Medical Coder Pay

Round Rock vs San Antonio: Medical Coder Salary (2026)

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

Round Rock, TX
$40,382
$19.41/hr
San Antonio, TX
$37,744
$18.15/hr

Side-by-Side Comparison

MetricRound Rock, TXSan Antonio, TX
Median Salary$40,382$37,744
Hourly Rate$19.41$18.15
Entry Level (P10)$27,607$28,109
25th Percentile$32,949$31,842
75th Percentile$51,688$48,942
Top Earner (P90)$62,591$59,149
Total Employed261,670
Side-by-side bar chart comparing Round Rock ($40,382) and San Antonio ($37,744) medical coder salaries.Round RockSan AntonioMedian Salary$40,382$37,744Entry Level (P10)$27,607$28,109Top Earner (P90)$62,591$59,149US Median $41,861

Verdict

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

The salary gap between Round Rock and San Antonio is $2,638 (6.99%). Round Rock's median is -3.53% compared to the US national median of $41,861.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Round Rock spans $34,984,San Antonio spans $31,040. Round Rock has a wider pay range, meaning more potential for high earners but also more variation.

Round Rock
P10 (Entry)$27,607
P25$32,949
Median$40,382
P75$51,688
P90 (Top)$62,591
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, Round Rock ($42,065 effective) pays 5.56% more than San Antonio ($39,850 effective).

Round Rock
Nominal: $40,382
CoL Index: 96
Adjusted: $42,065
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 Round Rock if…

  • Higher median salary ($40,382/year)
  • Better top-earner potential ($62,591)
  • Better purchasing power (CoL-adjusted: $42,065)
  • 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 Round Rock grew -19.2% from 2024 to 2025, compared to -8.4% growth in San Antonio over the same period.

Round Rock, TX

+-19.2%

$48,819 (2024) → $39,466 (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: Round Rock or San Antonio?

Round Rock has a higher median medical coder salary at $40,382/year, compared to San Antonio at $37,744/year — a difference of $2,638 (6.99%).

What is the hourly rate difference between Round Rock and San Antonio?

Round Rock medical coders earn $19.41/hr while San Antonio hygienists earn $18.15/hr (2026 est.).

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

Consider more than just salary when comparing Round Rock and San Antonio. Factor in cost of living (CoL-adjusted: Round Rock = $42,065, San Antonio = $39,850), job availability (26 vs 1,670 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical coders earn $27,607 in Round Rock and $28,109 in San Antonio. The San Antonio 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