, compared to Paducah at $27,257/year — a difference of $4,469 (16.40%).

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

Louisville/Jefferson County medical billing and coding specialists earn $15.26/hr while Paducah hygienists earn $13.11/hr (2026 est.).

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

Consider more than just salary when comparing Louisville/Jefferson County and Paducah. Factor in cost of living (CoL-adjusted: Louisville/Jefferson County = $34,087, Paducah = $31,663), job availability (1,610 vs 80 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $22,937 in Louisville/Jefferson County and $21,727 in Paducah. 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