Medical Billing and Coding Specialist Salary in Nicholasville, KY: $26,690 (2026)
Quick Answer:A full-time medical billing and coding specialist in Nicholasville, KY earns a median $26,690/year (≈ $12.83/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Nicholasville's price level (11% below national, BEA RPP 89.3), that paycheck buys what $29,888 would nationally. Nominal pay sits 1.5% below the Kentucky state average.
Based on BLS state-level estimates · View source
In 2026, the median medical billing and coding specialist salary in Nicholasville, KY, is projected to be $26,690, which is lower than the national median of $30,349. The salary range for this profession in the area spans from $19,553 at the bottom percentile to $39,912 at the top. This data is derived from 2025 BLS state-level estimates, adjusted for regional cost factors. For those in Nicholasville pursuing a credentialing pathway—such as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and Certified Risk Adjustment Coder (CRC)—the potential for increased lifetime earnings exists. Acquiring these credentials can lead to higher compensation, particularly when considering specialty areas that often pay more than general coding roles.
About the Nicholasville Market
Salary estimated from Kentucky average ($44,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $19,553 | $9.40 |
| Lower Range (P25) | $22,608 | $10.87 |
| Median (P50)(typical) | $26,690 | $12.83 |
| Upper Range (P75) | $32,783 | $15.76 |
| Top Earners (P90) | $39,912 | $19.19 |
Median Salary Position
12.06% below the national average
2026 Salary Percentile Distribution in Nicholasville
In Nicholasville, KY, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $20,359 (2026 est.). At $26,690, the local median is 12.06% below the national median of $30,349.
Salary Calculator
At 40 hours/week in Nicholasville: You'd be in the lower-middle range
How Nicholasville Medical Billing and Coding Specialist Pay Compares
Nicholasville median: $26,690/year (2026)
| Compared To | Median Salary | Nicholasville Pays |
|---|---|---|
| Kentucky Average | $27,097 | -1.50% less |
| National Average | $30,349 | -12.06% less |
Medical Billing and Coding Specialists in Nicholasville, KY earn a median of $26,690 per year (2026 est.), which is 12.06% lower than the national median of $30,349 and 1.50% below the Kentucky state average of $27,097.
Cost-of-Living Adjusted Salary
Nicholasville has a cost of living 10.70% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Nicholasville, KY has a cost-of-living index of 89.3 (below the national average of 100). A medical billing and coding specialist earning $26,690 nominally has purchasing power equivalent to $29,888 in an average-cost city — an effective 11.98% boost.
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2021 BLS Actual
$23,800
2025 BLS Actual
$26,085
2026 Current Est.
$26,690
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Nicholasville (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $23,800 | Actual |
| 2022 | $24,065 | Actual |
| 2023 | $24,881 | Actual |
| 2024 | $38,697 | Actual |
| 2025 | $26,085 | Actual |
| 2026(current) | $26,690 | Estimated |
| 2027 | $27,309 | Projected |
Based on 5 years of BLS OEWS data for the Nicholasville metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $23,800 (2021) to $26,085 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $27,309 by 2027 — a total increase of $3,509 (14.74%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Nicholasville 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) | $19,553 – $22,608 |
| 3-5 years (Mid Career) | $22,608 – $26,690 |
| 5+ years (Experienced) | $26,690 – $32,783 |
| 10+ years (Top Earner) | $32,783 – $39,912 |
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 Nicholasville
The local job market for medical billing and coding specialists in Nicholasville remains modest, with only six professionals currently employed in the field. This limited number may suggest a more competitive environment for available positions, especially given the cost-of-living index of 89.3, which indicates that living expenses are below the national average. Employers that typically offer higher wages include hospital inpatient coding departments and payer or insurance company coding audit teams. The disparity in compensation within the field often hinges on factors like the type of coding specialty—such as inpatient CCS versus outpatient CPC—and any additional certifications that coders may hold. Furthermore, productivity bonuses, tied to charts coded per hour, can enhance earnings. For aspirants looking to maximize their pay in Nicholasville, focusing on specialty certifications, considering remote work options, and staying updated with regulatory changes in coding standards could prove beneficial.
More salary data for Nicholasville, KY:
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 $26,085 for medical billing and coding specialistsin the Nicholasville 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 Nicholasville 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