Medical Billing and Coding Specialist Salary in Lexington, MA: $33,171 (2026)
Quick Answer:A full-time medical billing and coding specialist in Lexington, MA earns a median $33,171/year (≈ $15.95/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Lexington's price level (9% above national, BEA RPP 108.5), that paycheck buys what $30,572 would nationally. Nominal pay sits 4.3% below the Massachusetts state average.
Based on BLS state-level estimates · View source
In 2026, medical billing and coding specialists in Lexington, Massachusetts, are projected to earn a median annual salary of $33,171, which is approximately 9.30% higher than the national median of $30,349. With salaries ranging from $25,374 at the 10th percentile to $51,071 at the 90th percentile, this profession offers varied earning potential based on skill and experience. The pathway to increased lifetime earnings in this field often involves credential stacking: starting with the Certified Professional Coder (CPC), advancing to the Certified Coding Specialist (CCS), and progressing to the Certified Risk Adjustment Coder (CRC). Each credential not only enhances job prospects but also typically corresponds to higher pay opportunities. In Lexington's competitive job market, this strategy can significantly impact one's financial trajectory over time.
About the Lexington Market
Salary estimated from Massachusetts average ($60,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $25,374 | $12.20 |
| Lower Range (P25) | $28,961 | $13.93 |
| Median (P50)(typical) | $33,171 | $15.95 |
| Upper Range (P75) | $41,561 | $19.98 |
| Top Earners (P90) | $51,071 | $24.56 |
Median Salary Position
9.30% above the national average
2026 Salary Percentile Distribution in Lexington
In Lexington, MA, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $25,697 (2026 est.). At $33,171, the local median is 9.3% above the national median of $30,349.
Salary Calculator
At 40 hours/week in Lexington: You'd be in the lower-middle range
How Lexington Medical Billing and Coding Specialist Pay Compares
Lexington median: $33,171/year (2026)
| Compared To | Median Salary | Lexington Pays |
|---|---|---|
| Massachusetts Average | $34,662 | -4.30% less |
| National Average | $30,349 | +9.30% more |
Medical Billing and Coding Specialists in Lexington, MA earn a median of $33,171 per year (2026 est.), which is 9.30% higher than the national median of $30,349 and 4.30% below the Massachusetts state average of $34,662.
Cost-of-Living Adjusted Salary
Lexington has a cost of living 8.50% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Lexington, MA has a cost-of-living index of 108.5 (above the national average of 100). While the nominal salary of $33,171 is competitive, the higher cost of living reduces purchasing power to an effective $30,572 — a 7.84% reduction.
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2021 BLS Actual
$29,579
2025 BLS Actual
$32,419
2026 Current Est.
$33,171
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Lexington (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $29,579 | Actual |
| 2022 | $29,909 | Actual |
| 2023 | $30,923 | Actual |
| 2024 | $62,316 | Actual |
| 2025 | $32,419 | Actual |
| 2026(current) | $33,171 | Estimated |
| 2027 | $33,941 | Projected |
Based on 5 years of BLS OEWS data for the Lexington metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $29,579 (2021) to $32,419 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $33,941 by 2027 — a total increase of $4,362 (14.75%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Lexington 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) | $25,374 – $28,961 |
| 3-5 years (Mid Career) | $28,961 – $33,171 |
| 5+ years (Experienced) | $33,171 – $41,561 |
| 10+ years (Top Earner) | $41,561 – $51,071 |
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 Lexington
Examining the local job market, only six medical billing and coding specialists are currently employed in Lexington. This limited number highlights the potential for job security, albeit within a somewhat confined professional circle. The cost of living index in Lexington stands at 108.5, indicating that living expenses are above the national average, which can affect take-home pay and purchasing power. Among local employers, physician group practice coding offices and hospital inpatient coding departments tend to offer the most competitive salaries. Factors driving the salary variations include specialty focus, credential accumulation, compliance audit needs, and productivity bonuses based on coding efficiency. To maximize compensation in Lexington, specialists should consider pursuing additional credentials, focusing on high-demand areas like risk adjustment coding, or seeking remote opportunities that provide flexibility and potential pay advantages.
More salary data for Lexington, MA:
Frequently Asked Questions
How much do medical billing and coding specialists make in Lexington, MA 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 $32,419 for medical billing and coding specialistsin the Lexington 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 Lexington 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