Medical Coder Pay

Fort Worth vs San Antonio: Medical Coder Salary (2026)

Compare medical coder salaries between Fort Worth, TX and San Antonio, TX. All figures are 2026 estimates projected from BLS 2025 data.

Fort Worth, TX
$42,401
$20.38/hr
San Antonio, TX
$37,744
$18.15/hr

Side-by-Side Comparison

MetricFort Worth, TXSan Antonio, TX
Median Salary$42,401$37,744
Hourly Rate$20.38$18.15
Entry Level (P10)$30,558$28,109
25th Percentile$35,910$31,842
75th Percentile$54,274$48,942
Top Earner (P90)$65,722$59,149
Total Employed2191,670
Side-by-side bar chart comparing Fort Worth ($42,401) and San Antonio ($37,744) medical coder salaries.Fort WorthSan AntonioMedian Salary$42,401$37,744Entry Level (P10)$30,558$28,109Top Earner (P90)$65,722$59,149US Median $41,861

Verdict

Fort Worth, TX offers better overall compensation for medical coders, winning 3 out of 4 metrics compared to San Antonio.

The salary gap between Fort Worth and San Antonio is $4,657 (12.34%). Fort Worth's median is +1.29% compared to the US national median of $41,861.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Fort Worth spans $35,164,San Antonio spans $31,040. Fort Worth has a wider pay range, meaning more potential for high earners but also more variation.

Fort Worth
P10 (Entry)$30,558
P25$35,910
Median$42,401
P75$54,274
P90 (Top)$65,722
San Antonio
P10 (Entry)$28,109
P25$31,842
Median$37,744
P75$48,942
P90 (Top)$59,149

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Fort Worth ($44,168 effective) pays 10.84% more than San Antonio ($39,850 effective).

Fort Worth
Nominal: $42,401
CoL Index: 96
Adjusted: $44,168
San Antonio
Nominal: $37,744
CoL Index: 94.716
Adjusted: $39,850

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

Which City Is Right for You?

Choose Fort Worth if…

  • Higher median salary ($42,401/year)
  • Better top-earner potential ($65,722)
  • Better purchasing power (CoL-adjusted: $44,168)
  • You prefer the Texas area and lifestyle

Choose San Antonio if…

  • Larger job market (1,670 employed)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical coder salaries in Fort Worth grew -19.5% from 2024 to 2025, compared to -8.4% growth in San Antonio over the same period.

Fort Worth, TX

+-19.5%

$51,502 (2024) → $41,440 (2025)

San Antonio, TX

+-8.4%

$40,250 (2021) → $36,888 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical coders more: Fort Worth or San Antonio?

Fort Worth has a higher median medical coder salary at $42,401/year, compared to San Antonio at $37,744/year — a difference of $4,657 (12.34%).

What is the hourly rate difference between Fort Worth and San Antonio?

Fort Worth medical coders earn $20.38/hr while San Antonio hygienists earn $18.15/hr (2026 est.).

Should I relocate from Fort Worth to San Antonio as a medical coder?

Consider more than just salary when comparing Fort Worth and San Antonio. Factor in cost of living (CoL-adjusted: Fort Worth = $44,168, San Antonio = $39,850), job availability (219 vs 1,670 employed), commute, and career growth potential.

What do entry-level medical coders earn in Fort Worth vs San Antonio?

Entry-level (10th percentile) medical coders earn $30,558 in Fort Worth and $28,109 in San Antonio. The Fort Worth 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