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As of October 2025, a Billing Representative can expect an average salary of $35,002 per year, or approximately $17 per hour. These professionals play a vital role in the healthcare, finance, and telecommunications industries, managing billing processes and resolving customer inquiries. The salary for billing representatives can differ significantly based on factors including experience, location, and the specific industry they work in.
For example, entry-level positions may start around $28,000, while those with several years of experience can earn upwards of $45,000. States like California and New York tend to offer higher salaries due to the increased cost of living and demand for skilled professionals. To further enhance earning potential, gaining certifications or specializing in healthcare billing can provide significant advantages.
Seeking positions in larger organizations or exploring roles that require advanced billing skills can lead to higher compensation. Continuous professional development, such as courses in medical billing or finance management, will not only expand your expertise but may also increase your marketability in a competitive job market.
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| Experience level | Avg. salary | Hourly rate |
|---|---|---|
| Entry-level billing representative | $30,000 | $14.41 |
| Mid-level billing representative | $39,100 | $18.78 |
| Senior-level billing representative | $47,300 | $22.75 |
The average billing representative salary in Massachusetts, Alaska, and California are the highest in the U.S. The lowest average billing representative salary states are Maine, Oklahoma, and Louisiana.
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Mississippi | $38,685 | $18.60 |
| 2 | Massachusetts | $41,898 | $20.14 |
| 3 | Washington | $39,198 | $18.85 |
| 4 | Illinois | $37,743 | $18.15 |
| 5 | North Dakota | $35,528 | $17.08 |
| 6 | Oregon | $38,249 | $18.39 |
| 7 | Alaska | $40,584 | $19.51 |
| 8 | District of Columbia | $51,651 | $24.83 |
| 9 | Iowa | $34,930 | $16.79 |
| 10 | California | $39,446 | $18.96 |
| 11 | Wyoming | $37,261 | $17.91 |
| 12 | Vermont | $37,298 | $17.93 |
| 13 | Minnesota | $35,270 | $16.96 |
| 14 | Arizona | $34,307 | $16.49 |
| 15 | Wisconsin | $33,969 | $16.33 |
| 16 | New Jersey | $36,046 | $17.33 |
| 17 | Ohio | $33,146 | $15.94 |
| 18 | Texas | $33,870 | $16.28 |
| 19 | New York | $36,706 | $17.65 |
| 20 | Pennsylvania | $34,184 | $16.43 |
| 21 | Kansas | $34,838 | $16.75 |
| 22 | Hawaii | $37,683 | $18.12 |
| 23 | Colorado | $35,794 | $17.21 |
| 24 | Utah | $34,184 | $16.43 |
| 25 | Michigan | $33,608 | $16.16 |
| 26 | Nevada | $33,859 | $16.28 |
| 27 | New Hampshire | $33,161 | $15.94 |
| 28 | Kentucky | $32,388 | $15.57 |
| 29 | North Carolina | $34,113 | $16.40 |
| 30 | South Dakota | $33,536 | $16.12 |
| 31 | Connecticut | $34,516 | $16.59 |
| 32 | West Virginia | $32,393 | $15.57 |
| 33 | Nebraska | $33,144 | $15.93 |
| 34 | Rhode Island | $34,209 | $16.45 |
| 35 | Maryland | $35,740 | $17.18 |
| 36 | Montana | $33,760 | $16.23 |
| 37 | Virginia | $35,000 | $16.83 |
| 38 | Missouri | $33,995 | $16.34 |
| 39 | Idaho | $33,694 | $16.20 |
| 40 | Tennessee | $32,078 | $15.42 |
| 41 | Florida | $32,416 | $15.58 |
| 42 | Delaware | $34,290 | $16.49 |
| 43 | Indiana | $31,785 | $15.28 |
| 44 | Maine | $31,139 | $14.97 |
| 45 | South Carolina | $31,292 | $15.04 |
| 46 | Georgia | $32,978 | $15.85 |
| 47 | Louisiana | $30,655 | $14.74 |
| 48 | Arkansas | $29,210 | $14.04 |
| 49 | Oklahoma | $30,787 | $14.80 |
| 50 | Alabama | $29,527 | $14.20 |
| 51 | New Mexico | $28,820 | $13.86 |
The highest-paying cities for billing representatives are Worcester, MA, Vancouver, WA, and Los Angeles, CA.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Worcester, MA | $41,934 | $20.16 |
| 2 | Vancouver, WA | $39,382 | $18.93 |
| 3 | Los Angeles, CA | $39,323 | $18.91 |
| 4 | Portland, OR | $38,244 | $18.39 |
| 5 | Schaumburg, IL | $37,803 | $18.17 |
| 6 | New York, NY | $36,701 | $17.64 |
| 7 | Greeley, CO | $35,897 | $17.26 |
| 8 | Baltimore, MD | $35,781 | $17.20 |
| 9 | Minneapolis, MN | $35,286 | $16.96 |
| 10 | Overland Park, KS | $34,850 | $16.75 |
| 11 | Hartford, CT | $34,467 | $16.57 |
| 12 | Phoenix, AZ | $34,364 | $16.52 |
| 13 | Monroeville, PA | $34,221 | $16.45 |
| 14 | Dover, DE | $34,211 | $16.45 |
| 15 | Salt Lake City, UT | $34,176 | $16.43 |
| 16 | Morrisville, NC | $34,158 | $16.42 |
| 17 | Madison, WI | $34,042 | $16.37 |
| 18 | Irving, TX | $33,840 | $16.27 |
| 19 | Las Vegas, NV | $33,805 | $16.25 |
| 20 | Farmington Hills, MI | $33,615 | $16.16 |
Billing Representatives are the most in-demand in these five cities:
A billing representative's salary ranges from $28,000 a year at the 10th percentile to $42,000 at the 90th percentile.

| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $42,000 | $3,500 | $20 |
| 75th Percentile | $38,000 | $3,167 | $18 |
| Average | $35,002 | $2,917 | $17 |
| 25th Percentile | $31,000 | $2,583 | $15 |
| 10th Percentile | $28,000 | $2,333 | $13 |
The highest paying types of billing representatives are billing analyst, account management representative, and accounting representative.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Medical Billing Clerk | $33,566 | $2,797 | $16.14 | 164,870 |
| Billing Analyst | $51,544 | $4,295 | $24.78 | 30,566 |
| Customer Service Representative | $32,260 | $2,688 | $15.51 | 209,515 |
| Account Services Representative | $32,467 | $2,706 | $15.61 | 319,445 |
| Account Management Representative | $46,765 | $3,897 | $22.48 | 222,957 |
| Patient Access Representative | $33,603 | $2,800 | $16.16 | 151,077 |
Top companies hiring billing representatives now:
Billing representative salaries at Relevante and University of Nebraska System are the highest-paying according to our most recent salary estimates. In addition, the average billing representative salary at companies like Student Conservation Association and Kent Daniels & Associates are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | Relevante | $41,445 | $19.93 |
| 2 | University of Nebraska System | $41,023 | $19.72 |
| 3 | Student Conservation Association | $40,265 | $19.36 |
| 4 | Kent Daniels & Associates | $40,141 | $19.30 |
| 5 | Dana-Farber Cancer Institute | $40,015 | $19.24 |
| 6 | Philips | $39,312 | $18.90 |
| 7 | Guidehouse | $38,972 | $18.74 |
| 8 | Alignment Healthcare | $38,402 | $18.46 |
| 9 | Philadelphia Insurance Companies | $38,365 | $18.44 |
| 10 | Sutter Health | $38,091 | $18.31 |
| 11 | Concentra | $37,670 | $18.11 |
| 12 | ARUP Laboratories | $37,659 | $18.11 |
| 13 | JBS USA | $37,562 | $18.06 |
| 14 | Mayo Clinic | $37,436 | $18.00 |
| 15 | KPS Global | $37,358 | $17.96 |
| 16 | University of Michigan | $37,143 | $17.86 |
| 17 | RGA Environmental, A Terracon Company | $37,083 | $17.83 |
| 18 | Verisk Analytics | $36,940 | $17.76 |
| 19 | Mid Atlantic Retina | $36,836 | $17.71 |
| 20 | PacificSource Health Plans | $36,689 | $17.64 |
The average billing representative salary varies across industries:
| Rank | Industry | Average salary | Hourly rate |
|---|---|---|---|
| 1 | Technology | $35,295 | $16.97 |
| 2 | Health Care | $34,399 | $16.54 |
| 3 | Professional | $34,240 | $16.46 |
| 4 | Telecommunication | $33,710 | $16.21 |
| 5 | Insurance | $33,224 | $15.97 |
The average billing representative salary has risen by $5,932 over the last ten years. In 2014, the average billing representative earned $29,070 annually, but today, they earn $35,002 a year. That works out to a 10% change in pay for billing representatives over the last decade.
Compare billing representative salaries for cities or states with the national average over time.
Compare billing representative salaries for individual cities or states with the national average.
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2025 | $35,000 | $16.83 | +2.1% |
| 2024 | $34,300 | $16.47 | +2.4% |
| 2023 | $33,400 | $16.07 | +2.5% |
| 2022 | $32,600 | $15.67 | +1.9% |
| 2021 | $32,000 | $15.37 | +3.0% |
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| W M Holdings Inc. | Analytical Billing REP | Windsor, CT | 06/29/2025 | $48,523 |
| Get It-Executive | Billing and Collections Representative-Remote | WFH | Sandy, UT | 06/29/2025 | $33,914 |
| Get It-Executive | Medical Billing Representative-(Hybrid)-Remote | WFH | Madison, WI | 06/29/2025 | $45,684 |
| Medical Assistant In Patchogue, New York | Billing Representative | Setauket-East Setauket, NY | 06/29/2025 | $48,001 |
| Get It-Real Estate | Billing and Collections Representative-Remote | Sandy, UT | 06/29/2025 | $33,392 |
| The Word and Brown Companies | Billing & Collections Representative I | Orange, CA | 06/28/2025 | $43,827 |
| Bgcarenav | Billing and Collections Specialist I | Lexington, KY | 06/28/2025 | $40,321 |
| Waste Management | Analytical Billing REP | Windsor, CT | 06/27/2025 | $48,523 |
| Global Medical Response | Medical Billing Revenue Cycle Auto Accident and Third Party Liability Representative | West Plains, MO | 06/27/2025 | $33,392 |
| Bluegrass Care Navigators | Billing and Collections Specialist I | Lexington, KY | 06/26/2025 | $40,321 |
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