Medical Coder Pay

Houston vs Little Elm: Medical Coder Salary (2026)

Compare medical coder salaries between Houston, TX and Little Elm, TX. All figures are 2026 estimates projected from BLS 2025 data.

Houston, TX
$41,951
$20.17/hr
Little Elm, TX
$35,822
$17.22/hr

Side-by-Side Comparison

MetricHouston, TXLittle Elm, TX
Median Salary$41,951$35,822
Hourly Rate$20.17$17.22
Entry Level (P10)$31,228$25,398
25th Percentile$37,122$31,866
75th Percentile$53,738$44,110
Top Earner (P90)$65,902$53,885
Total Employed3,68012
Side-by-side bar chart comparing Houston ($41,951) and Little Elm ($35,822) medical coder salaries.HoustonLittle ElmMedian Salary$41,951$35,822Entry Level (P10)$31,228$25,398Top Earner (P90)$65,902$53,885US Median $41,861

Verdict

Houston, TX offers better overall compensation for medical coders, winning 4 out of 4 metrics compared to Little Elm.

The salary gap between Houston and Little Elm is $6,129 (17.11%). Houston's median is +0.21% compared to the US national median of $41,861.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Houston spans $34,674,Little Elm spans $28,487. Houston has a wider pay range, meaning more potential for high earners but also more variation.

Houston
P10 (Entry)$31,228
P25$37,122
Median$41,951
P75$53,738
P90 (Top)$65,902
Little Elm
P10 (Entry)$25,398
P25$31,866
Median$35,822
P75$44,110
P90 (Top)$53,885

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Houston ($42,534 effective) pays 13.99% more than Little Elm ($37,315 effective).

Houston
Nominal: $41,951
CoL Index: 98.629
Adjusted: $42,534
Little Elm
Nominal: $35,822
CoL Index: 96
Adjusted: $37,315

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

Which City Is Right for You?

Choose Houston if…

  • Higher median salary ($41,951/year)
  • Better top-earner potential ($65,902)
  • Larger job market (3,680 employed)
  • Better purchasing power (CoL-adjusted: $42,534)
  • You prefer the Texas area and lifestyle

Choose Little Elm if…

  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical coder salaries in Houston grew -6.8% from 2021 to 2025, compared to -24.8% growth in Little Elm over the same period.

Houston, TX

+-6.8%

$44,010 (2021) → $41,000 (2025)

Little Elm, TX

+-24.8%

$46,577 (2024) → $35,010 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical coders more: Houston or Little Elm?

Houston has a higher median medical coder salary at $41,951/year, compared to Little Elm at $35,822/year — a difference of $6,129 (17.11%).

What is the hourly rate difference between Houston and Little Elm?

Houston medical coders earn $20.17/hr while Little Elm hygienists earn $17.22/hr (2026 est.).

Should I relocate from Houston to Little Elm as a medical coder?

Consider more than just salary when comparing Houston and Little Elm. Factor in cost of living (CoL-adjusted: Houston = $42,534, Little Elm = $37,315), job availability (3,680 vs 12 employed), commute, and career growth potential.

What do entry-level medical coders earn in Houston vs Little Elm?

Entry-level (10th percentile) medical coders earn $31,228 in Houston and $25,398 in Little Elm. The Houston 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