Nurse Midwives Salary — US State Breakdown (2025)
✓ Sourced directly from BLS OES · Checked for accuracy at every rebuild · First published: 2026-08-25 · Last updated: 2026-10-25
✓ BLS Verified Rates — Updated July 2026 · Every figure checked against the official source dataset and reviewed by Jordan Morley at each rebuild, not generated or estimated by AI.
BLS OES May 2025 · SOC 29-1161As an Amazon Associate we earn from qualifying purchases. Links below are affiliate links.
US Salary Overview
The national median wage for nurse midwives in the United States is $134,040 per year, based on BLS Occupational Employment and Wage Statistics (May 2025) — real government survey data, not an algorithmic salary estimate. Pay ranges from $93,620 at the 10th percentile to $188,320 at the 90th percentile. In the UK, the equivalent occupation (Midwifery Nurses) has a median of £39,327 — figures are shown in local currency and are not converted. Signing a US offer? Employment contract templates at LawDepot cover offer letters, NDAs and employment agreements.
↑ Pay rank: #61 of 861 US occupations tracked on this site — higher-paying than roughly 93% of them, and #27 of 100 within healthcare.
What This Job Involves
Diagnose and coordinate all aspects of the birthing process, either independently or as part of a healthcare team. May provide well-woman gynecological care. Must have specialized, graduate nursing education.
Typical duties, per the US Department of Labor's O*NET occupational database:
- Provide prenatal, intrapartum, postpartum, or newborn care to patients.
- Monitor fetal development by listening to fetal heartbeat, taking external uterine measurements, identifying fetal position, or estimating fetal size and weight.
- Document patients' health histories, symptoms, physical conditions, or other diagnostic information.
- Provide patients with direct family planning services, such as inserting intrauterine devices, dispensing oral contraceptives, and fitting cervical barriers, including cervical caps or diaphragms.
- Prescribe medications as permitted by state regulations.
- Develop and implement individualized plans for health care management.
Source: O*NET OnLine, 29-1161.00 (US Dept. of Labor, public domain).
US Salary Percentiles
| Percentile | Annual (gross) | Notes |
|---|---|---|
| 10th | $93,620 | Entry level / lowest decile |
| 25th | $116,510 | Early career |
| 50th (median) | $134,040 | Typical pay |
| 75th | $157,400 | Experienced |
| 90th | $188,320 | Senior / highest decile |
Career Essentials
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Start $1 Trial →Median Salary by State
| State | Median salary | Mean salary | Employment |
|---|---|---|---|
| California | $203,840 | $194,730 | 870 |
| Hawaii | $170,110 | $165,360 | — |
| Massachusetts | $159,800 | $162,420 | 280 |
| Washington | $158,970 | $140,860 | 170 |
| New Jersey | $153,970 | $159,170 | 120 |
| Vermont | $151,030 | $148,100 | 60 |
| Oregon | $146,900 | $146,010 | 240 |
| New York | $144,510 | $143,360 | 360 |
| New Hampshire | $142,960 | $136,610 | 60 |
| Arizona | $140,960 | $159,910 | 80 |
| Maryland | $140,120 | $141,880 | 240 |
| Nebraska | $138,880 | $137,300 | — |
| Colorado | $137,610 | $138,520 | 180 |
| Virginia | $135,710 | $139,620 | — |
| Rhode Island | $135,180 | $135,610 | 80 |
| Minnesota | $134,810 | $135,380 | 410 |
| Alaska | $133,430 | $144,130 | 60 |
| Maine | $133,270 | $131,090 | 50 |
| Wisconsin | $133,070 | $127,300 | 200 |
| Iowa | $131,360 | $123,000 | 80 |
| Utah | $130,930 | $128,650 | 140 |
| Connecticut | $130,790 | $131,680 | 150 |
| Missouri | $130,220 | $131,470 | 80 |
| Ohio | $127,730 | $125,210 | 180 |
| Delaware | $127,510 | $130,610 | — |
| Florida | $127,460 | $111,870 | 460 |
| North Carolina | $126,040 | $123,920 | 240 |
| Michigan | $125,140 | $125,240 | 430 |
| Texas | $123,380 | $122,910 | 290 |
| New Mexico | $123,350 | $122,130 | 50 |
| South Carolina | $122,390 | $120,550 | 100 |
| Illinois | $120,840 | $113,800 | 280 |
| Pennsylvania | $119,990 | $116,390 | 320 |
| Louisiana | $119,280 | $116,840 | 60 |
| Tennessee | $116,980 | $115,780 | 330 |
| Georgia | $105,510 | $119,120 | 300 |
| Indiana | $101,630 | $114,640 | 170 |
| District of Columbia | $101,450 | $119,310 | 70 |
| North Dakota | $72,630 | $99,740 | — |
Salary in Context
Location makes a real difference here: California pays around 181% more than North Dakota for this same occupation, based on the state breakdown above. If you're able to work remotely or are open to relocating, that gap is often larger than a typical annual pay rise.
