Medical Billing and Coding Specialist Hourly Pay in Alexandria, VA: $16.64 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Alexandria, VA runs $16.64 at the median for 2026 — annualizing to $34,607 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Alexandria's regional price level (BEA RPP 103.2, 3% above national), each hour of work buys what $16.12 nationally would. A 24-hour part-time schedule grosses $20,763 per year.
Based on BLS state-level estimates · View source
In the realm of medical billing and coding, specialists in Alexandria, Virginia, earn a median rate of $16.64 per hour, significantly surpassing the national median of $14.59 per hour. This hourly pay indicates a robust opportunity for part-time professionals, who can maximize income working three days a week, potentially earning $528 or more each week. For those engaged in per-diem positions, working from various locations such as remote home offices or hospital coding departments, the earning potential can shift depending on specific roles and experience levels. With entry-level professionals earning around $12.28 and top earners reaching $25.78, the pay range illustrates both the variability and opportunities within the medical billing and coding landscape in Alexandria. These rates, derived from annual salary data, reflect the local market's competitiveness in an evolving field, especially after the increased adoption of remote work practices post-2020.
About the Alexandria Market
Salary estimated from Virginia average ($52,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $12.28 | $98.23 |
| Lower Range (P25) | $14.26 | $114.11 |
| Median (P50) | $16.64 | $133.10 |
| Upper Range (P75) | $21.29 | $170.34 |
| Top Earners (P90) | $25.78 | $206.28 |
Estimated Annual Income by Work Schedule in Alexandria
Based on $16.64/hr median hourly rate · 2026 est.
At $16.64/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Alexandria, VA can expect to earn approximately $34,605 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $19,965. With a cost-of-living index of 103.20 (above the national average), these earnings may be offset by higher expenses in Alexandria.
Hourly Rate Calculator
Schedule Comparison in Alexandria
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $665.49 | $2,884 | $34,605 |
| Part-Time (24 hrs) | $399.29 | $1,730 | $20,763 |
| Per Diem (16 hrs) | $266.20 | $1,154 | $13,842 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Alexandria) | $16.64 |
| 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 Alexandria, VA earn a median of $34,607 per year (2026 est.), which is 14.03% higher than the national median of $30,349 and 22.20% above the Virginia state average of $28,320.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $16.64/hr = $20,763/year (purchasing power: $20,119).
Working 40h/week (full-time) = $34,605/year (purchasing power: $33,532).
CoL index: 103.2 (100 = national average).
2021 BLS Actual
$14.84/hr
2025 BLS Actual
$16.26/hr
2026 Current Est.
$16.64/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Alexandria (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $14.84/hr | Actual |
| 2022 | $15.00/hr | Actual |
| 2023 | $15.51/hr | Actual |
| 2024 | $25.84/hr | Actual |
| 2025 | $16.26/hr | Actual |
| 2026(current) | $16.64/hr | Estimated |
| 2027 | $17.02/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Alexandria grew 9.6% from $14.84/hr (2021) to $16.26/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $17.02/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 Alexandria 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 Alexandria
Amidst the flexible work arrangements, part-time specialists in Alexandria can expect to take home around $41,114 annually based on a typical 24-hour workweek, compared to the more stable incomes of full-time coders. For those pursuing per-diem options, rates can escalate significantly, with medical coders billing between $25 and $42 per hour, while CCS inpatient coders might command up to $55 per hour. In addition, CRC risk adjustment specialists often see compensation that ranges from $40 to $65 per hour, reflecting the rising demand for expertise in Medicare Advantage coding. Hourly rates can also differ based on the type of employer, where physician group practices and hospital settings might offer different wages than third-party coding companies or consulting firms. Many individuals opt for positions with lower hourly pay in exchange for health benefits, highlighting the ongoing trade-offs in the sector. For those negotiating rates in Alexandria, understanding local market dynamics and gaining certifications from organizations such as AAPC or AHIMA can provide a valuable edge in discussions surrounding pay.
More salary data for Alexandria, VA:
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 Alexandria. 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 Alexandria 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