Medical Coder Pay

Bismarck vs Fargo: Medical Coder Salary (2026)

Compare medical coder salaries between Bismarck, ND and Fargo, ND. All figures are 2026 estimates projected from BLS 2025 data.

Bismarck, ND
$38,243
$18.39/hr
Fargo, ND
$37,883
$18.21/hr

Side-by-Side Comparison

MetricBismarck, NDFargo, ND
Median Salary$38,243$37,883
Hourly Rate$18.39$18.21
Entry Level (P10)$32,955$32,399
25th Percentile$32,955$35,575
75th Percentile$50,505$51,217
Top Earner (P90)$71,673$65,280
Total Employed70140
Side-by-side bar chart comparing Bismarck ($38,243) and Fargo ($37,883) medical coder salaries.BismarckFargoMedian Salary$38,243$37,883Entry Level (P10)$32,955$32,399Top Earner (P90)$71,673$65,280US Median $41,861

Verdict

Bismarck, ND offers better overall compensation for medical coders, winning 3 out of 4 metrics compared to Fargo.

The salary gap between Bismarck and Fargo is $360 (0.95%). Bismarck's median is -8.64% compared to the US national median of $41,861.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Bismarck spans $38,718,Fargo spans $32,881. Bismarck has a wider pay range, meaning more potential for high earners but also more variation.

Bismarck
P10 (Entry)$32,955
P25$32,955
Median$38,243
P75$50,505
P90 (Top)$71,673
Fargo
P10 (Entry)$32,399
P25$35,575
Median$37,883
P75$51,217
P90 (Top)$65,280

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Bismarck ($42,014 effective) pays 0.78% more than Fargo ($41,689 effective).

Bismarck
Nominal: $38,243
CoL Index: 91.024
Adjusted: $42,014
Fargo
Nominal: $37,883
CoL Index: 90.871
Adjusted: $41,689

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Bismarck if…

  • Higher median salary ($38,243/year)
  • Better top-earner potential ($71,673)
  • Better purchasing power (CoL-adjusted: $42,014)
  • You prefer the North Dakota area and lifestyle

Choose Fargo if…

  • Larger job market (140 employed)
  • You prefer the North Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical coder salaries in Bismarck grew -20.9% from 2021 to 2025, compared to -20.4% growth in Fargo over the same period.

Bismarck, ND

+-20.9%

$47,270 (2021) → $37,376 (2025)

Fargo, ND

+-20.4%

$46,520 (2021) → $37,024 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical coders more: Bismarck or Fargo?

Bismarck has a higher median medical coder salary at $38,243/year, compared to Fargo at $37,883/year — a difference of $360 (0.95%).

What is the hourly rate difference between Bismarck and Fargo?

Bismarck medical coders earn $18.39/hr while Fargo hygienists earn $18.21/hr (2026 est.).

Should I relocate from Bismarck to Fargo as a medical coder?

Consider more than just salary when comparing Bismarck and Fargo. Factor in cost of living (CoL-adjusted: Bismarck = $42,014, Fargo = $41,689), job availability (70 vs 140 employed), commute, and career growth potential.

What do entry-level medical coders earn in Bismarck vs Fargo?

Entry-level (10th percentile) medical coders earn $32,955 in Bismarck and $32,399 in Fargo. The Bismarck area offers higher starting salaries.
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

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.32% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Aisha Patel, RHIT, CPC, a licensed medical coder with 10+ years of clinical experience. · View source data at BLS.gov