Medical Coder Hourly Pay in Sioux City, IA: $18.15 (2026)
Quick Answer:Hourly pay for a medical coder working in Sioux City, IA runs $18.15 at the median for 2026 — annualizing to $37,760 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Sioux City's regional price level (BEA RPP 86.5, 14% below national), each hour of work buys what $21.00 nationally would. A 24-hour part-time schedule grosses $22,653 per year.
Official BLS data · View source

In Sioux City, Iowa, the medical coder hourly pay is projected at $18.15 for 2026, which falls below the national median of $20.13. This hourly rate provides significant insight for individuals considering part-time or per-diem positions, as one working three days a week could earn approximately $28,080 annually based purely on hourly wages. The range for medical coder pay in Sioux City shows entry-level positions starting at about $14.66, while experienced coders can earn up to $24.43 per hour, reflecting a strong variance in compensation based on experience, credentials, and demand for services. This data is grounded in official Bureau of Labor Statistics (BLS) information and illustrates the employment landscape for this vital healthcare role.
Medical Coder Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $14.66 | $117.30 |
| Lower Range (P25) | $15.68 | $125.40 |
| Median (P50) | $18.15 | $145.21 |
| Upper Range (P75) | $20.73 | $165.84 |
| Top Earners (P90) | $24.43 | $195.47 |
Estimated Annual Income by Work Schedule in Sioux City
Based on $18.15/hr median hourly rate · 2026 est.
At $18.15/hr, a medical coder working full-time (40 hr/wk) in Sioux City, IA can expect to earn approximately $37,755 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $21,782. With a cost-of-living index of 86.45 (below the national average), these earnings stretch further in Sioux City.
Hourly Rate Calculator
Schedule Comparison in Sioux City
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $726.06 | $3,146 | $37,755 |
| Part-Time (24 hrs) | $435.64 | $1,888 | $22,653 |
| Per Diem (16 hrs) | $290.43 | $1,259 | $15,102 |
Compare CPC, CCS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Coder (Sioux City) | $18.15 |
| 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 Sioux City, IA earn a median of $37,760 per year (2026 est.), which is 9.80% lower than the national median of $41,861 and 7.20% below the Iowa state average of $40,690.
Medical Coder Hourly Pay vs. Cost of Living
Working 24h/week at $18.15/hr = $22,653/year (purchasing power: $26,203).
Working 40h/week (full-time) = $37,755/year (purchasing power: $43,671).
CoL index: 86.454 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$17.84/hr
2025 BLS Actual
$17.74/hr
2026 Current Est.
$18.15/hr
2021–2027 Growth
+4.1%
Hourly Rate Trajectory for Medical Coders in Sioux City (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $17.84/hr | Actual |
| 2022 | $19.92/hr | Actual |
| 2023 | $21.47/hr | Actual |
| 2024 | $22.73/hr | Actual |
| 2025 | $17.74/hr | Actual |
| 2026(current) | $18.15/hr | Estimated |
| 2027 | $18.57/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical coders in Sioux City grew -0.6% from $17.84/hr (2021) to $17.74/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $18.57/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 Sioux City 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 Sioux City
The potential earnings for part-time coders in Sioux City highlight the differences between full-time and per-diem opportunities. A medical coder working a typical schedule of 24 hours a week will bring home a different financial picture compared to their full-time counterparts. Per diem positions often command a premium, with pay rates running 10-25% higher than standard staff rates, making them appealing for those seeking flexible work arrangements. Moreover, employers such as private practices and community health centers may offer varied hourly rates influenced by budget constraints, with larger healthcare organizations potentially providing better pay and benefits. For many in the field, the choice between a lower hourly rate with comprehensive health insurance or higher pay without benefits requires careful evaluation. When negotiating hourly wages, coders should consider highlighting their specific skills and certifications relevant to areas of specialty to leverage better compensation options in Sioux City.
More salary data for Sioux City, IA:
Frequently Asked Questions
What is the hourly rate for medical coders in Sioux City in 2026?
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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 Sioux City. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Source: BLS, OEWS, 5-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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