Healthcare

How much does a nurse midwive make?

The median nurse midwive in the United States earns $134,040 per year, about $64.44 an hour. That is the midpoint of the profession: half of all nurse midwives earn more, and half earn less.

Median annual salary
$134,040
Median hourly wage
$64.44 /hr
Employed in the U.S.
7,920

Source: BLS OEWS, May 2025. SOC code 29-1161.

Nurse midwive salary range

Pay for nurse midwives spans a wide band. The lowest paid 10 percent earn under $93,620 a year, while the highest paid 10 percent take home more than $188,320. The average (mean) wage of $136,980 runs a bit higher than the median, which is normal for jobs where a group of top earners pulls the average up.

Percentile Annual Hourly
10th percentile $93,620 $45.01 Lowest paid
25th percentile $116,510 $56.01
Median (50th) $134,040 $64.44 Midpoint
75th percentile $157,400 $75.67
90th percentile $188,320 $90.54 Highest paid

Figures are national wage estimates for nurse midwives (SOC 29-1161), U.S. Bureau of Labor Statistics, OEWS, May 2025.

Nurse midwive salary by state

Where you work changes the paycheck. Nurse midwives earn the most in California at $203,840 a year, and the least in North Dakota at $72,630. The table below lists every state with published data, ranked by median annual salary.

State Median annual Employed
California $203,840 870
Hawaii $170,110 N/A
Massachusetts $159,800 280
Washington $158,970 170
New Jersey $153,970 120
Vermont $151,030 60
Oregon $146,900 240
New York $144,510 360
New Hampshire $142,960 60
Arizona $140,960 80
Maryland $140,120 240
Nebraska $138,880 N/A
Colorado $137,610 180
Virginia $135,710 N/A
Rhode Island $135,180 80
Minnesota $134,810 410
Alaska $133,430 60
Maine $133,270 50
Wisconsin $133,070 200
Iowa $131,360 80
Utah $130,930 140
Connecticut $130,790 150
Missouri $130,220 80
Ohio $127,730 180
Delaware $127,510 N/A
Florida $127,460 460
North Carolina $126,040 240
Michigan $125,140 430
Texas $123,380 290
New Mexico $123,350 50
South Carolina $122,390 100
Illinois $120,840 280
Pennsylvania $119,990 320
Louisiana $119,280 60
Tennessee $116,980 330
Georgia $105,510 300
Indiana $101,630 170
District of Columbia $101,450 70
North Dakota $72,630 N/A

State median wages for nurse midwives (SOC 29-1161), U.S. Bureau of Labor Statistics, OEWS state files, May 2025. States where the BLS does not publish a median are not shown.

Job outlook for nurse midwives

The BLS projects employment of nurse midwives to grow 11.5% from 2025 to 2035. That is much faster than the 3.5% average for all occupations. That works out to roughly 8,200 jobs in 2025 moving toward 9,100 by 2035.

Across the decade, the BLS expects about 400 openings a year for nurse midwives. Most come from the need to replace workers who move to other jobs or leave the workforce, on top of any new positions from growth.

Source: U.S. Bureau of Labor Statistics, Employment Projections program, 2025-35 (Table 1.2, Occupational projections and worker characteristics).

How to become a nurse midwive

The typical entry-level education for nurse midwives is a master's degree, according to the BLS.

Education, training, and experience data: U.S. Bureau of Labor Statistics, Employment Projections program.

What affects how much a nurse midwive earns

Specialty, work setting, shift differentials, certifications, and region drive the numbers. Hospitals, surgical settings, and high cost metros pay above clinics and rural facilities.

Location is one of the clearest factors. The gap between the top paying state (California, $203,840) and the lowest (North Dakota, $72,630) shows how much geography alone can move the number, before experience or specialization.

About 7,920 people work as nurse midwives in the United States. At $134,040 a year, the job pays above the $50,980 median for all U.S. jobs.

Nurse midwive salary FAQ

How much does a nurse midwive make an hour?

The median hourly wage for a nurse midwive is $64.44. The middle half of nurse midwives earn between $56.01 and $75.67 per hour.

What is the highest nurse midwive salary?

The highest paid 10 percent of nurse midwives earn more than $188,320 per year. Top earners usually have the most experience and work in the best paying regions and industries.

How much does a nurse midwive make a year?

The median annual salary for a nurse midwive is $134,040. The average (mean) wage of $136,980 runs a bit higher than the median, which is normal for jobs where a group of top earners pulls the average up.

Is being a nurse midwive a well paid job?

At $134,040 a year, a nurse midwive earns above the $50,980 median for all U.S. jobs. About 7,920 people work as nurse midwives in the United States.

Which state pays nurse midwives the most?

California has the highest median salary for nurse midwives at $203,840 a year. Hawaii ($170,110) and Massachusetts ($159,800) follow. State medians come from the BLS OEWS state files, May 2025.

Is being a nurse midwive a good career?

Employment of nurse midwives is projected to grow 11.5% from 2025 to 2035, much faster than the 3.5% average for all occupations. The BLS projects about 400 openings each year, from growth and from workers leaving the occupation.

Do you need a degree to become a nurse midwive?

The BLS lists the typical entry-level education for nurse midwives as a master's degree, so a college degree is usually expected.

Related salaries

See more in Healthcare salaries or browse the highest paying jobs in the U.S.

Sources. National and state wage and employment figures: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 and the OEWS state files. Growth, openings, education, and training: U.S. Bureau of Labor Statistics, Employment Projections program (2025–2035). Every figure on this page is published by the BLS and is shown without adjustment. View the originals at bls.gov/oes and bls.gov/emp. Last updated 2026-05-15.