Medical Coder Pay

Richmond vs Sterling: Medical Coder Salary (2026)

Compare medical coder salaries between Richmond, VA and Sterling, VA. All figures are 2026 estimates projected from BLS 2025 data.

Richmond, VA
$42,049
$20.22/hr
Sterling, VA
$37,483
$18.02/hr

Side-by-Side Comparison

MetricRichmond, VASterling, VA
Median Salary$42,049$37,483
Hourly Rate$20.22$18.02
Entry Level (P10)$31,449$28,816
25th Percentile$38,276$31,998
75th Percentile$51,651$47,066
Top Earner (P90)$62,292$57,877
Total Employed7407
Side-by-side bar chart comparing Richmond ($42,049) and Sterling ($37,483) medical coder salaries.RichmondSterlingMedian Salary$42,049$37,483Entry Level (P10)$31,449$28,816Top Earner (P90)$62,292$57,877US Median $41,861

Verdict

Richmond, VA offers better overall compensation for medical coders, winning 4 out of 4 metrics compared to Sterling.

The salary gap between Richmond and Sterling is $4,566 (12.18%). Richmond's median is +0.45% compared to the US national median of $41,861.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Richmond spans $30,843,Sterling spans $29,061. Richmond has a wider pay range, meaning more potential for high earners but also more variation.

Richmond
P10 (Entry)$31,449
P25$38,276
Median$42,049
P75$51,651
P90 (Top)$62,292
Sterling
P10 (Entry)$28,816
P25$31,998
Median$37,483
P75$47,066
P90 (Top)$57,877

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Richmond ($42,969 effective) pays 18.31% more than Sterling ($36,321 effective).

Richmond
Nominal: $42,049
CoL Index: 97.858
Adjusted: $42,969
Sterling
Nominal: $37,483
CoL Index: 103.2
Adjusted: $36,321

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

Which City Is Right for You?

Choose Richmond if…

  • Higher median salary ($42,049/year)
  • Better top-earner potential ($62,292)
  • Larger job market (740 employed)
  • Better purchasing power (CoL-adjusted: $42,969)
  • You prefer the Virginia area and lifestyle

Choose Sterling if…

  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical coder salaries in Richmond grew -12.4% from 2021 to 2025, compared to -28.9% growth in Sterling over the same period.

Richmond, VA

+-12.4%

$46,910 (2021) → $41,096 (2025)

Sterling, VA

+-28.9%

$51,490 (2024) → $36,633 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical coders more: Richmond or Sterling?

Richmond has a higher median medical coder salary at $42,049/year, compared to Sterling at $37,483/year — a difference of $4,566 (12.18%).

What is the hourly rate difference between Richmond and Sterling?

Richmond medical coders earn $20.22/hr while Sterling hygienists earn $18.02/hr (2026 est.).

Should I relocate from Richmond to Sterling as a medical coder?

Consider more than just salary when comparing Richmond and Sterling. Factor in cost of living (CoL-adjusted: Richmond = $42,969, Sterling = $36,321), job availability (740 vs 7 employed), commute, and career growth potential.

What do entry-level medical coders earn in Richmond vs Sterling?

Entry-level (10th percentile) medical coders earn $31,449 in Richmond and $28,816 in Sterling. The Richmond 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