Medical Billing and Coding Specialist Salary in Salisbury, NC: $27,619 (2026)
Quick Answer:A full-time medical billing and coding specialist in Salisbury, NC earns a median $27,619/year (≈ $13.28/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Salisbury's price level (6% below national, BEA RPP 93.6), that paycheck buys what $29,507 would nationally. Nominal pay sits 1.7% below the North Carolina state average.
Based on BLS state-level estimates · View source

In 2026, medical billing and coding specialists in Salisbury, North Carolina, can anticipate a median annual salary of $27,619, reflecting a notable gap compared to the national median of $30,349. This local salary range extends from $20,132 at the 10th percentile to $41,182 at the 90th percentile, demonstrating variability based on experience and specialty. These figures are local estimates derived from 2025 BLS data, adjusted for the region’s cost of living, which stands below the national average. The widening acceptance of remote work has expanded the competitive landscape, allowing local talent to engage with employers beyond Salisbury, thereby influencing salary expectations in this evolving market.
About the Salisbury Market
Salary estimated from North Carolina average ($46,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $20,132 | $9.68 |
| Lower Range (P25) | $23,314 | $11.20 |
| Median (P50)(typical) | $27,619 | $13.28 |
| Upper Range (P75) | $33,851 | $16.28 |
| Top Earners (P90) | $41,182 | $19.80 |
Median Salary Position
9% below the national average
2026 Salary Percentile Distribution in Salisbury
In Salisbury, NC, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $21,050 (2026 est.). At $27,619, the local median is 9% below the national median of $30,349.
Salary Calculator
At 40 hours/week in Salisbury: You'd be in the lower-middle range
How Salisbury Medical Billing and Coding Specialist Pay Compares
Salisbury median: $27,619/year (2026)
| Compared To | Median Salary | Salisbury Pays |
|---|---|---|
| North Carolina Average | $28,097 | -1.70% less |
| National Average | $30,349 | -9.00% less |
Medical Billing and Coding Specialists in Salisbury, NC earn a median of $27,619 per year (2026 est.), which is 9.00% lower than the national median of $30,349 and 1.70% below the North Carolina state average of $28,097.
Cost-of-Living Adjusted Salary
Salisbury has a cost of living 6.40% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Salisbury, NC has a cost-of-living index of 93.6 (below the national average of 100). A medical billing and coding specialist earning $27,619 nominally has purchasing power equivalent to $29,507 in an average-cost city — an effective 6.84% boost.
Compare Purchasing Power
Select a city to see how your salary compares after cost of living
Select a city above to compare purchasing power
2021 BLS Actual
$24,628
2025 BLS Actual
$26,993
2026 Current Est.
$27,619
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Salisbury (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $24,628 | Actual |
| 2022 | $24,903 | Actual |
| 2023 | $25,747 | Actual |
| 2024 | $42,311 | Actual |
| 2025 | $26,993 | Actual |
| 2026(current) | $27,619 | Estimated |
| 2027 | $28,260 | Projected |
Based on 5 years of BLS OEWS data for the Salisbury metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $24,628 (2021) to $26,993 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $28,260 by 2027 — a total increase of $3,632 (14.75%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Salisbury 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) | $20,132 – $23,314 |
| 3-5 years (Mid Career) | $23,314 – $27,619 |
| 5+ years (Experienced) | $27,619 – $33,851 |
| 10+ years (Top Earner) | $33,851 – $41,182 |
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 Salisbury
Currently, six medical billing and coding specialists are employed in Salisbury, a small but promising local workforce. Given the area's cost of living index of 93.6, professionals often find their take-home pay stretches further than in many higher-cost regions. Among the top employers are physician group practices and third-party coding companies, which tend to offer competitive pay. The disparity in salaries can be attributed to various factors, including specialty (with inpatient CCS coding often commanding higher wages than outpatient CPC roles), credentialing (those holding multiple certifications like CPC, CCS, and CRC tend to earn more), and the increasing demand for risk adjustment coding. To maximize their earning potential, aspiring specialists should focus on building comprehensive skill sets, pursuing advanced credentials, and seeking remote work opportunities to take advantage of the evolving coding landscape.
More salary data for Salisbury, NC:
Frequently Asked Questions
How much do medical billing and coding specialists make in Salisbury, NC in 2026?
Is Salisbury, NC a good place to work as a medical billing and coding specialist?
Can medical billing and coding specialists make $100K in Salisbury?
What is the cost-of-living adjusted medical billing and coding specialist salary in Salisbury?
How much does a medical billing and coding specialist make per hour in Salisbury?
Related Pages
Compare Salaries
Career Resources
Nearby Cities in North Carolina
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 $26,993 for medical billing and coding specialistsin the Salisbury 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 Salisbury 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