Medical Coder Pay

Alameda vs Sacramento: Medical Coder Salary (2026)

Compare medical coder salaries between Alameda, CA and Sacramento, CA. All figures are 2026 estimates projected from BLS 2025 data.

Alameda, CA
$46,991
$22.59/hr
Sacramento, CA
$61,515
$29.57/hr

Side-by-Side Comparison

MetricAlameda, CASacramento, CA
Median Salary$46,991$61,515
Hourly Rate$22.59$29.57
Entry Level (P10)$34,621$38,857
25th Percentile$40,077$46,273
75th Percentile$60,149$72,533
Top Earner (P90)$72,836$87,185
Total Employed121,340
Side-by-side bar chart comparing Alameda ($46,991) and Sacramento ($61,515) medical coder salaries.AlamedaSacramentoMedian Salary$46,991$61,515Entry Level (P10)$34,621$38,857Top Earner (P90)$72,836$87,185US Median $41,861

Verdict

Sacramento, CA offers better overall compensation for medical coders, winning 4 out of 4 metrics compared to Alameda.

The salary gap between Alameda and Sacramento is $14,524 (30.91%). Sacramento's median is +46.95% compared to the US national median of $41,861.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Alameda spans $38,215,Sacramento spans $48,328. Sacramento has a wider pay range, suggesting more variation in pay between entry-level and experienced medical coders.

Alameda
P10 (Entry)$34,621
P25$40,077
Median$46,991
P75$60,149
P90 (Top)$72,836
Sacramento
P10 (Entry)$38,857
P25$46,273
Median$61,515
P75$72,533
P90 (Top)$87,185

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Sacramento ($57,669 effective) pays 38.80% more than Alameda ($41,548 effective).

Alameda
Nominal: $46,991
CoL Index: 113.1
Adjusted: $41,548
Sacramento
Nominal: $61,515
CoL Index: 106.67
Adjusted: $57,669

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Alameda if…

  • You prefer the California area and lifestyle

Choose Sacramento if…

  • Higher median salary ($61,515/year)
  • Better top-earner potential ($87,185)
  • Larger job market (1,340 employed)
  • Better purchasing power (CoL-adjusted: $57,669)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical coder salaries in Alameda grew -36.6% from 2024 to 2025, compared to -0.6% growth in Sacramento over the same period.

Alameda, CA

+-36.6%

$72,495 (2024) → $45,926 (2025)

Sacramento, CA

+-0.6%

$60,460 (2021) → $60,120 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical coders more: Alameda or Sacramento?

Sacramento has a higher median medical coder salary at $61,515/year, compared to Alameda at $46,991/year — a difference of $14,524 (30.91%).

What is the hourly rate difference between Alameda and Sacramento?

Alameda medical coders earn $22.59/hr while Sacramento hygienists earn $29.57/hr (2026 est.).

Should I relocate from Alameda to Sacramento as a medical coder?

Consider more than just salary when comparing Alameda and Sacramento. Factor in cost of living (CoL-adjusted: Alameda = $41,548, Sacramento = $57,669), job availability (12 vs 1,340 employed), commute, and career growth potential.

What do entry-level medical coders earn in Alameda vs Sacramento?

Entry-level (10th percentile) medical coders earn $34,621 in Alameda and $38,857 in Sacramento. The Sacramento area offers higher starting salaries.

Related Comparisons

AP

Written by Aisha Patel, RHIT, CPC

Career Analyst

Aisha has over 10 years of experience in medical coding. She specializes in inpatient coding at acute care facilities. Aisha works closely with healthcare providers to ensure accurate coding practices.

Clinically reviewed by Michael Chen, CPC, CCSData verified by Maria Gonzales, CPC, CCA

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.32% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Aisha Patel, RHIT, CPC, a licensed medical coder with 10+ years of clinical experience. · View source data at BLS.gov