Entry-Level Medical Billing and Coding Specialist Salary in Lacey, WA: $22,861 (2026)
Quick Answer:New medical billing and coding specialists entering the Lacey, WA job market in 2026 can expect a starting salary around $22,861 (BLS 10th-percentile benchmark for SOC 29-2072, projected from 2025 OEWS data). Stripping out Lacey's local price level (BEA RPP 107.4 — 7% above national), a first-year paycheck buys what $21,286 would in average-cost America. Most reach the city median ($30,359) within a few years of clinical practice.
Based on BLS state-level estimates · View source

For those stepping into the role of medical billing and coding specialists in Lacey, Washington, the anticipated starting medical billing and coding specialist salary in 2026 is realistically around $22,861. This is the entry-level position, which shows a noticeable gap when compared to the city median of $30,359. However, new graduates can plan on a steady growth trajectory, moving from this entry point through to $26,286 at the 25th percentile, and aiming for the median salary over the first three to five years. Lacey presents a viable market for aspiring medical billers and coders right now, as it combines competitive salary potentials with a favorable career growth rate of 2.32% annually, making it an attractive starting location for individuals new to the field.
About the Lacey Market
Salary estimated from Washington average ($62,000) adjusted for local cost of living.
Career Earnings Timeline in Lacey
New Graduate
Early Career
Mid Career
Experienced
Salary progression estimated from BLS percentile data. Actual progression varies by employer, certifications, and specialization.
2026 Salary Percentile Distribution in Lacey
Entry-level medical billing and coding specialists in Lacey, WA typically start between $22,861 and $26,286 per year (2026 est.). The full salary range spans $24,196 from the 10th to 90th percentile, with the local median at $30,359 — 0.03% above the national median.
Return on Investment
The average medical billing and coding program cost in Washington of $4,800 represents just 21.00% of the starting medical billing and coding specialist pay ($22,861/year) in Lacey. Most graduates begin earning back their investment from day one, though actual ROI varies based on living expenses, loan interest, and the 2-year opportunity cost of schooling.
Program cost estimates based on AHIMA/CAHIIM-accredited coding and health information certificate programs plus AAPC-approved training courses. Certificates at community colleges and online training programs are the most affordable; associate degree programs cost more but broaden career options. Exam fees (CCA, CCS, CPC) are typically $299-$499 and are separate from tuition.
MBS Salary Negotiation Tips for New Graduates in Lacey
- 1Research the Lacey market: entry-level medical billing and coding specialist pay ranges from $22,861 to $26,286, so aim for at least the 25th percentile if you have strong credentials.
- 2Highlight any additional certifications or specialty training within the medical billing and coding field — employers in WA often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Lacey, benefits like health insurance, continuing-education allowances, and schedule flexibility can add 20-30% to your effective compensation.
- 4Consider starting with a larger hospital system or multi-site employer in Lacey for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Lacey's moderate cost of living means your starting salary goes further here compared to many larger metro areas.
Medical Billing and Coding Specialist Compensation Range
The medical billing and coding specialist wage spread in Lacey is $24,196 ( 105.84%) between entry-level and top earners. Starting at $22,861, experienced hygienists can earn up to $47,057.
Represents the current salary spread across experience levels, not projected career growth rate.
2021 BLS Actual
$17,772
2025 BLS Actual
$22,343
2026 Current Est.
$22,861
2021–2027 Growth
+31.6%
Salary Trajectory for Medical Billing and Coding Specialists in Lacey (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $17,772 | Actual |
| 2022 | $19,149 | Actual |
| 2023 | $21,184 | Actual |
| 2024 | $48,484 | Actual |
| 2025 | $22,343 | Actual |
| 2026(current) | $22,861 | Estimated |
| 2027 | $23,392 | Projected |
Entry-level medical billing and coding specialist compensation (10th percentile) in Lacey, WA grew 25.7% over 5 years based on actual BLS metropolitan area surveys, rising from $17,772 in 2021 to $22,343 in 2025. By 2027, starting salaries are projected to reach $23,392. New graduates entering the Lacey job market can expect continued year-over-year gains.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Lacey metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.32% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Starting Your medical billing and coding Career in Lacey
When considering employment opportunities in Lacey for new grads, several types of employers are particularly promising. Third-party coding companies and payer coding audit teams often recruit CPC-A coders, providing structured mentorship which aids recent graduates in skill development. Additionally, positions within physician group practices and outpatient ASCs are available for entry-level CPC roles, while those looking to work in hospital inpatient settings should consider attaining a CCS credential. To enhance starting pay, prospective employees in Washington should focus on certifications from AAPC or AHIMA, such as the CPC or CCS-P, to improve their marketability. The recent shift in the medical coding sector towards remote work has also changed the employment landscape, with ongoing education on ICD-10-CM, quarterly CPT updates, and specialties such as risk adjustment and HCC coding becoming increasingly valuable. New graduates might expect a gradual rise in salary during their first few years as they gain experience and credentials.
More salary data for Lacey, WA:
Frequently Asked Questions
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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.
Methodology & Data Source
Entry-level salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The 10th percentile (entry-level) is used as the starting salary benchmark for new medical billing and coding graduates. A 2.32% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to project current 2026 entry-level compensation in Lacey. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
Data Sources & Methodology
Salary data for Lacey is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.32%, derived from historical BLS wage trends for medical billing and coding specialists (SOC 29-2072).
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