Medical Billing Salary

Needham vs Springfield: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Needham, MA and Springfield, MA. All figures are 2026 estimates projected from BLS 2025 data.

Needham, MA
$34,047
$16.37/hr
Springfield, MA
$34,456
$16.57/hr

Side-by-Side Comparison

MetricNeedham, MASpringfield, MA
Median Salary$34,047$34,456
Hourly Rate$16.37$16.57
Entry Level (P10)$24,809$24,397
25th Percentile$28,732$28,409
75th Percentile$42,443$38,420
Top Earner (P90)$51,939$47,251
Total Employed6290
Side-by-side bar chart comparing Needham ($34,047) and Springfield ($34,456) medical billing and coding specialist salaries.NeedhamSpringfieldMedian Salary$34,047$34,456Entry Level (P10)$24,809$24,397Top Earner (P90)$51,939$47,251US Median $30,349

Verdict

Springfield, MA offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Needham.

The salary gap between Needham and Springfield is $409 (1.20%). Springfield's median is +13.53% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Needham spans $27,130,Springfield spans $22,854. Needham has a wider pay range, meaning more potential for high earners but also more variation.

Needham
P10 (Entry)$24,809
P25$28,732
Median$34,047
P75$42,443
P90 (Top)$51,939
Springfield
P10 (Entry)$24,397
P25$28,409
Median$34,456
P75$38,420
P90 (Top)$47,251

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Springfield ($35,869 effective) pays 14.31% more than Needham ($31,380 effective).

Needham
Nominal: $34,047
CoL Index: 108.5
Adjusted: $31,380
Springfield
Nominal: $34,456
CoL Index: 96.061
Adjusted: $35,869

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

Which City Is Right for You?

Choose Needham if…

  • Better top-earner potential ($51,939)
  • You prefer the Massachusetts area and lifestyle

Choose Springfield if…

  • Higher median salary ($34,456/year)
  • Larger job market (290 employed)
  • Better purchasing power (CoL-adjusted: $35,869)
  • You prefer the Massachusetts area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Needham grew -48.0% from 2024 to 2025, compared to -29.4% growth in Springfield over the same period.

Needham, MA

+-48.0%

$63,963 (2024) → $33,275 (2025)

Springfield, MA

+-29.4%

$47,670 (2021) → $33,675 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Needham or Springfield?

Springfield has a higher median medical billing and coding specialist salary at $34,456/year, compared to Needham at $34,047/year — a difference of $409 (1.20%).

What is the hourly rate difference between Needham and Springfield?

Needham medical billing and coding specialists earn $16.37/hr while Springfield hygienists earn $16.57/hr (2026 est.).

Should I relocate from Needham to Springfield as a medical billing and coding specialist?

Consider more than just salary when comparing Needham and Springfield. Factor in cost of living (CoL-adjusted: Needham = $31,380, Springfield = $35,869), job availability (6 vs 290 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Needham vs Springfield?

Entry-level (10th percentile) medical billing and coding specialists earn $24,809 in Needham and $24,397 in Springfield. The Needham 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