Medical Billing and Coding Specialist Hourly Pay in Sioux Falls, SD: $14.72 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Sioux Falls, SD runs $14.72 at the median for 2026 — annualizing to $30,628 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Sioux Falls's regional price level (BEA RPP 90.6, 9% below national), each hour of work buys what $16.25 nationally would. A 24-hour part-time schedule grosses $18,375 per year.
Official BLS data · View source
In Sioux Falls, South Dakota, the medical billing and coding specialist hourly pay is projected to average $14.72 in 2026, slightly above the national hourly median of $14.59. This earning potential is viable for various work arrangements, including part-time positions and per-diem roles, which are increasingly common in the profession. Those working three days a week, for example, could expect to earn around $28,000 annually if maintaining a consistent schedule, while per-diem positions offer flexibility and potentially higher pay depending on demand and experience. Entry-level coders in Sioux Falls can start at an hourly rate of $9.67, while experienced professionals and top earners may reach rates as high as $22.85, reflecting the varying levels of expertise and responsibilities across medical coding environments such as hospital HIM departments and remote home offices.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $9.67 | $77.35 |
| Lower Range (P25) | $11.38 | $91.02 |
| Median (P50) | $14.72 | $117.79 |
| Upper Range (P75) | $18.43 | $147.42 |
| Top Earners (P90) | $22.85 | $182.78 |
Estimated Annual Income by Work Schedule in Sioux Falls
Based on $14.72/hr median hourly rate · 2026 est.
At $14.72/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Sioux Falls, SD can expect to earn approximately $30,626 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $17,669. With a cost-of-living index of 90.63 (below the national average), these earnings stretch further in Sioux Falls.
Hourly Rate Calculator
Schedule Comparison in Sioux Falls
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $588.95 | $2,552 | $30,626 |
| Part-Time (24 hrs) | $353.37 | $1,531 | $18,375 |
| Per Diem (16 hrs) | $235.58 | $1,021 | $12,250 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Sioux Falls) | $14.72 |
| 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 Sioux Falls, SD earn a median of $30,628 per year (2026 est.), which is 0.92% higher than the national median of $30,349 and 87.50% above the South Dakota state average of $16,335.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $14.72/hr = $18,375/year (purchasing power: $20,275).
Working 40h/week (full-time) = $30,626/year (purchasing power: $33,792).
CoL index: 90.631 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$22.60/hr
2025 BLS Actual
$14.39/hr
2026 Current Est.
$14.72/hr
2021–2027 Growth
+-33.3%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Sioux Falls (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $22.60/hr | Actual |
| 2022 | $24.52/hr | Actual |
| 2023 | $25.99/hr | Actual |
| 2024 | $24.63/hr | Actual |
| 2025 | $14.39/hr | Actual |
| 2026(current) | $14.72/hr | Estimated |
| 2027 | $15.07/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Sioux Falls grew -36.3% from $22.60/hr (2021) to $14.39/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $15.07/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 Sioux Falls 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 Sioux Falls
Focusing on part-time and per-diem work reveals the flexibility that allows many medical billing and coding specialists to tailor their earning ability. A medical billing and coding specialist working 24 hours a week could bring home approximately $14,649 annually, contrasting with full-time colleagues who may earn substantially more. Per-diem coders in the region can bill anywhere from $25 to $42 per hour, with specialized roles, such as certified coding specialists (CCS) or risk adjustment coders, commanding even higher rates that reach $40-$65 per hour. The variance in hourly rates depends significantly on employer types in Sioux Falls, including physician group practices, hospitals, and insurance companies plus the added consideration of benefits. Some specialists might accept lower hourly offers in exchange for comprehensive health insurance while others prioritize higher hourly rates without such benefits. Professionals in this field should consider negotiating their pay based on their expertise and the specific demands of the employer, especially in a market that increasingly embraces flexible arrangements like remote work.
More salary data for Sioux Falls, SD:
Frequently Asked Questions
What is the hourly rate for medical billing and coding specialists in Sioux Falls in 2026?
How much do part-time medical billing and coding specialists make in Sioux Falls?
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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 Sioux Falls. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Source: BLS, OEWS, 5-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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