PayByState

North Carolina · BLS SOC 29-2072

Medical Billing & Coding salary in North Carolina

Median $44,490 · Top 10% earn $62,480+ · Roughly 20,352 workers in North Carolina. Source: BLS OEWS, May 2024.

North Carolina median
$44,490
$21.39/hr
Top 10%
$62,480
90th percentile
Bottom 10%
$28,530
Entry-level range
Real pay
$47,994
CoL-adjusted (RPP 92.7)

North Carolina pays modestly below the U.S. median for medical billing & codings — $44,490 versus the national median of $47,840. Real purchasing power tracks roughly the U.S. average. The state employs roughly 20,352 medical billing & codings.

What drives medical billing & coding pay in North Carolina

North Carolina pays close to the U.S. median for medical billing & codings. The state's pay landscape reflects typical national patterns — hospital and academic medical center roles paying above private practice, specialty credentials adding meaningful premiums, and metropolitan areas paying above rural ones.

North Carolina ranks #34 of 50 states

Where North Carolina sits in the national distribution for medical billing & coding pay, and the closest comparable states above and below.

Rank State Median vs. North Carolina
#33 Ohio $44,970 +$480
#32 New Mexico $44,970 +$480
#31 Florida $44,970 +$480
#34 North Carolina (this page) $44,490 —
#36 Georgia $44,010 −$480
#37 South Carolina $43,530 −$960
#38 Indiana $43,530 −$960
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Education path for North Carolina

The typical path is a postsecondary nondegree certificate (cpb, cpc, cca, ccs) or associate, taking about 9 months. Tuition ranges from $1,200 (community college) to $12,000 (private accelerated). On the North Carolina median of $44,490, payback periods are typically 1 years or less from a starting income near minimum wage.

For full credentialing detail and the realistic career outlook, see the Medical Billing & Coding salary overview. To run your own numbers, use the ROI calculator with North Carolina selected.

Medical Billing & Coding salary in North Carolina — FAQ

What is the average medical billing & coding salary in North Carolina?
The median medical billing & coding salary in North Carolina is $44,490 per year (BLS OEWS, May 2024). The bottom 10% earn around $28,530; the top 10% earn $62,480 or more. About 20,352 people work in this role across the state.
How does North Carolina medical billing & coding pay compare to the national average?
North Carolina's median of $44,490 is $3,350 below the U.S. national median of $47,840. After adjusting for North Carolina's cost of living (Regional Price Parity 92.7), the real-purchasing-power equivalent is $47,994.
Is medical billing & coding a good career in North Carolina?
On the data: North Carolina employs roughly 20,352 medical billing & codings, with a median wage of $44,490 and the top decile clearing $62,480. The role is projected to grow +7% 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 billing & codings in North Carolina?
At the North Carolina median of $44,490 annually, the equivalent hourly rate is approximately $21.39/hr. The top 10% earn around $30.04/hr, while entry-level roles typically pay $13.72/hr or slightly above.

Methodology note

North Carolina-level wage data sourced from BLS Occupational Employment and Wage Statistics, May 2024 release (SOC 29-2072: Medical Billing & Coding (combined)), with state pay indexes from BLS area-comparison tables. Cost-of-living adjustments use BEA Regional Price Parities, 2023 release, where North Carolina's RPP is 92.7 (U.S. = 100). Last reviewed: May 2026.