Medical Billing Salary

Richmond vs Virginia Beach: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Richmond, VA and Virginia Beach, VA. All figures are 2026 estimates projected from BLS 2025 data.

Richmond, VA
$30,486
$14.66/hr
Virginia Beach, VA
$30,023
$14.44/hr

Side-by-Side Comparison

MetricRichmond, VAVirginia Beach, VA
Median Salary$30,486$30,023
Hourly Rate$14.66$14.44
Entry Level (P10)$22,801$22,077
25th Percentile$27,750$25,430
75th Percentile$37,447$36,972
Top Earner (P90)$45,162$44,865
Total Employed740970
Side-by-side bar chart comparing Richmond ($30,486) and Virginia Beach ($30,023) medical billing and coding specialist salaries.RichmondVirginia BeachMedian Salary$30,486$30,023Entry Level (P10)$22,801$22,077Top Earner (P90)$45,162$44,865US Median $30,349

Verdict

Richmond, VA offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Virginia Beach.

The salary gap between Richmond and Virginia Beach is $463 (1.54%). Richmond's median is +0.45% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Richmond spans $22,361,Virginia Beach spans $22,788. Virginia Beach has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Richmond
P10 (Entry)$22,801
P25$27,750
Median$30,486
P75$37,447
P90 (Top)$45,162
Virginia Beach
P10 (Entry)$22,077
P25$25,430
Median$30,023
P75$36,972
P90 (Top)$44,865

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Richmond ($31,153 effective) pays 1.63% more than Virginia Beach ($30,654 effective).

Richmond
Nominal: $30,486
CoL Index: 97.858
Adjusted: $31,153
Virginia Beach
Nominal: $30,023
CoL Index: 97.941
Adjusted: $30,654

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

Which City Is Right for You?

Choose Richmond if…

  • Higher median salary ($30,486/year)
  • Better top-earner potential ($45,162)
  • Better purchasing power (CoL-adjusted: $31,153)
  • You prefer the Virginia area and lifestyle

Choose Virginia Beach if…

  • Larger job market (970 employed)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Richmond grew -36.5% from 2021 to 2025, compared to -37.1% growth in Virginia Beach over the same period.

Richmond, VA

+-36.5%

$46,910 (2021) → $29,795 (2025)

Virginia Beach, VA

+-37.1%

$46,640 (2021) → $29,342 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Richmond or Virginia Beach?

Richmond has a higher median medical billing and coding specialist salary at $30,486/year, compared to Virginia Beach at $30,023/year — a difference of $463 (1.54%).

What is the hourly rate difference between Richmond and Virginia Beach?

Richmond medical billing and coding specialists earn $14.66/hr while Virginia Beach hygienists earn $14.44/hr (2026 est.).

Should I relocate from Richmond to Virginia Beach as a medical billing and coding specialist?

Consider more than just salary when comparing Richmond and Virginia Beach. Factor in cost of living (CoL-adjusted: Richmond = $31,153, Virginia Beach = $30,654), job availability (740 vs 970 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Richmond vs Virginia Beach?

Entry-level (10th percentile) medical billing and coding specialists earn $22,801 in Richmond and $22,077 in Virginia Beach. The Richmond 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