Medical Coder Pay

Houston vs Midland: Medical Coder Salary (2026)

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

Houston, TX
$41,951
$20.17/hr
Midland, TX
$43,171
$20.76/hr

Side-by-Side Comparison

MetricHouston, TXMidland, TX
Median Salary$41,951$43,171
Hourly Rate$20.17$20.76
Entry Level (P10)$31,228$31,826
25th Percentile$37,122$35,100
75th Percentile$53,738$59,133
Top Earner (P90)$65,902$69,357
Total Employed3,68080
Side-by-side bar chart comparing Houston ($41,951) and Midland ($43,171) medical coder salaries.HoustonMidlandMedian Salary$41,951$43,171Entry Level (P10)$31,228$31,826Top Earner (P90)$65,902$69,357US Median $41,861

Verdict

Midland, TX offers better overall compensation for medical coders, winning 3 out of 4 metrics compared to Houston.

The salary gap between Houston and Midland is $1,220 (2.91%). Midland's median is +3.13% 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,Midland spans $37,531. Midland has a wider pay range, suggesting more variation in pay between entry-level and experienced medical coders.

Houston
P10 (Entry)$31,228
P25$37,122
Median$41,951
P75$53,738
P90 (Top)$65,902
Midland
P10 (Entry)$31,826
P25$35,100
Median$43,171
P75$59,133
P90 (Top)$69,357

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Midland ($45,072 effective) pays 5.97% more than Houston ($42,534 effective).

Houston
Nominal: $41,951
CoL Index: 98.629
Adjusted: $42,534
Midland
Nominal: $43,171
CoL Index: 95.783
Adjusted: $45,072

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

Which City Is Right for You?

Choose Houston if…

  • Larger job market (3,680 employed)
  • You prefer the Texas area and lifestyle

Choose Midland if…

  • Higher median salary ($43,171/year)
  • Better top-earner potential ($69,357)
  • Better purchasing power (CoL-adjusted: $45,072)
  • 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 14.2% growth in Midland over the same period.

Houston, TX

+-6.8%

$44,010 (2021) → $41,000 (2025)

Midland, TX

+14.2%

$36,930 (2021) → $42,192 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical coders more: Houston or Midland?

Midland has a higher median medical coder salary at $43,171/year, compared to Houston at $41,951/year — a difference of $1,220 (2.91%).

What is the hourly rate difference between Houston and Midland?

Houston medical coders earn $20.17/hr while Midland hygienists earn $20.76/hr (2026 est.).

Should I relocate from Houston to Midland as a medical coder?

Consider more than just salary when comparing Houston and Midland. Factor in cost of living (CoL-adjusted: Houston = $42,534, Midland = $45,072), job availability (3,680 vs 80 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical coders earn $31,228 in Houston and $31,826 in Midland. The Midland 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