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Average Medical Biller Salary in Bulgaria for 2026

A medical biller in Bulgaria earns about 21,100 BGN a year. That's 45% below the national average of 38,700 BGN.

Pay ranges widely from country to country and from role to role. The lowest reported salaries in Bulgaria sit around 9,960 BGN a year, while the very top stretches to 29,600 BGN. Everything on this page is in Bulgarian lev (BGN, symbol лв), which lets you compare numbers like-for-like without worrying about exchange rates.

The numbers here are pulled together from official government wage data, large independent salary surveys, and aggregated worker-reported pay. Most reported salaries include the benefits that are common in Bulgaria, such as housing or transport allowances, which is worth keeping in mind if you're comparing against a country where those are usually paid on top.


How much does a medical biller make in Bulgaria?

Average salary
21,100 BGN
1,758 BGN per month
Lowest reported
9,960 BGN
830 BGN per month
Highest reported
29,600 BGN
2,466 BGN per month

A typical medical biller working in Bulgaria brings home around 1,758 BGN a month before tax. Entry-level pay starts near 9,960 BGN, and the top of the ladder reaches roughly 29,600 BGN for the most experienced and specialised people in the role.

The wide gap between low end and top end reflects how much pay can vary inside the same job title. A junior medical biller working at a small local employer earns very different money from a senior at a multinational. Skills, employer, city and years in the seat all push the number around.


How medical biller pay ranges in Bulgaria

A good way to think about salary in Bulgaria is to look at the distribution rather than the headline average. Half of all medical billers in Bulgaria earn less than 19,860 BGN a year, and the other half earn more. That middle number is the median, and it is usually more useful than the average for answering "is my pay normal here".

Looking at the quartiles fills in the picture. A quarter of earners take home less than 13,960 BGN (the 25th percentile), and a quarter clear 23,260 BGN (the 75th percentile). The middle 50% of medical billers sit somewhere inside that band, which is where the typical reader of this page probably lives.

The very lowest reported salaries sit around 9,960 BGN. The highest stretch to 29,600 BGN, though only a small fraction of earners ever reach that level. If you are deciding whether your own offer or current pay is reasonable, work out which of those four bands you would fall into and use that as your reference point.

9,960
Low
19,860
Median
29,600
High
13,960
25th
23,260
75th
The middle 50% sit between the 25th and 75th percentile Tails are the lowest and highest reported All figures in BGN

Medical biller pay by experience in Bulgaria

Years of experience is the single biggest lever on pay for a medical biller in Bulgaria, ahead of education and almost any other single factor. The longer you have been in the role, the more your employer can trust you to handle complexity, mentor others and act independently, all of which command higher pay. The chart below shows how the typical medical biller salary changes as you move through the career ladder.

  • 0-2 Years
    12,200 BGN
  • 2-5 Years
    +34% from previous
    16,400 BGN
  • 5-10 Years
    +30% from previous
    21,400 BGN
  • 10-15 Years
    +21% from previous
    25,940 BGN
  • 15-20 Years
    +14% from previous
    29,540 BGN
  • 20+ Years
    27,480 BGN

The single largest jump on the ladder is from 0 - 2 Years to 2 - 5 Years, where pay rises by about 34%. That is the point at which a medical biller typically goes from "competent in the role" to "the person other people in the team learn from", and the market pays well for that step.


Medical biller pay by education in Bulgaria

Education sits alongside experience as one of the biggest factors driving medical biller pay in Bulgaria. Higher qualifications consistently pull higher salaries, but the size of the gap tends to be smallest at junior levels and widens as people move up. Two people in the same role with the same years of experience but different degrees can end up earning very different money once they reach mid-career.

Below is the average medical biller salary in Bulgaria broken down by the highest level of education a worker has completed.

  • Certificate or Diploma
    17,020 BGN
  • Bachelor's Degree
    +71% from previous
    29,040 BGN

Medical biller gender pay gap in Bulgaria

The gender pay gap is a stubborn feature of almost every labour market, and Bulgaria is no exception. Male medical billers in Bulgaria earn an average of 20,500 BGN a year, while female medical billers earn around 21,020 BGN. That works out to a 2% gap in favour of women, even when comparing people doing the same work.

A pay gap of this size has a real long-term cost. Over a typical thirty-year career it can add up to several years of pay, and it compounds through pensions, retirement contributions and bonus-linked stock. Some of the gap is explained by women being more likely to work part-time, take career breaks, or be steered toward lower-paying specialisations. Some of it is straightforward unequal pay for the same job, which is harder to defend.

Medical Biller gender pay gap

2%

Men earn this much less than women on average in Bulgaria.

