Medical Coder Pay

Des Moines vs Waterloo: Medical Coder Salary (2026)

Compare medical coder salaries between Des Moines, IA and Waterloo, IA. All figures are 2026 estimates projected from BLS 2025 data.

Des Moines, IA
$44,423
$21.35/hr
Waterloo, IA
$39,029
$18.77/hr

Side-by-Side Comparison

MetricDes Moines, IAWaterloo, IA
Median Salary$44,423$39,029
Hourly Rate$21.35$18.77
Entry Level (P10)$34,781$31,416
25th Percentile$39,340$35,599
75th Percentile$53,108$47,002
Top Earner (P90)$57,766$51,586
Total Employed49080
Side-by-side bar chart comparing Des Moines ($44,423) and Waterloo ($39,029) medical coder salaries.Des MoinesWaterlooMedian Salary$44,423$39,029Entry Level (P10)$34,781$31,416Top Earner (P90)$57,766$51,586US Median $41,861

Verdict

Des Moines, IA offers better overall compensation for medical coders, winning 4 out of 4 metrics compared to Waterloo.

The salary gap between Des Moines and Waterloo is $5,394 (13.82%). Des Moines's median is +6.12% compared to the US national median of $41,861.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Des Moines spans $22,985,Waterloo spans $20,170. Des Moines has a wider pay range, meaning more potential for high earners but also more variation.

Des Moines
P10 (Entry)$34,781
P25$39,340
Median$44,423
P75$53,108
P90 (Top)$57,766
Waterloo
P10 (Entry)$31,416
P25$35,599
Median$39,029
P75$47,002
P90 (Top)$51,586

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Des Moines ($48,443 effective) pays 8.06% more than Waterloo ($44,832 effective).

Des Moines
Nominal: $44,423
CoL Index: 91.701
Adjusted: $48,443
Waterloo
Nominal: $39,029
CoL Index: 87.057
Adjusted: $44,832

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

Which City Is Right for You?

Choose Des Moines if…

  • Higher median salary ($44,423/year)
  • Better top-earner potential ($57,766)
  • Larger job market (490 employed)
  • Better purchasing power (CoL-adjusted: $48,443)
  • You prefer the Iowa area and lifestyle

Choose Waterloo if…

  • You prefer the Iowa area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical coder salaries in Des Moines grew 10.0% from 2021 to 2025, compared to 0.8% growth in Waterloo over the same period.

Des Moines, IA

+10.0%

$39,470 (2021) → $43,416 (2025)

Waterloo, IA

+0.8%

$37,850 (2021) → $38,144 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical coders more: Des Moines or Waterloo?

Des Moines has a higher median medical coder salary at $44,423/year, compared to Waterloo at $39,029/year — a difference of $5,394 (13.82%).

What is the hourly rate difference between Des Moines and Waterloo?

Des Moines medical coders earn $21.35/hr while Waterloo hygienists earn $18.77/hr (2026 est.).

Should I relocate from Des Moines to Waterloo as a medical coder?

Consider more than just salary when comparing Des Moines and Waterloo. Factor in cost of living (CoL-adjusted: Des Moines = $48,443, Waterloo = $44,832), job availability (490 vs 80 employed), commute, and career growth potential.

What do entry-level medical coders earn in Des Moines vs Waterloo?

Entry-level (10th percentile) medical coders earn $34,781 in Des Moines and $31,416 in Waterloo. The Des Moines 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