Medical Billing and Coding Specialist Salary in Issaquah, WA: $34,183 (2026)
Quick Answer:A full-time medical billing and coding specialist in Issaquah, WA earns a median $34,183/year (≈ $16.43/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Issaquah's price level (7% above national, BEA RPP 107.4), that paycheck buys what $31,828 would nationally. Nominal pay sits 1.3% below the Washington state average.
Based on BLS state-level estimates · View source

In 2026, the average annual earnings for medical billing and coding specialists in Issaquah, Washington, are expected to reach $34,183, significantly surpassing the national median of $30,349 by 12.63%. The local salary range reflects diverse opportunities in the field, with entry-level positions starting around $25,196 and seasoned specialists earning as much as $51,276 annually. These salary estimates, derived from 2025 BLS state-level data that account for the regional cost of living, highlight a competitive outlook for professionals in the area. Given the shift toward remote work, job competition now extends beyond local borders, leading to a broader market context that influences salary potential for skilled workforce segments in Issaquah.
About the Issaquah Market
Salary estimated from Washington average ($62,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $25,196 | $12.11 |
| Lower Range (P25) | $29,061 | $13.97 |
| Median (P50)(typical) | $34,183 | $16.43 |
| Upper Range (P75) | $42,083 | $20.23 |
| Top Earners (P90) | $51,276 | $24.65 |
Median Salary Position
12.63% above the national average
2026 Salary Percentile Distribution in Issaquah
In Issaquah, WA, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $26,080 (2026 est.). At $34,183, the local median is 12.63% above the national median of $30,349.
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At 40 hours/week in Issaquah: You'd be in the lower-middle range
How Issaquah Medical Billing and Coding Specialist Pay Compares
Issaquah median: $34,183/year (2026)
| Compared To | Median Salary | Issaquah Pays |
|---|---|---|
| Washington Average | $34,633 | -1.30% less |
| National Average | $30,349 | +12.63% more |
Medical Billing and Coding Specialists in Issaquah, WA earn a median of $34,183 per year (2026 est.), which is 12.63% higher than the national median of $30,349 and 1.30% below the Washington state average of $34,633.
Cost-of-Living Adjusted Salary
Issaquah has a cost of living 7.40% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Issaquah, WA has a cost-of-living index of 107.4 (above the national average of 100). While the nominal salary of $34,183 is competitive, the higher cost of living reduces purchasing power to an effective $31,828 — a 6.89% reduction.
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2021 BLS Actual
$30,481
2025 BLS Actual
$33,408
2026 Current Est.
$34,183
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Issaquah (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $30,481 | Actual |
| 2022 | $30,821 | Actual |
| 2023 | $31,866 | Actual |
| 2024 | $65,756 | Actual |
| 2025 | $33,408 | Actual |
| 2026(current) | $34,183 | Estimated |
| 2027 | $34,976 | Projected |
Based on 5 years of BLS OEWS data for the Issaquah metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $30,481 (2021) to $33,408 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $34,976 by 2027 — a total increase of $4,495 (14.75%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Issaquah 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) | $25,196 – $29,061 |
| 3-5 years (Mid Career) | $29,061 – $34,183 |
| 5+ years (Experienced) | $34,183 – $42,083 |
| 10+ years (Top Earner) | $42,083 – $51,276 |
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 Issaquah
As with any profession, the local job market dynamics can significantly impact actual earnings. In Issaquah, there are currently nine medical billing and coding specialists employed, indicating a modest but stable workforce in this sector. With a cost-of-living index of 107.4, which is above the national average, the purchasing power of salaries in Issaquah must be considered accordingly. To maximize compensation, professionals should seek opportunities with physician group practices or third-party coding firms, as these employers typically offer higher wages. Furthermore, specialization in high-demand areas such as inpatient coding and risk adjustment can lead to more substantial pay. Credential stacking, including certifications from AAPC or AHIMA, can further enhance earning potential. Especially with the ongoing growth in risk adjustment and HCC coding, it is wise for coders to remain abreast of the latest ICD-10-CM and CPT updates, as continuous learning and adaptation in response to industry demands play a crucial role in achieving higher salaries.
More salary data for Issaquah, WA:
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 $33,408 for medical billing and coding specialistsin the Issaquah 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 Issaquah 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