Medical Coder Pay

Bismarck vs West Fargo: Medical Coder Salary (2026)

Compare medical coder salaries between Bismarck, ND and West Fargo, ND. All figures are 2026 estimates projected from BLS 2025 data.

Bismarck, ND
$38,243
$18.39/hr
West Fargo, ND
$30,280
$14.56/hr

Side-by-Side Comparison

MetricBismarck, NDWest Fargo, ND
Median Salary$38,243$30,280
Hourly Rate$18.39$14.56
Entry Level (P10)$32,955$22,076
25th Percentile$32,955$25,563
75th Percentile$50,505$37,102
Top Earner (P90)$71,673$46,933
Total Employed7010
Side-by-side bar chart comparing Bismarck ($38,243) and West Fargo ($30,280) medical coder salaries.BismarckWest FargoMedian Salary$38,243$30,280Entry Level (P10)$32,955$22,076Top Earner (P90)$71,673$46,933US Median $41,861

Verdict

Bismarck, ND offers better overall compensation for medical coders, winning 4 out of 4 metrics compared to West Fargo.

The salary gap between Bismarck and West Fargo is $7,963 (26.30%). Bismarck's median is -8.64% compared to the US national median of $41,861.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Bismarck spans $38,718,West Fargo spans $24,857. Bismarck has a wider pay range, meaning more potential for high earners but also more variation.

Bismarck
P10 (Entry)$32,955
P25$32,955
Median$38,243
P75$50,505
P90 (Top)$71,673
West Fargo
P10 (Entry)$22,076
P25$25,563
Median$30,280
P75$37,102
P90 (Top)$46,933

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Bismarck ($42,014 effective) pays 27.65% more than West Fargo ($32,913 effective).

Bismarck
Nominal: $38,243
CoL Index: 91.024
Adjusted: $42,014
West Fargo
Nominal: $30,280
CoL Index: 92
Adjusted: $32,913

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

Which City Is Right for You?

Choose Bismarck if…

  • Higher median salary ($38,243/year)
  • Better top-earner potential ($71,673)
  • Larger job market (70 employed)
  • Better purchasing power (CoL-adjusted: $42,014)
  • You prefer the North Dakota area and lifestyle

Choose West Fargo if…

  • You prefer the North Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical coder salaries in Bismarck grew -20.9% from 2021 to 2025, compared to -34.5% growth in West Fargo over the same period.

Bismarck, ND

+-20.9%

$47,270 (2021) → $37,376 (2025)

West Fargo, ND

+-34.5%

$45,207 (2024) → $29,593 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical coders more: Bismarck or West Fargo?

Bismarck has a higher median medical coder salary at $38,243/year, compared to West Fargo at $30,280/year — a difference of $7,963 (26.30%).

What is the hourly rate difference between Bismarck and West Fargo?

Bismarck medical coders earn $18.39/hr while West Fargo hygienists earn $14.56/hr (2026 est.).

Should I relocate from Bismarck to West Fargo as a medical coder?

Consider more than just salary when comparing Bismarck and West Fargo. Factor in cost of living (CoL-adjusted: Bismarck = $42,014, West Fargo = $32,913), job availability (70 vs 10 employed), commute, and career growth potential.

What do entry-level medical coders earn in Bismarck vs West Fargo?

Entry-level (10th percentile) medical coders earn $32,955 in Bismarck and $22,076 in West Fargo. The Bismarck area offers higher starting salaries.
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