Medical Billing Salary

Pasco vs Seattle: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Pasco, WA and Seattle, WA. All figures are 2026 estimates projected from BLS 2025 data.

Pasco, WA
$33,775
$16.24/hr
Seattle, WA
$38,889
$18.70/hr

Side-by-Side Comparison

MetricPasco, WASeattle, WA
Median Salary$33,775$38,889
Hourly Rate$16.24$18.70
Entry Level (P10)$25,130$28,278
25th Percentile$28,990$31,815
75th Percentile$42,967$48,562
Top Earner (P90)$52,351$59,678
Total Employed182,830
Side-by-side bar chart comparing Pasco ($33,775) and Seattle ($38,889) medical billing and coding specialist salaries.PascoSeattleMedian Salary$33,775$38,889Entry Level (P10)$25,130$28,278Top Earner (P90)$52,351$59,678US Median $30,349

Verdict

Seattle, WA offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Pasco.

The salary gap between Pasco and Seattle is $5,114 (15.14%). Seattle's median is +28.14% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Pasco spans $27,221,Seattle spans $31,400. Seattle has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Pasco
P10 (Entry)$25,130
P25$28,990
Median$33,775
P75$42,967
P90 (Top)$52,351
Seattle
P10 (Entry)$28,278
P25$31,815
Median$38,889
P75$48,562
P90 (Top)$59,678

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Seattle ($34,993 effective) pays 11.27% more than Pasco ($31,448 effective).

Pasco
Nominal: $33,775
CoL Index: 107.4
Adjusted: $31,448
Seattle
Nominal: $38,889
CoL Index: 111.133
Adjusted: $34,993

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

Which City Is Right for You?

Choose Pasco if…

  • You prefer the Washington area and lifestyle

Choose Seattle if…

  • Higher median salary ($38,889/year)
  • Better top-earner potential ($59,678)
  • Larger job market (2,830 employed)
  • Better purchasing power (CoL-adjusted: $34,993)
  • You prefer the Washington area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Pasco grew -49.2% from 2024 to 2025, compared to -35.7% growth in Seattle over the same period.

Pasco, WA

+-49.2%

$64,970 (2024) → $33,009 (2025)

Seattle, WA

+-35.7%

$59,120 (2021) → $38,007 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Pasco or Seattle?

Seattle has a higher median medical billing and coding specialist salary at $38,889/year, compared to Pasco at $33,775/year — a difference of $5,114 (15.14%).

What is the hourly rate difference between Pasco and Seattle?

Pasco medical billing and coding specialists earn $16.24/hr while Seattle hygienists earn $18.70/hr (2026 est.).

Should I relocate from Pasco to Seattle as a medical billing and coding specialist?

Consider more than just salary when comparing Pasco and Seattle. Factor in cost of living (CoL-adjusted: Pasco = $31,448, Seattle = $34,993), job availability (18 vs 2,830 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Pasco vs Seattle?

Entry-level (10th percentile) medical billing and coding specialists earn $25,130 in Pasco and $28,278 in Seattle. The Seattle 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