Medical Billing and Coding Specialist Hourly Pay in Honolulu, HI: $10.74 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Honolulu, HI runs $10.74 at the median for 2026 — annualizing to $22,345 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Honolulu's regional price level (BEA RPP 119.3, 19% above national), each hour of work buys what $9.01 nationally would. A 24-hour part-time schedule grosses $13,408 per year.
Based on BLS state-level estimates · View source
In Honolulu, the projected median hourly pay for a medical billing and coding specialist is estimated at $10.74. This rate falls significantly below the national median of $14.59, indicating a challenging wage environment for professionals in this field. For part-time workers, such as those who take on roles three days a week, this translates into a stable but modest income when compared to full-time counterparts. The hourly pay for medical billing and coding specialists can range from $7.25 for entry-level positions to $16.65 for top earners, reflecting the diverse settings in which these professionals work—from remote home offices and hospital HIM departments to physician group coding environments. Given that most wage estimates are extrapolated from annual salary figures, it is crucial for job seekers to understand how these hourly rates translate into potential earnings over a standard work schedule.
About the Honolulu Market
Salary estimated from Hawaii average ($55,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $7.25 | $58.04 |
| Lower Range (P25) | $8.72 | $69.74 |
| Median (P50) | $10.74 | $85.95 |
| Upper Range (P75) | $13.75 | $110.01 |
| Top Earners (P90) | $16.65 | $133.18 |
Estimated Annual Income by Work Schedule in Honolulu
Based on $10.74/hr median hourly rate · 2026 est.
At $10.74/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Honolulu, HI can expect to earn approximately $22,347 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $12,892. With a cost-of-living index of 119.30 (above the national average), these earnings may be offset by higher expenses in Honolulu.
Hourly Rate Calculator
Schedule Comparison in Honolulu
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $429.74 | $1,862 | $22,347 |
| Part-Time (24 hrs) | $257.85 | $1,117 | $13,408 |
| Per Diem (16 hrs) | $171.90 | $745 | $8,939 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Honolulu) | $10.74 |
| Medical Assistant (National Avg) | $20.77 |
| Medical Secretary (National Avg) | $20.19 |
| Medical Lab Technician (National Avg) | $28.18 |
| Billing and Posting Clerk (National Avg) | $21.86 |
Medical Billing and Coding Specialists in Honolulu, HI earn a median of $22,345 per year (2026 est.), which is 26.37% lower than the national median of $30,349 and 6.40% above the Hawaii state average of $21,001.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $10.74/hr = $13,408/year (purchasing power: $11,239).
Working 40h/week (full-time) = $22,347/year (purchasing power: $18,732).
CoL index: 119.3 (100 = national average).
2021 BLS Actual
$9.58/hr
2025 BLS Actual
$10.50/hr
2026 Current Est.
$10.74/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Honolulu (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $9.58/hr | Actual |
| 2022 | $9.69/hr | Actual |
| 2023 | $10.02/hr | Actual |
| 2024 | $33.57/hr | Actual |
| 2025 | $10.50/hr | Actual |
| 2026(current) | $10.74/hr | Estimated |
| 2027 | $10.99/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Honolulu grew 9.6% from $9.58/hr (2021) to $10.50/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $10.99/hr by 2027. Part-time and per-diem medical billing and coding specialists can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Honolulu 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.
Working as an Hourly Medical Billing and Coding Specialist in Honolulu
Part-time medical billing and coding specialists can find their annual earnings impacted significantly by their limited working hours. With a standard 24-hour work week, these professionals could expect to earn about $13,210 annually, substantially less than their full-time colleagues. Conversely, per-diem medical billing and coding specialists often command higher pay rates, typically billing between $25 and $42 per hour. Specialized roles, such as CCS inpatient coders and CRC risk adjustment specialists, can see compensation even greater than that, with rates ranging from $35 to $65 per hour. Hourly rates also fluctuate based on the employer type; professionals working in hospital inpatient coding departments may earn differently than those in third-party coding companies or consulting firms. Many specialists opt for lower hourly wages in exchange for healthcare benefits, weighing the trade-offs between pay and job security. For those navigating the job market in Honolulu, being prepared to negotiate and understand benefits packages remains essential for achieving satisfactory compensation.
More salary data for Honolulu, HI:
Frequently Asked Questions
What is the hourly rate for medical billing and coding specialists in Honolulu in 2026?
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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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 2.32% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for medical billing and coding specialists in Honolulu. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Honolulu 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