Medical Coder Salary in Sioux Falls, SD: $42,246 (2026)
Quick Answer:A full-time medical coder in Sioux Falls, SD earns a median $42,246/year (≈ $20.31/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Sioux Falls's price level (9% below national, BEA RPP 90.6), that paycheck buys what $46,613 would nationally. Nominal pay sits 35.9% above the South Dakota state average.
Official BLS data · View source

In Sioux Falls, South Dakota, the medical coder salary is projected to reach a median annual figure of $42,246 in 2026, reflecting a competitive position in comparison to the national median of $41,861. With around 430 medical coders employed in the area, the job market shows a reasonable level of saturation for this profession, which can influence both job availability and pay levels. Salary expectations range widely, from $27,749 at the lower end (P10) to a maximum of $65,550 (P90), indicating that while there are opportunities for entry-level positions, experienced coders can command significantly higher compensation. These insights are derived from official BLS OEWS surveys and showcase Sioux Falls's position in the broader context of medical coding careers.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $27,749 | $13.34 |
| Lower Range (P25) | $32,636 | $15.70 |
| Median (P50)(typical) | $42,246 | $20.31 |
| Upper Range (P75) | $52,871 | $25.42 |
| Top Earners (P90) | $65,550 | $31.51 |
Median Salary Position
0.92% above the national average
2026 Salary Percentile Distribution in Sioux Falls
In Sioux Falls, SD, the medical coder salary spread from the 10th to 90th percentile is $37,801 (2026 est.). At $42,246, the local median is 0.92% above the national median of $41,861.
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At 40 hours/week in Sioux Falls: You'd be in the lower-middle range
How Sioux Falls Medical Coder Pay Compares
Sioux Falls median: $42,246/year (2026)
| Compared To | Median Salary | Sioux Falls Pays |
|---|---|---|
| South Dakota Average | $31,086 | +35.90% more |
| National Average | $41,861 | +0.92% more |
Medical Coders in Sioux Falls, SD earn a median of $42,246 per year (2026 est.), which is 0.92% higher than the national median of $41,861 and 35.90% above the South Dakota state average of $31,086.
Cost-of-Living Adjusted Salary
Sioux Falls has a cost of living 9.37% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Sioux Falls, SD has a cost-of-living index of 90.631 (below the national average of 100). A medical coder earning $42,246 nominally has purchasing power equivalent to $46,613 in an average-cost city — an effective 10.34% boost.
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2021 BLS Actual
$47,000
2025 BLS Actual
$41,288
2026 Current Est.
$42,246
2021–2027 Growth
+-8.0%
Salary Trajectory for Medical Coders in Sioux Falls (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $47,000 | Actual |
| 2022 | $51,010 | Actual |
| 2023 | $54,060 | Actual |
| 2024 | $51,230 | Actual |
| 2025 | $41,288 | Actual |
| 2026(current) | $42,246 | Estimated |
| 2027 | $43,226 | Projected |
Based on 5 years of BLS OEWS data for the Sioux Falls metropolitan area, the median medical coder salary grew -12.2% from $47,000 (2021) to $41,288 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $43,226 by 2027 — a total increase of $-3,774 (-8.03%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Sioux Falls 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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $27,749 – $32,636 |
| 3-5 years (Mid Career) | $32,636 – $42,246 |
| 5+ years (Experienced) | $42,246 – $52,871 |
| 10+ years (Top Earner) | $52,871 – $65,550 |
CPC, CCS salary ranges estimated from BLS percentile data. Individual medical coder compensation varies by employer, certifications, and specialization.
Medical Coder Job Market in Sioux Falls
When examining the medical coder pay in Sioux Falls, SD, it is essential to consider local employment dynamics and cost of living. The cost of living index stands at 90.631, suggesting that despite the salary levels, purchasing power remains relatively strong for residents. Employers that typically offer the highest wages include large healthcare organizations and specialty clinics, which often necessitate specific credentials or experience that drive up the pay scale. The disparity in earnings can primarily be attributed to factors like shift differentials, the complexity of coding tasks, and the benefits packages offered by employers. For individuals looking to maximize their earnings, seeking additional certifications or aligning with larger healthcare entities can prove beneficial in enhancing overall compensation.
More salary data for Sioux Falls, SD:
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
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. The BLS reported a median annual salary of $41,288 for medical codersin the Sioux Falls metropolitan area. A 2.32% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
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