Medical Billing and Coding Specialist Salary in Lewiston, ID: $29,050 (2026)
Quick Answer:A full-time medical billing and coding specialist in Lewiston, ID earns a median $29,050/year (≈ $13.97/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Lewiston's price level (9% below national, BEA RPP 91.2), that paycheck buys what $31,867 would nationally. Nominal pay sits 0.8% below the Idaho state average.
Official BLS data · View source

In Lewiston, Idaho, the projected 2026 median annual salary for medical billing and coding specialists is $29,050, which reflects a slight underperformance compared to the national median of $30,349. The salary range for this occupation varies significantly, with a lower bound of $23,780 and an upper bound of $46,046. This data is derived from the latest estimates based on 2025 BLS OEWS data and offers a snapshot of the earning potential in the local job market. Credential stacking can influence lifetime earnings, with credentials such as the Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and Certified Risk Coder (CRC) enhancing salary prospects in a competitive field. Additionally, with the growing trend towards remote work, professionals in Lewiston have access to opportunities beyond the local market, which can further boost potential income.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $23,780 | $11.43 |
| Lower Range (P25) | $27,477 | $13.21 |
| Median (P50)(typical) | $29,050 | $13.97 |
| Upper Range (P75) | $37,720 | $18.13 |
| Top Earners (P90) | $46,046 | $22.13 |
Median Salary Position
4.28% below the national average
2026 Salary Percentile Distribution in Lewiston
In Lewiston, ID, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $22,266 (2026 est.). At $29,050, the local median is 4.28% below the national median of $30,349.
Salary Calculator
At 40 hours/week in Lewiston: You'd be in the entry-level range
How Lewiston Medical Billing and Coding Specialist Pay Compares
Lewiston median: $29,050/year (2026)
| Compared To | Median Salary | Lewiston Pays |
|---|---|---|
| Idaho Average | $29,284 | -0.80% less |
| National Average | $30,349 | -4.28% less |
Medical Billing and Coding Specialists in Lewiston, ID earn a median of $29,050 per year (2026 est.), which is 4.28% lower than the national median of $30,349 and 0.80% below the Idaho state average of $29,284.
Cost-of-Living Adjusted Salary
Lewiston has a cost of living 8.84% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Lewiston, ID has a cost-of-living index of 91.16 (below the national average of 100). A medical billing and coding specialist earning $29,050 nominally has purchasing power equivalent to $31,867 in an average-cost city — an effective 9.7% boost.
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2021 BLS Actual
$39,030
2025 BLS Actual
$28,391
2026 Current Est.
$29,050
2021–2027 Growth
+-23.8%
Salary Trajectory for Medical Billing and Coding Specialists in Lewiston (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $39,030 | Actual |
| 2022 | $41,480 | Actual |
| 2023 | $43,330 | Actual |
| 2024 | $48,680 | Actual |
| 2025 | $28,391 | Actual |
| 2026(current) | $29,050 | Estimated |
| 2027 | $29,724 | Projected |
Based on 5 years of BLS OEWS data for the Lewiston metropolitan area, the median medical billing and coding specialist salary grew -27.3% from $39,030 (2021) to $28,391 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $29,724 by 2027 — a total increase of $-9,306 (-23.84%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Lewiston 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) | $23,780 – $27,477 |
| 3-5 years (Mid Career) | $27,477 – $29,050 |
| 5+ years (Experienced) | $29,050 – $37,720 |
| 10+ years (Top Earner) | $37,720 – $46,046 |
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 Lewiston
The job market for medical billing and coding specialists in Lewiston employs about 40 individuals, suggesting a modest yet stable demand for this profession. Within this context, the cost of living, indexed at 91.16, indicates a below-average economic environment, which can enhance purchasing power despite lower salary figures. Pay in the area can vary widely based on factors such as employer type; typically, roles in physician group practice coding offices and third-party coding companies offer more competitive salaries. Additionally, the disparities in wages are often driven by specialty areas—such as inpatient coding, which generally has a higher pay scale—and professional certifications that boost marketability. For aspiring medical billing and coding specialists in Lewiston, strategies such as obtaining multiple certifications, staying current with coding updates like ICD-10-CM and CPT, and seeking remote work options can effectively maximize pay and open doors to higher-paying positions in the evolving landscape of healthcare coding.
More salary data for Lewiston, ID:
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
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 $28,391 for medical billing and coding specialistsin the Lewiston 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
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