Medical Coder Salary in San Antonio, TX: $37,744 (2026)
Quick Answer:A full-time medical coder in San Antonio, TX earns a median $37,744/year (≈ $18.15/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in San Antonio's price level (5% below national, BEA RPP 94.7), that paycheck buys what $39,850 would nationally. Nominal pay sits 2.2% above the Texas state average.
Official BLS data · View source
In 2026, the medical coder salary in San Antonio is projected to reach a median of $37,744, which falls below the national median of $41,861. This figure represents an attractive opportunity in light of the region’s cost of living index, which is at 94.716—indicating that living expenses are below the national average. Salaries for medical coders in this area range from $28,109 at the 10th percentile to $59,149 at the 90th percentile, as detailed in data derived from 2025 BLS OEWS surveys. With this salary range, medical coders can find competitive pay options within the region, especially given the steady growth in this sector, driven largely by the expanding healthcare industry in San Antonio.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $28,109 | $13.52 |
| Lower Range (P25) | $31,842 | $15.31 |
| Median (P50)(typical) | $37,744 | $18.15 |
| Upper Range (P75) | $48,942 | $23.52 |
| Top Earners (P90) | $59,149 | $28.43 |
Median Salary Position
9.83% below the national average
2026 Salary Percentile Distribution in San Antonio
In San Antonio, TX, the medical coder salary spread from the 10th to 90th percentile is $31,040 (2026 est.). At $37,744, the local median is 9.83% below the national median of $41,861.
Salary Calculator
At 40 hours/week in San Antonio: You'd be in the lower-middle range
How San Antonio Medical Coder Pay Compares
San Antonio median: $37,744/year (2026)
| Compared To | Median Salary | San Antonio Pays |
|---|---|---|
| Texas Average | $36,931 | +2.20% more |
| National Average | $41,861 | -9.83% less |
Medical Coders in San Antonio, TX earn a median of $37,744 per year (2026 est.), which is 9.83% lower than the national median of $41,861 and 2.20% above the Texas state average of $36,931.
Cost-of-Living Adjusted Salary
San Antonio has a cost of living 5.28% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
San Antonio, TX has a cost-of-living index of 94.716 (below the national average of 100). A medical coder earning $37,744 nominally has purchasing power equivalent to $39,850 in an average-cost city — an effective 5.58% boost.
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2021 BLS Actual
$40,250
2025 BLS Actual
$36,888
2026 Current Est.
$37,744
2021–2027 Growth
+-4.1%
Salary Trajectory for Medical Coders in San Antonio (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $40,250 | Actual |
| 2022 | $42,390 | Actual |
| 2023 | $43,270 | Actual |
| 2024 | $47,750 | Actual |
| 2025 | $36,888 | Actual |
| 2026(current) | $37,744 | Estimated |
| 2027 | $38,619 | Projected |
Based on 5 years of BLS OEWS data for the San Antonio metropolitan area, the median medical coder salary grew -8.4% from $40,250 (2021) to $36,888 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $38,619 by 2027 — a total increase of $-1,631 (-4.05%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the San Antonio 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) | $28,109 – $31,842 |
| 3-5 years (Mid Career) | $31,842 – $37,744 |
| 5+ years (Experienced) | $37,744 – $48,942 |
| 10+ years (Top Earner) | $48,942 – $59,149 |
CPC, CCS salary ranges estimated from BLS percentile data. Individual medical coder compensation varies by employer, certifications, and specialization.
Medical Coder Job Market in San Antonio
The local job market for medical coders is notably robust, with around 1,670 professionals employed in the San Antonio area. This strong demand reflects the need for accurate coding in various healthcare settings, such as private practices, large healthcare organizations, community health centers, and specialty clinics. The spread in medical coder pay in San Antonio TX can be attributed to several factors including employer size, the complexity of coding required, and the presence of shift differentials. Coders with specialized credentials may see higher salaries. To maximize earnings, it can be advantageous for coders to seek employment with larger healthcare organizations that typically offer more comprehensive benefits and competitive pay, thereby enhancing overall compensation in this favorable market.
More salary data for San Antonio, TX:
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 $36,888 for medical codersin the San Antonio 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