Medical Coder Hourly Pay in Honolulu, HI: $20.44 (2026)
Quick Answer:Hourly pay for a medical coder working in Honolulu, HI runs $20.44 at the median for 2026 — annualizing to $42,513 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Honolulu's regional price level (BEA RPP 119.3, 19% above national), each hour of work buys what $17.14 nationally would. A 24-hour part-time schedule grosses $25,514 per year.
Based on BLS state-level estimates · View source

In Honolulu, Hawaii, medical coders command a median hourly rate of $20.44, slightly higher than the national median of $20.13. This figure reflects the dynamics of local healthcare reimbursement and the cost of living in the area. For those considering part-time roles, such as working three days a week, this hourly pay translates to a substantial income, making it a feasible option for individuals balancing other commitments. The hourly rate for medical coders in Honolulu typically ranges from $13.79 at the entry-level to a lucrative $31.68 for top earners. These estimates are derived from annual salary data and provide a useful perspective for understanding compensation in clinical settings within the healthcare profession.
About the Honolulu Market
Salary estimated from Hawaii average ($55,000) adjusted for local cost of living.
Medical Coder Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $13.79 | $110.34 |
| Lower Range (P25) | $16.59 | $132.69 |
| Median (P50) | $20.44 | $163.55 |
| Upper Range (P75) | $26.16 | $209.31 |
| Top Earners (P90) | $31.68 | $253.43 |
Estimated Annual Income by Work Schedule in Honolulu
Based on $20.44/hr median hourly rate · 2026 est.
At $20.44/hr, a medical coder working full-time (40 hr/wk) in Honolulu, HI can expect to earn approximately $42,523 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $24,532. With a cost-of-living index of 119.30 (above the national average), these earnings may be offset by higher expenses in Honolulu.
Hourly Rate Calculator
Schedule Comparison in Honolulu
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $817.74 | $3,544 | $42,523 |
| Part-Time (24 hrs) | $490.64 | $2,126 | $25,514 |
| Per Diem (16 hrs) | $327.10 | $1,417 | $17,009 |
Compare CPC, CCS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Coder (Honolulu) | $20.44 |
| Medical Assistant (National Avg) | $20.77 |
| Medical Secretary (National Avg) | $20.19 |
| Medical Lab Technician (National Avg) | $28.18 |
| Billing and Posting Clerk (National Avg) | $21.86 |
Medical Coders in Honolulu, HI earn a median of $42,513 per year (2026 est.), which is 1.56% higher than the national median of $41,861 and 6.40% above the Hawaii state average of $39,956.
Medical Coder Hourly Pay vs. Cost of Living
Working 24h/week at $20.44/hr = $25,514/year (purchasing power: $21,386).
Working 40h/week (full-time) = $42,523/year (purchasing power: $35,643).
CoL index: 119.3 (100 = national average).
2021 BLS Actual
$18.23/hr
2025 BLS Actual
$19.98/hr
2026 Current Est.
$20.44/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Coders in Honolulu (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $18.23/hr | Actual |
| 2022 | $18.43/hr | Actual |
| 2023 | $19.06/hr | Actual |
| 2024 | $33.57/hr | Actual |
| 2025 | $19.98/hr | Actual |
| 2026(current) | $20.44/hr | Estimated |
| 2027 | $20.92/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical coders in Honolulu grew 9.6% from $18.23/hr (2021) to $19.98/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $20.92/hr by 2027. Part-time and per-diem medical coders can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Honolulu metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.32% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Medical Coder in Honolulu
Part-time medical coders working 24 hours a week can anticipate taking home approximately $26,156 annually, a figure that allows for a comfortable living while maintaining flexibility. For those opting to work as per-diem coders or through agencies, pay often reflects a premium of 10-25% above standard rates, leading to enhanced earnings compared to full-time positions without benefits. Employers like private practices, large healthcare organizations, and specialty clinics may offer varying hourly rates that could influence a coder's choice of employment. While some may prefer the security of a salaried position with health benefits, others may strategically opt for higher hourly wages, sacrificing benefits for increased take-home pay. Those negotiating pay in Honolulu should emphasize their credentials and be ready to discuss trade-offs associated with benefits to secure more competitive compensation in this evolving market.
More salary data for Honolulu, HI:
Frequently Asked Questions
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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.
Methodology & Data Source
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 2.32% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for medical coders in Honolulu. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Honolulu is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.32%, derived from historical BLS wage trends for medical coders (SOC 29-2072).
Compiled and verified by Aisha Patel, RHIT, CPC, a licensed medical coder with 10+ years of clinical experience. · View source data at BLS.gov