Certified Nurse Midwife (CNM) Salary Guide

5 Min Read Published June 14, 2023
Certified Nurse-Midwife Salary Guide 2024

A Certified Nurse-Midwife (CNM) is a type of advanced practice registered nurse (APRN) that provides healthcare to women throughout the entire course of their lives. What nurse midwives do varies widely from day to day but often includes family planning, gynecological checkups, and prenatal care. 

Read this comprehensive certified nurse-midwife salary guide to learn more about average salaries, CNM salary by state, and ways to increase your earning potential.

What is the Average Certified Nurse-Midwife (CNM) Salary?

The average certified nurse midwife salary in the US is $120,880 per year or $58.12 per hour, per the US Bureau of Labor Statistics (BLS). ZipRecruiter reports that CNMs earn between $94,500 and $115,000 annually, though the top 90% of earners can make up to  $162,000.

Certified Nurse-Midwife Salary by City and State

Highest Paying Cities for Nurse Midwives

City Annual Salary Hourly Wage
Berkeley, CA $140,206 $67.41
Renton, WA $138,724 $66.69
Santa Monica, CA $137,786 $66.24
Merced, CA $137,467 $66.09
Boston, MA  $135,689 $65.24
Daly City, CA $135,560 $65.17
San Mateo, CA $134,819 $64.82
Scottsbluff, NE $133,304 $64.09
Irvine, CA $131,269 $63.11
Tacoma, WA $131,194 $63.07

Via: ZipRecruiter 

Certified Nurse-Midwife Salary By State

State Annual Salary Hourly Wage
Massachusetts $135,138 $64.97
Hawaii $133,368 $64.12
Oregon $132,022 $63.47
Alaska $130,204 $62.60
South Dakota $126,462 $60.80
Maryland $121,495 $58.41
Washington $121,194 $58.27
Rhode Island $119,517 $57.46
New York $118,405 $56.93
Virginia $118,091 $56.77
Kentucky $116,769 $56.14
Colorado $116,328 $55.93
Nebraska $113,997 $54.81
California $113,847 $54.73
Nevada $113,170 $54.41
Vermont $112,303 $53.99
Tennessee $111,467 $53.59
Connecticut $109,841 $52.81 
Missouri $109,316 $52.56
Arizona $109,026 $52.42
Illinois $108,979 $52.39
New Jersey $108,681 $52.25
Michigan $108,386 $52.11
Wyoming $108,185 $52.01
Idaho $107,840 $51.85
Delaware $105,707 $50.82
Oklahoma $105,112 $50.54
Montana $104,119 $50.06
Arkansas $104,098 $50.05
West Virginia $104,036 $50.02
Maine $103,185 $49.61
Texas $102,912 $49.48
North Carolina $102,208 $49.14
Minnesota $102,004 $49.04
Pennsylvania $101,562 $48.83
Wisconsin $101,165 $48.64
North Dakota $101,157 $48.63
Ohio  $100,947 $48.53
Indiana $98,433 $47.32
Iowa $97,037 $46.65
New Hampshire $96,830 $46.55
New Mexico $96,031 $46.17
Alabama $95,397 $45.86
Utah $94,824 $45.59
South Carolina $93,994 $45.19
Kansas $93,715 $45.06
Mississippi $91,744 $44.11
Florida $89,452 $43.01
Georgia $87,372 $42.01
Louisiana $85,787 $41.24

Via: ZipRecruiter

>> Show Me Online Nurse Midwifery Programs

Certified Nurse-Midwife Salary Factors

Nurse-Midwife Salary by Years of Experience

Certified nurse-midwives often earn higher salaries the longer they work in their positions. On average, CNM salary increases by years of experience are as follows:

  1. Less than 1 year of experience: $95,007 per year
  2. 1-4 years of experience: $100,870 per year
  3. 5-9 years of experience: $107,189 per year
  4. 10-19 years of experience: $110,176 per year
  5. 20 or more years of experience: $119,653 per year

Via: Payscale

>> Related: Certified Nurse Midwife Meaning

Certified Nurse-Midwife Salary by Work Setting

Generally, nurse-midwives work in hospitals and earn the highest wages. However, they can work in a variety of other locations, such as:

