How much do medical billers make in 2026?
Medical billers are counted in the BLS billing and posting clerks series: OEWS May 2025 puts the SOC 43-3021 national median at $48,500 a year ($23.32 an hour), with the bottom 10% near $37,290 and the top 10% at $67,710. The series pools healthcare billers with billing clerks in other industries, so it is a close rather than exact match. It captures the trajectory accurately, though: BLS projects employment 0.4% lower by 2034 — a slight decline — with roughly 42,200 openings a year, almost all replacing leavers. Clearinghouse automation, electronic remittance posting and payer portals have absorbed the routine work, so the jobs that remain and pay above the median are the ones automation cannot do: denial appeals, payer-specific edits, complex claim reconstruction and patient financial counselling. Certification through AAPC or AHIMA and coding knowledge are what separate those roles from data entry. → Full medical biller career guide, career path, credentials & placement →
Note: $48,500 blends every experience level and every setting in this occupation. For pay by level alone, see Pay by Level below.
- Medical Billers earn a national median $48,500/yr ($23.32/hr) (BLS OEWS May 2025, SOC 43-3021); the P10 to P90 range is $37,290 to $67,710.
- BLS pools medical billers with billing clerks in other industries under SOC 43-3021, so the $37,290 to $67,710 band is a close but not exact match for healthcare billing.
- Employment is projected to decline slightly by 0.4% through 2034 with roughly 42,200 openings a year — replacement of leavers rather than growth — as automation absorbs routine claim work.
- Denial management, payer-specific edits and complex claim reconstruction are the parts of the job automation has not taken, and they are where pay above the $48,500 median sits.
US Medical Biller Pay Distribution · BLS OEWS May 2025
Pay by Level · BLS OEWS May 2025
How much do medical billers earn at each level?
BLS OEWS publishes one blended wage for the whole occupation and does not break pay out by credential or practice level. The levels below distribute the published percentile range across the credential tiers this role actually hires at.
Level medians are aligned to the BLS OEWS May 2025 percentile distribution for SOC 43-3021; GlobalCybers does not yet publish a verified placement sample for this role, so no verified median is shown.
Methodology & Sources
How the numbers on this page are built
Published (BLS): BLS OEWS May 2025, SOC 43-3021, United States national estimate. Public, methodologically rigorous, but sampled on a rolling 3-year basis and published ~10 months after collection — so it reflects wages that are already 1–2 years old by the time you read them.
Level and certification medians: distributed across the published BLS percentile range for this SOC code (P10 through P90) according to the credential tiers this occupation actually hires at. They are modeled reference points, not separately surveyed wages.
State and metro figures: modeled — the BLS national median multiplied by the GlobalCybers state wage index, and for metros by the published metro index for that state. They are estimates of local pay, not BLS state or metropolitan-area observations, and are labelled as modeled in the tables below.
No verified placement sample:GlobalCybers does not yet publish a placement median for this role, so no "verified" figure appears anywhere on this page.
Pay by Career Level
How much does a medical biller earn at each career stage?
Billing pay follows certification, denial-management skill and the complexity of the payer mix handled. Each median is anchored to the BLS OEWS distribution for SOC 43-3021.
By State
Which states pay medical billers the most in 2026?
These are modeled state estimates — the BLS national median scaled by the GlobalCybers state wage index — not BLS state observations. Two local factors matter more than the wage index: Medicaid programme design and managed-care contracting, which determine how difficult local claims are, and the prevalence of remote work in this occupation, since employers hiring nationally for remote billing tend to pay closer to a national rate than to a local one.
6 of 51 state guides shown, ranked by median. Bar is relative to California ($55,770), the highest-paying state shown. See all role salary guides →
medical biller pay by state — all 1 state guide
By Metro
Which cities pay medical billers the most?
Modeled metro estimates: the national median scaled by the state wage index and then by that state's published metro index. They estimate local wage levels and are not BLS metropolitan-area observations.
BLS OEWS MSA estimates, May 2025. Nominal pay — weigh each metro against its cost of living before relocating.
Certification Impact
Which certifications raise a medical biller’s pay the most?
Median annual pay before and after each credential, based on GlobalCybers placement data cross-referenced with BLS. License upgrades move the needle most; stackable certs add on top.
Impacts are not additive, the licensing rows share the same career ladder. Browse all 167 certifications →
Trade Comparison
How does medical biller pay compare to related roles?
BLS OEWS national median across the closest trades. Medical Billers sit mid-pack on median but carry one of the widest P10–P90 spreads, licensing and specialization drive the upside.
BLS OEWS May 2025. Verify medical biller wages on BLS.gov →
Take-Home Pay
What does a medical biller actually take home after taxes?
The medians above are gross base wage.
Estimates use 2026 federal brackets, standard deduction, and 7.65% FICA. Actual take-home varies with filing status, deductions, and local tax.
FAQ
Medical Biller Salary, Frequently Asked Questions
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