Women 21,020 BGN
Men 20,500 BGN

Pay raises for a medical biller in Bulgaria

Most countries hand out at least some kind of pay raise every year, typically when an employee's contract is reviewed or as a cost-of-living adjustment to keep wages roughly in step with inflation. The rhythm and size of those raises varies hugely between industries.

A typical worker doing this role in Bulgaria sees a raise of about 9% every 20 months, which works out to roughly 5% on an annual basis. That figure is the typical underlying rate; in years where inflation runs high you can usually expect a bit more, and in flat-economy years a bit less.

Across all jobs in Bulgaria, the national average raise is around 7% every 20 months.

By industry

Industries with the highest pay raises in Bulgaria:

  • Banking
  • Energy
  • Information Technology
  • Healthcare
  • Travel
  • Construction
  • Education

By experience level

Experienced workers tend to see larger raises. Retaining a senior is cheaper than replacing them, so employers fight harder for them.

  • Junior Level
    3% - 5%
  • Mid-Career
  • Senior Level
  • Top Management

Medical biller bonus rates in Bulgaria

Bonuses are the other half of total compensation, and they vary a lot between jobs and industries. Some roles are paid almost entirely in base salary; others lean heavily on bonus structures tied to revenue, project completion or company performance. Whether a job pays a bonus, how big it is, and how often it lands all factor into whether the headline salary is actually a good offer.

24%

24% of medical billers in Bulgaria reported a bonus of some kind in the past twelve months. That makes a medical biller a low-bonus role overall, which is useful context when you're weighing up a job offer where the base is below market.

Among those who did receive a bonus, the size of the payment varied substantially. Reported bonuses ranged from 1% to 3% of base salary. The remaining 76% of medical billers reported no bonus at all over the same period.

Which careers pay bonuses in Bulgaria

Revenue-facing roles tend to pay the biggest bonuses. Operational and support roles tend toward smaller, more predictable ones.

  • Finance
  • Architecture
  • Sales
  • Business Development
  • Marketing / Advertising
  • Information Technology
  • Healthcare
  • Insurance
  • Customer Service
  • Human Resources
  • Construction
  • Transport
  • Hospitality

Medical biller: public vs private sector pay

Public-sector pay in Bulgaria is about 2% more than private-sector pay for similar work. The private sector typically offers stronger upside and bigger bonuses; the public sector typically offers better benefits and stability.

Public vs private pay gap

2%

Public-sector workers earn this much more than private-sector workers in Bulgaria on average.

Public sector 40,040 BGN
Private sector 39,160 BGN

Medical biller salary by city in Bulgaria

Medical biller pay is not even across Bulgaria. The chart below shows the highest-paying cities in the dataset, followed by the full location table.

  • Plovdiv
  • Sofia
  • Rousse
  • Varna
  • Burgas
  • Stara Zagora
LocationTypeAverageMedianRange
PlovdivCity22,420 BGN20,460 BGN12,180-36,940 BGN
SofiaCity22,420 BGN21,020 BGN13,060-34,960 BGN
RousseCity21,400 BGN21,980 BGN8,100-34,160 BGN
VarnaCity20,940 BGN20,940 BGN12,020-33,440 BGN
BurgasCity20,940 BGN19,980 BGN9,460-30,700 BGN
Stara ZagoraCity17,740 BGN17,860 BGN9,460-27,480 BGN


Medical Biller in Bulgaria: FAQs

  • How much does a medical biller make per month in Bulgaria?

    A medical biller in Bulgaria earns about 1,758 BGN a month before tax, based on an annual average of 21,100 BGN.

  • What's the salary range for a medical biller in Bulgaria?

    Entry-level medical billers in Bulgaria start near 9,960 BGN. Top-end pay reaches around 29,600 BGN. The middle 50% of earners sit between 13,960 and 23,260 BGN.

  • Is the median medical biller salary in Bulgaria higher or lower than the average?

    The median is 19,860 BGN, lower than the average of 21,100 BGN. Half of medical billers in Bulgaria earn below the median, half earn above it.

  • What's the gender pay gap for medical billers in Bulgaria?

    Men working as a medical biller in Bulgaria earn around 2% less than women on average (20,500 vs 21,020 BGN a year).

  • Do medical billers in Bulgaria get bonuses?

    About 24% of medical billers in Bulgaria reported a bonus in the past 12 months. Reported bonuses ranged from 1% to 3% of base salary.

  • Do medical billers earn more in the public or private sector in Bulgaria?

    In Bulgaria, the public sector pays a medical biller about 2% more on average. Public-sector pay tends to be steadier; private-sector pay tends to offer bigger upside.

  • How often do medical billers in Bulgaria get a pay raise?

    A medical biller in Bulgaria sees a raise of around 9% every 20 months, equivalent to roughly 5% a year.