  • Birthing centers
  • Private practice
  • Academia
  • Home care
  • Public health clinic
  • Health department
  • Military hospital

CNM salary also differs based on these locations. The BLS reports different CNM salaries based on work location as follows:

  • Hospitals; state, local, and private: $128,190 per year
  • Outpatient care centers: $128,190 per year
  • Offices of physicians: $121,280 per year
  • Offices of other health practitioners: $104,790 per year
  • Educational services; state, local, and private: $102,680 per year

How to Increase Your CNM Salary

You can increase your certified nurse-midwife salary in a few different ways:

  1. Earn a midwifery certification from the American Midwifery Certification Board
  2. Working nights or weekends, where you are paid a higher per-hour wage.
  3. Work per diem or become a locum tenens
  4. Train to be a preceptor for new hires
  5. Pick up over time on your unit or throughout the hospital, if needed

>> Show Me Online Nurse Midwifery Programs

Is Becoming a Nurse-Midwife Worth it?

The cost of nursing school can be overwhelming; however, with scholarships, loans, and tuition reimbursement, it is feasible for anyone that is interested in the field. 

Becoming a nurse-midwife costs more than becoming a registered nurse because it is an advanced practice degree. Nurses are required to attend graduate school and earn a master’s degree.  

>> Related: Top Certified Nurse Midwife Programs 

How Much Does it Cost to Become a Nurse-Midwife?

First, there is not one set cost for nursing school, but you can expect to spend anywhere from thousands for a shorter degree program to as high as over $80,000 and even sometimes $100,000 for private or Ivy League nursing programs. This is only for your BSN.

There is a multitude of factors that affect the cost of a nursing program, including, but not limited to:

  • Full-time or part-time status
  • Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN)
  • RN to BSN bridge program
  • Community college vs. state college vs. private college
  • Books
  • Nursing Uniforms
  • Lab Fees
  • Transportation to classes and clinical sites

After obtaining your BSN, you will need to attend an accredited master’s level degree program. You can expect to spend more on a midwifery program than your BSN. Programs typically cost $75,000 to $150,000, depending on the institution. 

Regardless of the cost, nurse midwifery is a rewarding career, and it is worth taking the risk. While the typical college student will leave school with debt, there are ways for it to be paid back by the government, hospital, or military. It’s important to speak to a counselor or hospital HR department regarding options. 

>> Show Me Online Nurse Midwifery Programs

CNM Salary vs Other Specialties

The average certified nurse-midwife salary is $114,210 a year or $54.91 per hour. Here’s how that compares to some other advanced practice nursing specialties:

Salaries via ZipRecruiter

Nurse Midwife FAQs

  • Are nurse-midwives in high demand?

    • According to the BLS, nurse midwives are expected to grow by 7% between 2021 and 2031, which is slightly faster than the average for all occupations.
  • What do nurse-midwives do?

    • Certified nurse midwives provide holistic care for women from adolescents through menopausal age. Nurse-midwives provide family planning services, gynecological checkups, and pre-and post-natal care.  
  • Is becoming a midwife worth it?

    • Becoming a midwife is absolutely worth it. Midwives are an integral part of a woman’s healthcare team from puberty to menopause. Midwives collaborate with other healthcare professionals during pregnancy and help women during pivotal life moments
  • How stressful is midwifery?

    • Being a midwife can be very stressful, especially when delivering a baby. It is a high-pressure situation and not only is the mother’s life in their hands but so is the baby.


Kathleen Gaines
Kathleen Gaines
News and Education Editor

Kathleen Gaines (nee Colduvell) is a nationally published writer turned Pediatric ICU nurse from Philadelphia with over 13 years of ICU experience. She has an extensive ICU background having formerly worked in the CICU and NICU at several major hospitals in the Philadelphia region. After earning her MSN in Education from Loyola University of New Orleans, she currently also teaches for several prominent Universities making sure the next generation is ready for the bedside. As a certified breastfeeding counselor and trauma certified nurse, she is always ready for the next nursing challenge.

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