Medical Billing Salary

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

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

Richmond, VA
$30,486
$14.66/hr
Williamsburg, VA
$26,821
$12.89/hr

Side-by-Side Comparison

MetricRichmond, VAWilliamsburg, VA
Median Salary$30,486$26,821
Hourly Rate$14.66$12.89
Entry Level (P10)$22,801$19,944
25th Percentile$27,750$22,810
75th Percentile$37,447$32,203
Top Earner (P90)$45,162$40,989
Total Employed7405
Side-by-side bar chart comparing Richmond ($30,486) and Williamsburg ($26,821) medical billing and coding specialist salaries.RichmondWilliamsburgMedian Salary$30,486$26,821Entry Level (P10)$22,801$19,944Top Earner (P90)$45,162$40,989US Median $30,349

Verdict

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

The salary gap between Richmond and Williamsburg is $3,665 (13.66%). 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,Williamsburg spans $21,045. Richmond has a wider pay range, meaning more potential for high earners but also more variation.

Richmond
P10 (Entry)$22,801
P25$27,750
Median$30,486
P75$37,447
P90 (Top)$45,162
Williamsburg
P10 (Entry)$19,944
P25$22,810
Median$26,821
P75$32,203
P90 (Top)$40,989

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Richmond ($31,153 effective) pays 19.87% more than Williamsburg ($25,989 effective).

Richmond
Nominal: $30,486
CoL Index: 97.858
Adjusted: $31,153
Williamsburg
Nominal: $26,821
CoL Index: 103.2
Adjusted: $25,989

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)
  • Larger job market (740 employed)
  • Better purchasing power (CoL-adjusted: $31,153)
  • You prefer the Virginia area and lifestyle

Choose Williamsburg if…

  • 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 -48.4% growth in Williamsburg over the same period.

Richmond, VA

+-36.5%

$46,910 (2021) → $29,795 (2025)

Williamsburg, VA

+-48.4%

$50,817 (2024) → $26,213 (2025)

View Full Salary Data

Frequently Asked Questions

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

Richmond has a higher median medical billing and coding specialist salary at $30,486/year, compared to Williamsburg at $26,821/year — a difference of $3,665 (13.66%).

What is the hourly rate difference between Richmond and Williamsburg?

Richmond medical billing and coding specialists earn $14.66/hr while Williamsburg hygienists earn $12.89/hr (2026 est.).

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

Consider more than just salary when comparing Richmond and Williamsburg. Factor in cost of living (CoL-adjusted: Richmond = $31,153, Williamsburg = $25,989), job availability (740 vs 5 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $22,801 in Richmond and $19,944 in Williamsburg. 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