Medical Coder Hourly Pay in Fort Worth, TX: $20.38 (2026)
Quick Answer:Hourly pay for a medical coder working in Fort Worth, TX runs $20.38 at the median for 2026 — annualizing to $42,401 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Fort Worth's regional price level (BEA RPP 96.0, 4% below national), each hour of work buys what $21.23 nationally would. A 24-hour part-time schedule grosses $25,437 per year.
Based on BLS state-level estimates · View source

The medical coder hourly pay in Fort Worth, Texas, is projected to be $20.38 in 2026, slightly above the national hourly median of $20.13. For part-time workers, specifically those employed three days a week, this rate can translate to a take-home earning of approximately $31,000 annually, offering viable income options for those looking to balance work and personal commitments. The hourly range for medical coders in Fort Worth varies significantly, with entry-level positions starting at about $14.69 and experienced professionals earning as much as $31.60 per hour. These estimates reflect broader annual salary data, indicating that coders in clinical settings have competitive earning potential relative to their peers across the country.
About the Fort Worth Market
Salary estimated from Texas average ($50,000) adjusted for local cost of living.
Medical Coder Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $14.69 | $117.55 |
| Lower Range (P25) | $17.26 | $138.09 |
| Median (P50) | $20.38 | $163.06 |
| Upper Range (P75) | $26.09 | $208.73 |
| Top Earners (P90) | $31.60 | $252.77 |
Estimated Annual Income by Work Schedule in Fort Worth
Based on $20.38/hr median hourly rate · 2026 est.
At $20.38/hr, a medical coder working full-time (40 hr/wk) in Fort Worth, TX can expect to earn approximately $42,395 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $24,459. With a cost-of-living index of 96.00 (below the national average), these earnings stretch further in Fort Worth.
Hourly Rate Calculator
Schedule Comparison in Fort Worth
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $815.29 | $3,533 | $42,395 |
| Part-Time (24 hrs) | $489.17 | $2,120 | $25,437 |
| Per Diem (16 hrs) | $326.11 | $1,413 | $16,958 |
Compare CPC, CCS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Coder (Fort Worth) | $20.38 |
| 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 Fort Worth, TX earn a median of $42,401 per year (2026 est.), which is 1.29% higher than the national median of $41,861 and 14.90% above the Texas state average of $36,903.
Medical Coder Hourly Pay vs. Cost of Living
Working 24h/week at $20.38/hr = $25,437/year (purchasing power: $26,497).
Working 40h/week (full-time) = $42,395/year (purchasing power: $44,161).
CoL index: 96 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$18.17/hr
2025 BLS Actual
$19.92/hr
2026 Current Est.
$20.38/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Coders in Fort Worth (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $18.17/hr | Actual |
| 2022 | $18.38/hr | Actual |
| 2023 | $19.00/hr | Actual |
| 2024 | $24.76/hr | Actual |
| 2025 | $19.92/hr | Actual |
| 2026(current) | $20.38/hr | Estimated |
| 2027 | $20.86/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical coders in Fort Worth grew 9.6% from $18.17/hr (2021) to $19.92/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $20.86/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 Fort Worth 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 Fort Worth
Taking a closer look at the financial dynamics of this career, part-time coders can indeed experience a different economic landscape compared to full-time employees. Working a 24-hour week, part-time coders may face constraints on benefits like health insurance, creating a financial trade-off. Many medical coders working on a per-diem basis and agency assignments may find their pay elevated, often earning a premium of 10-25% over standard staff rates. Employers in Fort Worth vary from private practices to large healthcare organizations, and compensation can shift accordingly; for instance, specialty clinics might offer incentives that reflect specialized coding skills. When negotiating hourly pay in Fort Worth, it’s advisable to consider not just the immediate rate but also any accompanying benefits, as some coders prefer a lower hourly rate coupled with health insurance over a higher wage without additional support.
More salary data for Fort Worth, 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
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 Fort Worth. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Fort Worth is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
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