Medical Coder Pay

Midland vs San Antonio: Medical Coder Salary (2026)

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

Midland, TX
$43,171
$20.76/hr
San Antonio, TX
$37,744
$18.15/hr

Side-by-Side Comparison

MetricMidland, TXSan Antonio, TX
Median Salary$43,171$37,744
Hourly Rate$20.76$18.15
Entry Level (P10)$31,826$28,109
25th Percentile$35,100$31,842
75th Percentile$59,133$48,942
Top Earner (P90)$69,357$59,149
Total Employed801,670
Side-by-side bar chart comparing Midland ($43,171) and San Antonio ($37,744) medical coder salaries.MidlandSan AntonioMedian Salary$43,171$37,744Entry Level (P10)$31,826$28,109Top Earner (P90)$69,357$59,149US Median $41,861

Verdict

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

The salary gap between Midland and San Antonio is $5,427 (14.38%). 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 Midland spans $37,531,San Antonio spans $31,040. Midland has a wider pay range, meaning more potential for high earners but also more variation.

Midland
P10 (Entry)$31,826
P25$35,100
Median$43,171
P75$59,133
P90 (Top)$69,357
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, Midland ($45,072 effective) pays 13.10% more than San Antonio ($39,850 effective).

Midland
Nominal: $43,171
CoL Index: 95.783
Adjusted: $45,072
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 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

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 Midland grew 14.2% from 2021 to 2025, compared to -8.4% growth in San Antonio over the same period.

Midland, TX

+14.2%

$36,930 (2021) → $42,192 (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: Midland or San Antonio?

Midland has a higher median medical coder salary at $43,171/year, compared to San Antonio at $37,744/year — a difference of $5,427 (14.38%).

What is the hourly rate difference between Midland and San Antonio?

Midland medical coders earn $20.76/hr while San Antonio hygienists earn $18.15/hr (2026 est.).

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

Consider more than just salary when comparing Midland and San Antonio. Factor in cost of living (CoL-adjusted: Midland = $45,072, San Antonio = $39,850), job availability (80 vs 1,670 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical coders earn $31,826 in Midland and $28,109 in San Antonio. 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