PayByState

Texas · BLS SOC 29-2072

Medical Billing & Coding salary in Texas

Median $45,930 · Top 10% earn $65,370+ · Roughly 53,424 workers in Texas. Source: BLS OEWS, May 2024.

Texas median
$45,930
$22.08/hr
Top 10%
$65,370
90th percentile
Bottom 10%
$29,450
Entry-level range
Real pay
$47,399
CoL-adjusted (RPP 96.9)

Texas pays close to the U.S. median for medical billing & codings — $45,930 versus the national median of $47,840. Real purchasing power tracks roughly the U.S. average. The state employs roughly 53,424 medical billing & codings.

What drives medical billing & coding pay in Texas

Texas hosts major RCM company campuses (R1 RCM, Conifer, Change Healthcare). Most positions are remote-eligible nationally; residency in Texas opens internal-mobility programs that don't apply across all states.

Texas ranks #25 of 50 states

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

Rank State Median vs. Texas
#24 Utah $46,400 +$470
#23 Pennsylvania $46,880 +$950
#22 Virginia $47,360 +$1,430
#25 Texas (this page) $45,930 —
#27 Michigan $45,450 −$480
#28 Montana $45,450 −$480
#29 North Dakota $45,450 −$480
See all 50 states →

Find Medical Billing & Coding programs near you

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Education path for Texas

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 Texas median of $45,930, payback periods are typically 0.9 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 Texas selected.

Medical Billing & Coding salary in Texas — FAQ

What is the average medical billing & coding salary in Texas?
The median medical billing & coding salary in Texas is $45,930 per year (BLS OEWS, May 2024). The bottom 10% earn around $29,450; the top 10% earn $65,370 or more. About 53,424 people work in this role across the state.
How does Texas medical billing & coding pay compare to the national average?
Texas's median of $45,930 is $1,910 below the U.S. national median of $47,840. After adjusting for Texas's cost of living (Regional Price Parity 96.9), the real-purchasing-power equivalent is $47,399.
Is medical billing & coding a good career in Texas?
On the data: Texas employs roughly 53,424 medical billing & codings, with a median wage of $45,930 and the top decile clearing $65,370. 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 Texas?
At the Texas median of $45,930 annually, the equivalent hourly rate is approximately $22.08/hr. The top 10% earn around $31.43/hr, while entry-level roles typically pay $14.16/hr or slightly above.

Methodology note

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