SD · Sioux Falls · Updated October 15, 2026

Medical Biller jobs in Sioux Falls, SD

The median medical biller pay in the Sioux Falls area is $19.53 per hour ($40,610 a year), with the typical range running from $15.31 to $23.02. That ranks 303rd of 384 U.S. metro areas for medical biller pay, and 268th of 341 once local prices are factored in. The CMS hospital directory lists 6 hospitals in Sioux Falls. Your free pay report adds named employers and the roles open near Sioux Falls.

Medical Biller pay in Sioux Falls, SD

The metro median is 7% below the South Dakota statewide median of $20.96 per hour. Nationally the median is $22.68 per hour. BLS counts about 440 billing and posting clerks employed in the Sioux Falls metro area, 2.5 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.92).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$14.56$30,28036% below U.S. median
Lower quartile$15.31$31,84032% below U.S. median
Median$19.53$40,61014% below U.S. median
Upper quartile$23.02$47,8801% above U.S. median
Top 10%$26.34$54,79016% above U.S. median

How Sioux Falls ranks

  • 303rd of 384 U.S. metro areas by median hourly pay
  • 268th of 341 after adjusting for local prices

BLS does not publish a separate figure for medical biller. These numbers are for the broader category it belongs to, Billing and Posting Clerks.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Billing and Posting Clerks (SOC 43-3021), all industries. This is what employers report paying, not an offer for a specific role.

What your pay buys in Sioux Falls

  • Overall prices in Sioux Falls run 9% below the U.S. average (index 90.6, U.S. = 100).
  • Housing is the biggest driver: 22% below the U.S. average (index 77.6).
  • Adjusted for local prices, a $19.53 median hour buys what $21.55 buys at the national price level, 5% below the national median.

Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.

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Named employers near Sioux Falls, what they pay and the roles open now. Free for candidates, email only.

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Estimate your Sioux Falls paycheck

Estimated weekly gross$703
  • Per year: $35,154
  • Per month: $2,930
  • South Dakota has no state income tax on wages.

Gross pay before taxes and benefits, from BLS pay levels for the Sioux Falls metro area. For take-home pay use the take-home pay calculator.

Hospitals in Sioux Falls

CMS lists 6 hospitals in Sioux Falls.

HospitalTypeOwnershipCMS ratingEmergency
Avera Heart Hospital Of South Dakota
Sioux Falls, SD
Acute careFor-profit5 of 5Yes
Sanford Usd Medical Center
Sioux Falls, SD
Acute careNonprofit5 of 5Yes
Sioux Falls Va Medical Center
Sioux Falls, SD
Acute Care - Veterans AdministrationGovernment and federal5 of 5Yes
Avera Mckennan Hospital & University Health Center
Sioux Falls, SD
Acute careNonprofit4 of 5Yes
Lifescape
Sioux Falls, SD
Children'sNonprofitNot ratedNo
Sioux Falls Specialty Hospital
Sioux Falls, SD
Acute careFor-profitNot ratedNo

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Medical Biller pay in nearby cities

CityDistanceMedian payPopulation
Sioux City, IA74 mi$21.33/hr86,875
Omaha, NE161 mi$22.68/hr489,265
Council Bluffs, IA165 mi$22.68/hr62,665
Bellevue, NE170 mi$22.68/hr64,777
Eden Prairie, MN186 mi$26.66/hr62,905
St. Cloud, MN186 mi$23.28/hr72,145

Medical Biller jobs in South Dakota · Medical Biller jobs nationwide

What employers ask for, and tax basics in South Dakota

Medical billers prepare and submit claims, follow up on denials and post payments.

  • Medical billing or coding training; CPB is a plus
  • Knowledge of payer rules and claim forms
  • Experience with billing and EHR systems

South Dakota does not tax wage income at the state level, so take-home pay is higher than the same gross pay in a state that does.

South Dakota state guide

Other healthcare roles in Sioux Falls

Sioux Falls city guide: hospitals, employers and licensing

Common questions

How much do medical billers make in Sioux Falls, SD?

Medical Billers in the Sioux Falls metro area have a median pay of $19.53 per hour, about $40,610 a year. The middle half earn between $15.31 and $23.02 per hour (BLS, May 2024).

Is Sioux Falls a good place for medical billers once cost of living is counted?

Sioux Falls ranks 268th of 341 metro areas for medical biller pay after adjusting for local prices, and 303rd of 384 before adjusting. Overall prices run 9% below the U.S. average.

Where do medical billers work in Sioux Falls?

CMS lists 6 hospitals in Sioux Falls, led by Avera Heart Hospital Of South Dakota. Ask for the free report to see current openings and pay.

Do I need a South Dakota license to work in Sioux Falls as a medical biller?

Medical billing or coding training; CPB is a plus. Credentials are issued state by state, so confirm what South Dakota requires for your role with the South Dakota licensing board and with your recruiter before you commit to a start date. Confirm with the board before you accept a role.

Does Valorem Health place medical billers in Sioux Falls?

Yes. We place healthcare staff in Sioux Falls and across South Dakota. Tell us your profession and we email the roles open near Sioux Falls.

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What do employers near Sioux Falls pay medical billers? Get the report.

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  1. 1
    Pay for your role at other hospitals

    The hourly pay at named employers near you, so you see who pays most.

  2. 2
    What they are offering now

    The pay range and median across current postings, and how many were posted this month.

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Pay report · Biller near Sioux Falls, SD
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your Biller pay reportTop-paying hospitals shown · your South Dakota list by name comes with the full report

1Pay for your role at other hospitals

  • OSF Healthcare SystemPeoria, IL · 1 posting$36.48/ hr$34–$39
  • ChristianaCareWilmington, DE · 1 posting$28.42/ hr$23–$34
  • Sentara HealthcareVirginia Beach, VA · 1 posting$27.34/ hr$22–$33
  • MarinHealthNovato, CA · 2 postings$25.20/ hr$23–$27

Median posted pay per hour, with the range each employer published. Request your South Dakota list

2What they are offering now

Low$18Median$22.18High$27

22 Biller postings with published pay in the US, 21 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open Biller roles

Open Biller roles near Sioux Falls, SD, each with pay, shift and start date, arrive with your report.

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