Medical Coder Pay

Medical Coder Salary in Missouri: $41,653 (2026)

Quick Answer:Across Missouri's 33 metropolitan areas, the average median medical coder pay sits at $41,653/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 29-2072. Because Missouri sits at BEA RPP 89.6 (10% below the U.S. baseline), that statewide median translates to roughly $46,488 in nationally-comparable purchasing power. Highest-paying metros: Columbia ($48,768), St. Louis ($41,008), Cape Girardeau ($40,872).

Medical Coder Salary in Missouri - 2025 BLS Data Infographic
Missouri medical coder salary overview (2026)
$41,653
Avg Median Salary
$20.02
Avg Hourly Rate
3,932
Metro Employed
33
Cities

In Missouri, the projected average median salary for medical coders in 2026 is $41,652, which is slightly below the national median of $41,861, indicating a variance of -0.5%. The highest-paying city in the state is Columbia, where medical coders can earn up to $49,899, while the lowest-paying city, Hannibal, offers a salary of $37,698. This salary gap of $12,201 can be attributed to factors such as the cost of living, demand for healthcare services, and the presence of healthcare employers in different regions. In Missouri, medical coders need to adhere to state licensing requirements and guidelines that govern their scope of practice. This includes a focus on certifications like CPC (Certified Professional Coder) or CCS (Certified Coding Specialist), which are increasingly preferred by employers. The job market for medical coders is expected to grow at an annual rate of 2.32%, reflecting the ongoing need for accurate medical billing and coding as healthcare systems expand. With a total of 3,932 medical coders employed across 33 metro areas, cities like St. Louis ($41,959), Cape Girardeau ($41,820), Independence ($41,693), and St. Peters ($41,389) offer varying opportunities depending on local healthcare infrastructure and employer demand.

Missouri Medical Coder Salary Range

Entry Level (10th %ile)
$32,329
avg across 33 cities
Median
$41,653
state average
Top Earners (90th %ile)
$63,432
avg across 33 cities

Overall salary range in Missouri: $28,189 (lowest entry-level) to $64,895 (highest top earner)

Missouri vs National Average

Missouri
$41,653
National Median
$41,861

Missouri medical coders earn 0.5% less than the national median ($-208/year difference).

Missouri Medical Coder Salary Distribution (2026)

Vertical bar chart showing Missouri medical coder salary percentiles: 10th percentile $32,329, 25th $38,001, Median $41,653, 75th $51,549, 90th $63,432. US national median is $41,861.$17.8K$35.5K$53.3K$71.0K$32.3K10thEntry Level$38.0K25thEarly Career$41.7KMedianMid Career$51.5K75thExperienced$63.4K90thTop EarnerUS Median $41.9K

Medical Coder salaries in Missouri range from $32,329 (entry-level, 10th percentile) to $63,432 (top earners, 90th percentile), with a median of $41,653. The Missouri median is $208 below the US national median of $41,861. The average hourly rate is $20.02/hr. Approximately 3,932 medical coders are employed across 33 cities.

2021 BLS Actual

$45,433

2025 BLS Actual

$40,708

2026 Current Est.

$41,653

2021–2027 Growth

+-6.2%

Salary Trajectory for Medical Coders in Missouri (20212027)

2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.

BLS Actual Estimated Projected
Salary trajectory chart for medical coders in Missouri. Baseline $45,433 in 2025, projected to $42,619 by 2027.$38.7K$42.2K$45.8K$49.4K$52.9K20212022202320242025202620272025 BLS$45.4K$48.0K$50.9K$49.0K$40.7K$41.7K$42.6K
YearAnnual SalaryStatus
2021$45,433Actual
2022$48,043Actual
2023$50,895Actual
2024$48,962Actual
2025$40,708Actual
2026(current)$41,653Estimated
2027$42,619Projected

Based on 5 years of BLS OEWS data for the Missouri metropolitan area, the median medical coder salary grew -10.4% from $45,433 (2021) to $40,708 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $42,619 by 2027 — a total increase of $-2,814 (-6.19%) from 2021.

Note: Historical values (20212025) are actual BLS OEWS figures for the Missouri metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 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.

Top 5 Highest Paying Cities in Missouri

#1
Columbia
300 employed · $23.99/hr
$49,899
+19.80% vs avg
#2
St. Louis
1,410 employed · $20.17/hr
$41,959
+0.73% vs avg
#3
Cape Girardeau
70 employed · $20.11/hr
$41,820
+0.40% vs avg
#4
Independence
30 employed · $20.04/hr
$41,693
+0.10% vs avg
#5
St. Peters
9 employed · $19.90/hr
$41,389
-0.63% vs avg

Lowest Paying Cities in Missouri

CityMedian Salary
Hannibal$37,698
Raymore$37,821
Branson$37,965
Joplin$38,472
Belton$38,626

Best Value Cities for Medical Coders in Missouri

When adjusted for local cost of living, these Missouri cities offer the most purchasing power for medical coders.

