PayByState

South Dakota · BLS SOC 29-2072

Medical Billing & Coding salary in South Dakota

Median $42,580 · Top 10% earn $58,720+ · Roughly 1,908 workers in South Dakota. Source: BLS OEWS, May 2024.

South Dakota median
$42,580
$20.47/hr
Top 10%
$58,720
90th percentile
Bottom 10%
$27,310
Entry-level range
Real pay
$47,575
CoL-adjusted (RPP 89.5)

South Dakota pays modestly below the U.S. median for medical billing & codings — $42,580 versus the national median of $47,840. South Dakota's lower cost of living partially offsets the lower nominal pay, but real purchasing power is still below national average. The state employs roughly 1,908 medical billing & codings.

What drives medical billing & coding pay in South Dakota

South Dakota 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.

South Dakota ranks #44 of 50 states

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

Rank State Median vs. South Dakota
#43 Tennessee $43,530 +$950
#42 Idaho $43,530 +$950
#41 Missouri $43,530 +$950
#44 South Dakota (this page) $42,580 —
#47 Louisiana $42,100 −$480
#48 Alabama $41,140 −$1,440
#49 West Virginia $41,140 −$1,440
See all 50 states →

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Education path for South Dakota

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 South Dakota median of $42,580, payback periods are typically 1.1 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 South Dakota selected.

Medical Billing & Coding salary in South Dakota — FAQ

What is the average medical billing & coding salary in South Dakota?
The median medical billing & coding salary in South Dakota is $42,580 per year (BLS OEWS, May 2024). The bottom 10% earn around $27,310; the top 10% earn $58,720 or more. About 1,908 people work in this role across the state.
How does South Dakota medical billing & coding pay compare to the national average?
South Dakota's median of $42,580 is $5,260 below the U.S. national median of $47,840. After adjusting for South Dakota's cost of living (Regional Price Parity 89.5), the real-purchasing-power equivalent is $47,575.
Is medical billing & coding a good career in South Dakota?
On the data: South Dakota employs roughly 1,908 medical billing & codings, with a median wage of $42,580 and the top decile clearing $58,720. 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 South Dakota?
At the South Dakota median of $42,580 annually, the equivalent hourly rate is approximately $20.47/hr. The top 10% earn around $28.23/hr, while entry-level roles typically pay $13.13/hr or slightly above.

Methodology note

South Dakota-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 South Dakota's RPP is 89.5 (U.S. = 100). Last reviewed: May 2026.