BLS metro-level wage data places Billing and Posting Clerks pay in Cape Girardeau, MO-IL at a median of $43,350 per year ($20.84/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $48,500, Cape Girardeau pays 11% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 140 billing and posting clerkss are employed across the Cape Girardeau MSA in SOC 43-3021.

The Cape Girardeau pay distribution spans from $35,920 at the 10th percentile to $56,040 at the 90th — a 1.6× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $37,710 and the 75th at $46,980, so half of Cape Girardeau-based billing and posting clerkss earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Cape Girardeau, MO-IL covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide MO data, and peer-metro comparisons — a median is a starting point, not a ceiling.