PayByState

Texas · BLS SOC 43-3021

Medical Biller salary in Texas

Median $43,720 · Top 10% earn $58,420+ · Roughly 37,498 workers in Texas. Source: BLS OEWS, May 2024.

Texas median
$43,720
$21.02/hr
Top 10%
$58,420
90th percentile
Bottom 10%
$28,820
Entry-level range
Real pay
$45,119
CoL-adjusted (RPP 96.9)

Texas pays close to the U.S. median for medical billers — $43,720 versus the national median of $45,540. Real purchasing power tracks roughly the U.S. average. The state employs roughly 37,498 medical billers.

What drives medical biller pay in Texas

Texas hosts major RCM company campuses (R1 RCM, Conifer). Most positions are remote-eligible nationally; residency in Texas opens internal-mobility programs.

Top-paying metros in Texas

Texas-area metropolitan areas with the highest medical biller medians.

Texas metros

10 highest-paying metropolitan areas. Source: BLS OEWS metro tables, May 2024.

Rank Metro Median
1 Dallas-Fort Worth-Arlington, TX $46,200

Texas ranks #25 of 50 states

Where Texas sits in the national distribution for medical biller pay, and the closest comparable states above and below.

Rank State Median vs. Texas
#24 Utah $44,170 +$450
#23 Pennsylvania $44,630 +$910
#22 Virginia $45,080 +$1,360
#25 Texas (this page) $43,720 —
#27 Michigan $43,260 −$460
#28 Montana $43,260 −$460
#29 North Dakota $43,260 −$460
See all 50 states →

Find Medical Biller programs near you

We surface accredited programs by state — community college, online, and accelerated. Compare tuition, length, and start dates.

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Sponsored. We may earn a commission if you enroll. Prices and availability vary by school and state.

Education path for Texas

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 Texas median of $43,720, 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 Texas selected.

Medical Biller salary in Texas — FAQ

What is the average medical biller salary in Texas?
The median medical biller salary in Texas is $43,720 per year (BLS OEWS, May 2024). The bottom 10% earn around $28,820; the top 10% earn $58,420 or more. About 37,498 people work in this role across the state.
How does Texas medical biller pay compare to the national average?
Texas's median of $43,720 is $1,820 below the U.S. national median of $45,540. After adjusting for Texas's cost of living (Regional Price Parity 96.9), the real-purchasing-power equivalent is $45,119.
Where does Texas pay medical billers the most?
Top-paying metros in Texas include Dallas-Fort Worth-Arlington at $46,200. These metros consistently pay 10–25% above the state median due to higher concentration of large hospital systems and specialty employers.
Is medical biller a good career in Texas?
On the data: Texas employs roughly 37,498 medical billers, with a median wage of $43,720 and the top decile clearing $58,420. The role is projected to grow +4% nationally over the next decade. Whether it's "good" for you depends on whether the work suits you and whether you're positioned for the in-state metros that pay above the median.
What's the hourly rate for medical billers in Texas?
At the Texas median of $43,720 annually, the equivalent hourly rate is approximately $21.02/hr. The top 10% earn around $28.09/hr, while entry-level roles typically pay $13.86/hr or slightly above.

Methodology note

Texas-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 Texas's RPP is 96.9 (U.S. = 100). Last reviewed: May 2026.