Medical Billing and Coding Specialist Hourly Pay in Fremont, NE: $7.51 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Fremont, NE runs $7.51 at the median for 2026 — annualizing to $15,628 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Fremont's regional price level (BEA RPP 91.5, 8% below national), each hour of work buys what $8.21 nationally would. A 24-hour part-time schedule grosses $9,373 per year.
Based on BLS state-level estimates · View source

In Fremont, Nebraska, the current median hourly pay for a medical billing and coding specialist sits at $7.51, significantly lower than the national median of $14.59. This disparity suggests that individuals working part-time in local settings—like hospital HIM departments or remote coding positions—may have limited earning potential compared to counterparts in other regions. For part-time work, specifically those averaging three days a week, earnings translate to approximately $3,883 annually, which is marginal for anyone relying solely on this income. For entry-level positions, hourly rates start around $5.33, while top earners in the region can reach up to $11.64 per hour, reflecting the earning range that characterizes this profession in Fremont.
About the Fremont Market
Salary estimated from Nebraska average ($46,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $5.33 | $42.65 |
| Lower Range (P25) | $6.52 | $52.14 |
| Median (P50) | $7.51 | $60.08 |
| Upper Range (P75) | $9.54 | $76.29 |
| Top Earners (P90) | $11.64 | $93.15 |
Estimated Annual Income by Work Schedule in Fremont
Based on $7.51/hr median hourly rate · 2026 est.
At $7.51/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Fremont, NE can expect to earn approximately $15,621 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $9,012. With a cost-of-living index of 91.50 (below the national average), these earnings stretch further in Fremont.
Hourly Rate Calculator
Schedule Comparison in Fremont
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $300.41 | $1,302 | $15,621 |
| Part-Time (24 hrs) | $180.25 | $781 | $9,373 |
| Per Diem (16 hrs) | $120.16 | $521 | $6,249 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Fremont) | $7.51 |
| 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 Fremont, NE earn a median of $15,628 per year (2026 est.), which is 48.51% lower than the national median of $30,349 and 3.00% below the Nebraska state average of $16,112.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $7.51/hr = $9,373/year (purchasing power: $10,244).
Working 40h/week (full-time) = $15,621/year (purchasing power: $17,073).
CoL index: 91.5 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$6.70/hr
2025 BLS Actual
$7.34/hr
2026 Current Est.
$7.51/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Fremont (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $6.70/hr | Actual |
| 2022 | $6.77/hr | Actual |
| 2023 | $7.00/hr | Actual |
| 2024 | $19.64/hr | Actual |
| 2025 | $7.34/hr | Actual |
| 2026(current) | $7.51/hr | Estimated |
| 2027 | $7.68/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Fremont grew 9.6% from $6.70/hr (2021) to $7.34/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $7.68/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 Fremont 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 Fremont
Examining the part-time earning potential for medical billing and coding specialists reveals valuable insights into the local job market. When considering a typical 24-hour workweek, those opting for per diem arrangements often command higher pay rates—between $25 and $42 per hour—though the stability that comes with full-time positions may be appealing, particularly for those seeking health insurance benefits. Coding specialists employed by third-party companies or working remotely can experience variability in pay depending on their coding certification and employer type. Those with certifications like CCS or CRC typically aim for higher rates, potentially between $35 and $65 per hour for specialized coding tasks. In such a competitive environment, understanding your worth and being prepared to negotiate are essential, especially when considering trade-offs between hourly rates and the security of traditional employment. Engaging with local resources or professional networks can bolster confidence when discussing pay in Fremont's medical billing and coding sector.
More salary data for Fremont, NE:
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 Fremont. 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 Fremont 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