CityNominal SalaryCoL IndexAdjusted Salary
Columbia$49,89989.438$55,792
Cape Girardeau$41,82086.078$48,584
Independence$41,69389.6$46,532
St. Joseph$40,14286.382$46,470
St. Peters$41,38989.6$46,193

Adjusted salary = nominal salary × (100 / CoL index). CoL index: 100 = national average. Lower index = lower cost of living.

Salary by Experience Level in Missouri

Experience LevelEstimated Annual
Entry Level (0-2 years)$32,329
Mid Career (3-7 years)$41,653
Experienced (7+ years)$63,432

Estimates based on BLS percentile data averaged across Missouri metro areas. Individual pay varies by employer, certifications, and specialization.

All 33 Cities in Missouri

#CityMedian Salary
1Columbia$49,899
2St. Louis$41,959
3Cape Girardeau$41,820
4Independence$41,693
5St. Peters$41,389
6St. Charles$41,312
7Kansas City$41,157
8O'Fallon$40,833
9Florissant$40,619
10Jefferson City$40,551
11Wildwood$40,530
12Kirkwood$40,518
13Lee's Summit$40,495
14Chesterfield$40,489
15University City$40,277
16Liberty$40,261
17Grandview$40,191
18St. Joseph$40,142
19Maryland Heights$40,125
20Blue Springs$39,670
21Raytown$39,434
22Webster Groves$39,238
23Sedalia$39,225
24Ballwin$39,155
25Nixa$39,151
26Gladstone$39,047
27Wentzville$38,955
28Springfield$38,890
29Belton$38,626
30Joplin$38,472
31Branson$37,965
32Raymore$37,821
33Hannibal$37,698

More Missouri Salary Data

Hourly Rates

Explore medical coder hourly pay in Missouri cities.

Entry Level

Starting salaries for new medical coders.

Senior / Experienced

Top earner salaries for experienced medical coders.

Compare Cities in Missouri

View all comparisons →

Explore More Medical Coder Salary Data

Frequently Asked Questions

How much do medical coders make in Missouri in 2026?

The average median medical coder salary in Missouri is $41,653/year across 33 metro areas, based on estimated 2026 (projected from 2025 BLS data). Salaries range from $37,698 in Hannibal to $49,899 in Columbia. This makes Missouri 0.5% below the national median of $41,861. The state employs approximately 3,932 medical coders.

What is the highest paying city for medical coders in Missouri?

Columbia offers the highest medical coder salary in Missouri at $49,899/year ($23.99/hr), based on estimated 2026 (projected from 2025 BLS data). The top 3 highest-paying cities are Columbia ($49,899), St. Louis ($41,959), Cape Girardeau ($41,820). Higher pay in these metros is typically driven by cost of living, demand for medical coding services, and competition among employers for licensed medical coders.

How does Missouri medical coder pay compare to the national average?

Missouri's average medical coder salary of $41,653 is 0.5% below the national median of $41,861 in 2026. The state employs approximately 3,932 medical coders across 33 metropolitan areas. When comparing salaries, consider cost-of-living differences — a lower nominal salary in an affordable area may provide better purchasing power than a higher salary in an expensive metro.

What is the entry-level medical coder salary in Missouri?

Entry-level medical coders (10th percentile) in Missouri earn approximately $32,329/year on average, based on estimated 2026 (projected from 2025 BLS data). Starting salaries range from $28,189 in lower-paying areas to $35,943 in the highest-paying metros. New graduates should expect salaries at the lower end and can typically reach the area median within 3–5 years of clinical experience.

How many medical coders are employed in Missouri?

Missouri employs approximately 3,932 medical coders across 33 metropolitan areas, based on the latest BLS data. Job availability varies by metro area, with larger cities offering more opportunities. Demand continues to grow as the medical coding field expands and the population ages.

Which Missouri city offers the best value for medical coders?

When adjusted for cost of living, Columbia offers the highest purchasing power for medical coders in Missouri, with an adjusted salary of $55,792 (nominal: $49,899, CoL index: 89.438). This means your dollar goes 12% further compared to the national average, making it an attractive option for maximizing real income.
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

Statewide salary 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 each metro area's reported salary to estimate current 2026 medical coder compensation across Missouri. State averages are employment-weighted across 33 metro areas — larger metro areas with more medical coderscontribute proportionally more to the average, producing figures that better reflect typical compensation. Individual pay varies by city, employer, certifications, and experience.

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

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