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As of August 01, 2026, the average salary for a Medical Billing Representative in Texas is $47,043 per year, which breaks down to an hourly rate of $23.
However, a Medical Billing Representative's salary can vary significantly. Here’s a look at the typical salary range:
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Medical Billing Representative Salaries by Percentile
| Annual Salary |
Monthly Pay |
Weekly Pay |
Hourly Wage |
|
| 75th Percentile | $50,525 | $4,210 | $972 | $24 |
| Average | $47,043 | $3,920 | $905 | $23 |
| 25th Percentile | $43,451 | $3,621 | $836 | $21 |
Rezolut - Dallas, TX
ARStrat - Houston, TX
Cook Children's Health Care System - Fort Worth, TX
Phenom People - Dallas, TX
A Medical Billing Representative's salary isn't a fixed number. It's shaped by several important factors. Below, we'll explore how your years of experience, geographic location and company size can directly affect your earning potential.
Your salary can change significantly depending on where you work. States with a higher cost of living and strong industrial sectors often pay more to attract Medical Billing Representatives. For example, consider the average annual salaries in these key locations:
Salaries can also vary between different cities. Major metropolitan areas or cities with a high demand for technicians often offer more competitive pay. Here are a few examples of average annual salaries in different U.S. cities:
For Medical Billing Representative roles, the industry you choose can affect earning potential by as much as 90% (the gap between the highest and lowest paying industries). Data shows that the Healthcare and Financial Services sectors offer the strongest compensation, at 50% above the average. In contrast, Medical Billing Representative positions in Insurance or Edu., Gov't. & Nonprofit typically offer lower base pay, as these industries often view Medical Billing Representative as a support function rather than a direct revenue driver.
| Industry Sector | Average Annual Salary | Average Hourly Rate | Pay vs.Avg |
|---|---|---|---|
| Healthcare | $70,564 | $34.0 | 50% |
| Financial Services | $56,451 | $27.0 | 20% |
Understanding how a Medical Billing Representative's annual salary breaks down can help with budgeting. Below, you can see the average hourly rate, weekly pay, and monthly pay for this role. Use the buttons to switch between different pay periods.
| Annual Salary | Monthly Pay | Weekly Pay | Hourly Wage | |
|---|---|---|---|---|
| 75th Percentile | $50,525 | $4,210 | $972 | $24 |
| Average | $47,043 | $3,920 | $905 | $23 |
| 25th Percentile | $43,451 | $3,621 | $836 | $21 |
Ready to take the next step in your career? Browse thousands of current Medical Billing Representative job openings on our job board. Use the search bar below to find your perfect match.
Nova Recovery Center
Wimberley, TX
Nova Recovery Center | Wimberley, TX
Job Description. Job Description. Billing Representative – Behavioral Health Revenue Cycle. Remote (Texas Residents Only) | Full-Time | $18–$22 per Hour + ... more
7 Days Ago
Center for Family Medicine
Sherman, TX
Center for Family Medicine | Sherman, TX
Medical Billing Specialist. Our physician owned family practice clinic is growing and has an opening for a Medical Billing Specialist. Our clinic has seven... more
7 Days Ago
CHCP Healthcare and Educational Services LLC
Garland, TX
CHCP Healthcare and Educational Services LLC | Garland, TX
Job Description. Job Description. Location. Garland Campus. Garland, TX. Our Comprehensive Benefits Package. Our benefits package includes. Medical. Dental... more
7 Days Ago
Automation Personnel Services Inc
Fort Worth, TX
Automation Personnel Services Inc | Fort Worth, TX
Automation Personnel Services is looking for a Medical Billing and Coding for a company based in Fort Worth, Tx. In this role, you will primarily be respon... more
8 Days Ago
KidsCare Therapy
Dallas, TX
KidsCare Therapy | Dallas, TX
Payment ProcessorJoin KidsCare Home Health, a 2025 U.S. Top Workplace award winner, and turn your passion into purpose. We're seeking dedicated professiona... more
8 Days Ago
Complete Care Partners
El Paso, TX
Complete Care Partners | El Paso, TX
Key Responsibilities:Claims and Billing Operations. Prepare, review, and submit insurance claims (electronic and paper when needed) for professional and or... more
8 Days Ago
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