California · BLS SOC 43-3021
Medical Biller salary in California
Median $57,840 · Top 10% earn $87,890+ · Roughly 52,675 workers in California. Source: BLS OEWS, May 2024.
- California median
- $57,840
- $27.81/hr
- Top 10%
- $87,890
- 90th percentile
- Bottom 10%
- $38,120
- Entry-level range
- Real pay
- $50,826
- CoL-adjusted (RPP 113.8)
California pays meaningfully above the U.S. median for medical billers — $57,840 versus the national median of $45,540. Even after adjusting for California's high cost of living, the real pay still leads the U.S. average. The state employs roughly 52,675 medical billers.
What drives medical biller pay in California
California medical biller pay is moderate but the labor market is heavy with large RCM operators (R1 RCM, Conifer, Change Healthcare).
Top-paying metros in California
California-area metropolitan areas with the highest medical biller medians.
California metros
10 highest-paying metropolitan areas. Source: BLS OEWS metro tables, May 2024.
| Rank | Metro | Median |
|---|---|---|
| 1 | San Jose-Sunnyvale-Santa Clara, CA | $58,200 |
| 2 | Los Angeles-Long Beach-Anaheim, CA | $52,800 |
California ranks #1 of 50 states
Where California sits in the national distribution for medical biller pay, and the closest comparable states above and below.
| Rank | State | Median | vs. California |
|---|---|---|---|
| #1 | California (this page) | $57,840 | — |
| #2 | Washington | $55,560 | −$2,280 |
| #3 | District of Columbia | $55,100 | −$2,740 |
| #4 | New York | $54,650 | −$3,190 |
Find Medical Biller programs near you
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Education path for California
The typical path is a high school diploma + on-the-job training or short certificate, taking about 6 months. Tuition ranges from $800 (community college) to $4,500 (private accelerated). On the California median of $57,840, payback periods are typically 0.5 years or less from a starting income near minimum wage.
For full credentialing detail and the realistic career outlook, see the Medical Biller salary overview. To run your own numbers, use the ROI calculator with California selected.
Medical Biller salary in California — FAQ
What is the average medical biller salary in California?
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Methodology note
California-level wage data sourced from BLS Occupational Employment and Wage Statistics, May 2024 release (SOC 43-3021: Billing and Posting Clerks), with state pay indexes from BLS area-comparison tables. Cost-of-living adjustments use BEA Regional Price Parities, 2023 release, where California's RPP is 113.8 (U.S. = 100). Last reviewed: May 2026.