Medical Billing and Coding Specialist Salary in Kahului, HI: $19,958 (2026)
Quick Answer:A full-time medical billing and coding specialist in Kahului, HI earns a median $19,958/year (≈ $9.60/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Kahului's price level (19% above national, BEA RPP 119.3), that paycheck buys what $16,729 would nationally. Nominal pay sits 5.0% below the Hawaii state average.
Based on BLS state-level estimates · View source

Medical billing and coding specialists in Kahului, HI, can expect a median annual salary of $19,958 in 2026, which represents a significant disparity when compared to the national median of $30,349. The local salary range extends from $15,035 at the 10th percentile to $30,455 at the 90th percentile, emphasizing the variability within this field. Local estimates derived from 2025 BLS data and adjusted for regional price parities suggest that earning potential can improve through credential stacking—attaining certifications like CPC, CCS, or CRC can lead to higher lifetime earnings. Dominated by a rapidly evolving healthcare environment and the demand for specialized skills, the job market in Kahului is positioned for growth, yet the salary figures reflect the challenges in achieving competitive pay relative to national standards.
About the Kahului Market
Salary estimated from Hawaii average ($55,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $15,035 | $7.22 |
| Lower Range (P25) | $16,809 | $8.08 |
| Median (P50)(typical) | $19,958 | $9.60 |
| Upper Range (P75) | $24,840 | $11.94 |
| Top Earners (P90) | $30,455 | $14.64 |
Median Salary Position
34.24% below the national average
2026 Salary Percentile Distribution in Kahului
In Kahului, HI, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $15,420 (2026 est.). At $19,958, the local median is 34.24% below the national median of $30,349.
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At 40 hours/week in Kahului: You'd be in the lower-middle range
How Kahului Medical Billing and Coding Specialist Pay Compares
Kahului median: $19,958/year (2026)
| Compared To | Median Salary | Kahului Pays |
|---|---|---|
| Hawaii Average | $21,008 | -5.00% less |
| National Average | $30,349 | -34.24% less |
Medical Billing and Coding Specialists in Kahului, HI earn a median of $19,958 per year (2026 est.), which is 34.24% lower than the national median of $30,349 and 5.00% below the Hawaii state average of $21,008.
Cost-of-Living Adjusted Salary
Kahului has a cost of living 19.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Kahului, HI has a cost-of-living index of 119.3 (above the national average of 100). While the nominal salary of $19,958 is competitive, the higher cost of living reduces purchasing power to an effective $16,729 — a 16.18% reduction.
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2021 BLS Actual
$17,796
2025 BLS Actual
$19,505
2026 Current Est.
$19,958
2021–2027 Growth
+14.8%
Salary Trajectory for Medical Billing and Coding Specialists in Kahului (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $17,796 | Actual |
| 2022 | $48,950 | Actual |
| 2023 | $51,870 | Actual |
| 2024 | $59,890 | Actual |
| 2025 | $19,505 | Actual |
| 2026(current) | $19,958 | Estimated |
| 2027 | $20,421 | Projected |
Based on 5 years of BLS OEWS data for the Kahului metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $17,796 (2021) to $19,505 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $20,421 by 2027 — a total increase of $2,625 (14.75%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Kahului 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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $15,035 – $16,809 |
| 3-5 years (Mid Career) | $16,809 – $19,958 |
| 5+ years (Experienced) | $19,958 – $24,840 |
| 10+ years (Top Earner) | $24,840 – $30,455 |
MBS salary ranges estimated from BLS percentile data. Individual medical billing and coding specialist compensation varies by employer, certifications, and specialization.
Medical Billing and Coding Specialist Job Market in Kahului
While the salary for medical billing and coding specialists in Kahului may seem modest, the local job market features five specialists currently employed, which signals a niche opportunity. However, the cost of living index at 119.3 indicates that residents face higher living expenses than the national average. Within this context, top-paying employers include physician group practices and hospital coding departments, which tend to offer more competitive salaries than third-party coding companies. Factors contributing to pay discrepancies include the type of coding performed; for instance, inpatient coding specialties and those who stack credentials (CPC + CCS + CRC) often earn more. Additionally, remote work options have gained traction and may allow for better compensation in certain roles. Specialists seeking to optimize their earnings should consider investing in additional training, focusing on high-demand areas like risk adjustment coding, while also exploring remote opportunities to boost their overall pay in this market.
More salary data for Kahului, HI:
Frequently Asked Questions
How much do medical billing and coding specialists make in Kahului, HI 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
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $19,505 for medical billing and coding specialistsin the Kahului metropolitan area. A 2.32% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Kahului 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