Medical Billing and Coding Specialist Hourly Pay in Silver Spring, MD: $9.01 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Silver Spring, MD runs $9.01 at the median for 2026 — annualizing to $18,747 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Silver Spring's regional price level (BEA RPP 109.3, 9% above national), each hour of work buys what $8.25 nationally would. A 24-hour part-time schedule grosses $11,250 per year.
Based on BLS state-level estimates · View source
In 2026, medical billing and coding specialists in Silver Spring, Maryland, are projected to earn a median hourly rate of $9.01. This rate is significantly below the national median of $14.59, revealing a pay gap that might influence career decisions for those entering the field. For part-time workers, such as those seeking employment three days a week, this translates to an annual income that may not meet the living standards expected in the area. Given that many professionals in this sector work remotely from home offices, hospital health information management (HIM) departments, or coding cubicles, the typical hourly pay can impact lifestyle choices. The salary range in Silver Spring extends from $6.69 per hour at the entry-level (P10) to $13.97 per hour for the highest earners (P90), indicating a diverse earning potential depending on experience and employment setting.
About the Silver Spring Market
Salary estimated from Maryland average ($58,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $6.69 | $53.53 |
| Lower Range (P25) | $7.73 | $61.80 |
| Median (P50) | $9.01 | $72.12 |
| Upper Range (P75) | $11.54 | $92.33 |
| Top Earners (P90) | $13.97 | $111.73 |
Estimated Annual Income by Work Schedule in Silver Spring
Based on $9.01/hr median hourly rate · 2026 est.
At $9.01/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Silver Spring, MD can expect to earn approximately $18,750 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $10,817. With a cost-of-living index of 109.30 (above the national average), these earnings may be offset by higher expenses in Silver Spring.
Hourly Rate Calculator
Schedule Comparison in Silver Spring
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $360.58 | $1,562 | $18,750 |
| Part-Time (24 hrs) | $216.35 | $937 | $11,250 |
| Per Diem (16 hrs) | $144.23 | $625 | $7,500 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Silver Spring) | $9.01 |
| 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 Silver Spring, MD earn a median of $18,747 per year (2026 est.), which is 38.23% lower than the national median of $30,349 and 2.60% below the Maryland state average of $19,248.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $9.01/hr = $11,250/year (purchasing power: $10,293).
Working 40h/week (full-time) = $18,750/year (purchasing power: $17,155).
CoL index: 109.3 (100 = national average).
2021 BLS Actual
$8.04/hr
2025 BLS Actual
$8.81/hr
2026 Current Est.
$9.01/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Silver Spring (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $8.04/hr | Actual |
| 2022 | $8.13/hr | Actual |
| 2023 | $8.40/hr | Actual |
| 2024 | $29.70/hr | Actual |
| 2025 | $8.81/hr | Actual |
| 2026(current) | $9.01/hr | Estimated |
| 2027 | $9.22/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Silver Spring grew 9.6% from $8.04/hr (2021) to $8.81/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $9.22/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 Silver Spring 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 Silver Spring
Focusing on the earnings potential reveals distinct avenues for medical billing and coding specialists in Silver Spring. A part-time employee working 24 hours a week could expect to take home around $18,747 annually, significantly less than full-time counterparts. Those opting for per diem work often command higher hourly rates, anywhere from $25 to $42, depending on their specialization, such as CCS inpatient coders reaching $35 to $55 per hour. Employment type further influences pay—positioning within physician group practices, hospitals, or consulting clients influences earnings due to varying budgetary structures. Additionally, specialists may face a trade-off between lower pay and benefits; some may prefer stable hourly wages with health insurance, while others might opt for higher pay without benefits. Practical tips for negotiation when seeking employment in Silver Spring include aligning skillsets with the growing demand for risk adjustment and HCC coding to justify pay increases and leveraging credentials from recognized bodies like AAPC or AHIMA to enhance job offers.
More salary data for Silver Spring, MD:
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
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 Silver Spring. 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 Silver Spring 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