Medical Coder Pay

Bristol vs Richmond: Medical Coder Salary (2026)

Compare medical coder salaries between Bristol, VA and Richmond, VA. All figures are 2026 estimates projected from BLS 2025 data.

Bristol, VA
$38,377
$18.45/hr
Richmond, VA
$42,049
$20.22/hr

Side-by-Side Comparison

MetricBristol, VARichmond, VA
Median Salary$38,377$42,049
Hourly Rate$18.45$20.22
Entry Level (P10)$29,556$31,449
25th Percentile$33,379$38,276
75th Percentile$47,588$51,651
Top Earner (P90)$57,483$62,292
Total Employed6740
Side-by-side bar chart comparing Bristol ($38,377) and Richmond ($42,049) medical coder salaries.BristolRichmondMedian Salary$38,377$42,049Entry Level (P10)$29,556$31,449Top Earner (P90)$57,483$62,292US Median $41,861

Verdict

Richmond, VA offers better overall compensation for medical coders, winning 4 out of 4 metrics compared to Bristol.

The salary gap between Bristol and Richmond is $3,672 (9.57%). Richmond's median is +0.45% compared to the US national median of $41,861.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Bristol spans $27,927,Richmond spans $30,843. Richmond has a wider pay range, suggesting more variation in pay between entry-level and experienced medical coders.

Bristol
P10 (Entry)$29,556
P25$33,379
Median$38,377
P75$47,588
P90 (Top)$57,483
Richmond
P10 (Entry)$31,449
P25$38,276
Median$42,049
P75$51,651
P90 (Top)$62,292

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Richmond ($42,969 effective) pays 15.55% more than Bristol ($37,187 effective).

Bristol
Nominal: $38,377
CoL Index: 103.2
Adjusted: $37,187
Richmond
Nominal: $42,049
CoL Index: 97.858
Adjusted: $42,969

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

Which City Is Right for You?

Choose Bristol if…

  • You prefer the Virginia area and lifestyle

Choose Richmond if…

  • Higher median salary ($42,049/year)
  • Better top-earner potential ($62,292)
  • Larger job market (740 employed)
  • Better purchasing power (CoL-adjusted: $42,969)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical coder salaries in Bristol grew -27.3% from 2024 to 2025, compared to -12.4% growth in Richmond over the same period.

Bristol, VA

+-27.3%

$51,604 (2024) → $37,507 (2025)

Richmond, VA

+-12.4%

$46,910 (2021) → $41,096 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical coders more: Bristol or Richmond?

Richmond has a higher median medical coder salary at $42,049/year, compared to Bristol at $38,377/year — a difference of $3,672 (9.57%).

What is the hourly rate difference between Bristol and Richmond?

Bristol medical coders earn $18.45/hr while Richmond hygienists earn $20.22/hr (2026 est.).

Should I relocate from Bristol to Richmond as a medical coder?

Consider more than just salary when comparing Bristol and Richmond. Factor in cost of living (CoL-adjusted: Bristol = $37,187, Richmond = $42,969), job availability (6 vs 740 employed), commute, and career growth potential.

What do entry-level medical coders earn in Bristol vs Richmond?

Entry-level (10th percentile) medical coders earn $29,556 in Bristol and $31,449 in Richmond. The Richmond 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