The spread between the 25th and 75th percentile — roughly the band most people in this role actually fall into — is about 35%. A narrower spread suggests pay for this role is fairly standardised across employers; a wider one suggests more room to negotiate, or a role where employer type and seniority matter more than average.
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Many people pair this data with a salary negotiation guide before accepting an offer.
How Does This Compare to the UK?
Nurse Midwives is the US equivalent of midwifery nurses in the UK, which has a national median of £39,327. Figures are shown in local currency, not converted — cost of living, tax systems and benefits packages differ enough between the two countries that a currency conversion alone would be misleading. See the full UK breakdown, or use our comparison tool to set this role against another job title side by side, with location and experience-level filters.
What Affects Pay for Nurse Midwives, and How to Use This Data When Negotiating
The figures above describe the market, not any one employer's ceiling. A few things generally explain where an individual lands within that range:
- Location: Pay for the same job title can vary by tens of thousands depending on region or state — see the location breakdown on this page for this specific role.
- Experience level: The gap between the 10th and 90th percentile mostly reflects years of experience and seniority within the role, rather than employer generosity alone.
- Employer size and sector: Larger organisations and higher-paying sectors tend to sit above the median for a given role; smaller employers and some non-profit or public-sector employers often sit below it.
- Qualifications and certifications: Professional qualifications relevant to a role can shift where someone lands within the percentile range, particularly in regulated or technical occupations.
- How common the role is: Roles with fewer people employed nationally tend to show wider pay variation than high-volume occupations, simply because the underlying sample is smaller and less standardised.
If you're using this page to prepare for a pay conversation, a few practical steps:
- Bring the actual percentile figures from this page into the conversation — a specific, sourced number ("the median for this role is £X") carries more weight than a general sense that you're underpaid.
- If you have several years of experience or a scarce skill set, anchor to the 75th percentile rather than the median — the median describes the middle of the market, not where an experienced hire should expect to land.
- Use the regional or state figure, not the national one, if your employer benchmarks pay nationally but you're based in a higher-paying area — the location breakdown above is the more relevant number to quote.
- Treat total compensation, not just base salary, as the real comparison — pension contributions, bonus structure and benefits can close a gap that base pay alone doesn't show.
- Time the conversation around a review cycle or a clear recent win, and bring both arguments — the market-rate evidence on this page and your own contribution — together rather than either alone.
Where This Data Comes From
The figures on this page come from the Bureau of Labor Statistics' Occupational Employment and Wage Statistics (OES) programme — a large-scale US government survey of employers, not a self-reported salary site or a jobs-board average of advertised (rather than actually paid) salaries. Figures are gross pay, before federal/state tax and FICA — gross pay is what's actually comparable across employers and states; take-home pay depends on each person's own tax situation and state of residence.
US occupations are classified under the US Standard Occupational Classification (SOC) system, matched to the closest UK SOC 2020 equivalent for the comparison elsewhere on this page — that pairing is our own editorial best match, not an official government cross-reference. See About & methodology for the full data-sourcing notes that apply across every page on this site.
Frequently Asked Questions
What is the average salary for a nurse midwives in the US?
The US national median wage for nurse midwives is $134,040 per year (gross, before tax), based on BLS Occupational Employment and Wage Statistics (May 2025).
What is the pay range for nurse midwives in the US?
Pay ranges from $93,620 at the 10th percentile to $188,320 at the 90th percentile. This difference typically reflects experience level, employer size, and location.
Which US states pay nurse midwives the most?
The highest-paying states for nurse midwives include California ($203,840), Hawaii ($170,110), Massachusetts ($159,800). Pay varies by state due to cost of living, local demand and industry concentration.
How much does nurse midwives salary vary by state?
The gap between the highest- and lowest-paying states is significant — California ($203,840) pays roughly 181% more than North Dakota ($72,630). Check the state breakdown above for the exact figure in your location.
How does nurse midwives pay compare between the US and UK?
The UK equivalent role (Midwifery Nurses) has a national median of £39,327. Figures are shown in local currency rather than converted, since cost of living and tax systems differ enough between the two countries that a straight currency conversion would be misleading.
← Back to the UK-focused midwifery nurses salary page
Data: BLS OES, May 2025 · ONS ASHE Table 14/15, 2025 provisional · Page built 2026-10-25