Medical Billing Salary

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 107.47% 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.

$22,861
Starting Salary
$10.99/hr
Starting Hourly
$22,861
Entry Level
$30,359
Career Median Target

Based on BLS state-level estimates · View source

Medical Billing and Coding Specialist Entry Level Salary in Lacey, WA — 2026 est., based on 2025 BLS
Lacey, WA medical billing and coding specialist entry level salary overview (2026 est., based on 2025 BLS)

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

Year 0-2

New Graduate

$22,861/yr
Year 2-5

Early Career

$26,286/yr
Year 5-10

Mid Career

$30,359/yr
Year 10+

Experienced

$37,669/yr

Salary progression estimated from BLS percentile data. Actual progression varies by employer, certifications, and specialization.

2026 Salary Percentile Distribution in Lacey

Vertical bar chart of 10th through 90th percentile salaries for medical billing and coding specialists in Lacey. The median salary is $30,359, compared to the national median of $30,349.$20.6K$27.8K$35.0K$42.2K$49.4K$22.9K10th Pctl$26.3K25th Pctl$30.4KMedian$37.7K75th Pctl$47.1K90th PctlUS Median$30.3K

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 $30,3590.03% above the national median.

Source: BLS OEWS projected to 2026. Percentiles reflect the distribution of medical billing and coding specialist pay in the Lacey metro area.

Return on Investment

$4,800
Avg WA Program Cost
$22,861
Starting Salary
21.00%
Cost-to-Salary Ratio
<1 yr
Payback Estimate

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 (20212027)

2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.

BLS Actual Estimated Projected
Salary trajectory chart for medical billing and coding specialists in Lacey. Baseline $17,772 in 2025, projected to $23,392 by 2027.$11.6K$22.4K$33.1K$43.9K$54.6K20212022202320242025202620272025 BLS$17.8K$19.1K$21.2K$48.5K$22.3K$22.9K$23.4K
YearAnnual SalaryStatus
2021$17,772Actual
2022$19,149Actual
2023$21,184Actual
2024$48,484Actual
2025$22,343Actual
2026(current)$22,861Estimated
2027$23,392Projected

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 (20212025) are actual BLS OEWS figures for the Lacey metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 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.

Frequently Asked Questions

What is the starting salary for medical billing and coding specialists in Lacey in 2026?

Entry-level medical billing and coding specialists in Lacey start at approximately $22,861/year (10th percentile), based on estimated 2026 salary (projected from 2025 BLS data at 2.32% annual growth). This is the typical range for new graduates with less than 1 year of clinical experience. The starting hourly equivalent is approximately $10.99/hour for full-time work. Starting pay depends on the practice type (private vs. large organization), patient volume, location within the metro area, and whether the position includes benefits.

How fast do medical billing and coding specialist salaries grow in Lacey?

Most medical billing and coding specialists in Lacey progress from the entry-level salary of $22,861 to the area median of $30,359 within 3–5 years of clinical experience. Top earners with specializations and certifications reach $47,057 (90th percentile). The biggest salary jumps typically come in years 2–5 as clinical skills develop, and again when obtaining advanced certifications or expanded-function credentials. Salary growth after 10 years tends to plateau unless moving into management or education roles.

Is medical billing and coding school worth it in Lacey?

With a starting salary of $22,861/year in Lacey and typical program costs ranging from $20,000–$80,000 for the required degree, graduates can expect a strong return on investment. Most new medical billing and coding specialists recoup their tuition within 1–3 years of working full-time. The profession also offers excellent work-life balance, flexible scheduling, low unemployment rates, and growing demand driven by an aging population's care needs.

What do new medical billing and coding specialists make right out of school in Lacey?

New medical billing and coding graduates in Lacey typically start near the 10th percentile at $22,861/year, or approximately $10.99/hour. Starting pay varies based on the practice type, patient volume, geographic location within the metro area, and whether the compensation package includes benefits like health insurance and retirement contributions. Graduates with internships at high-production practices often secure higher starting offers.

How do I become a medical billing and coding specialist in Washington?

To become a licensed medical billing and coding specialist in Washington, you typically need postsecondary certificate or associate degree in medical billing and coding from an accredited program, plus optional professional certification, then pass the required national and state licensing examinations. Most states, including Washington, also require a clinical licensing exam. After obtaining licensure, you must maintain it through continuing education credits. Some medical billing and coding specialists pursue advanced degrees for career advancement into education, research, or public health roles.

Related Pages

Nearby Cities in Washington

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

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).

View estimation methodology

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

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