Healthcare Practitioners and Technical

Nurse Midwife Salary (2026), outlook and how to become one

Diagnose and coordinate all aspects of the birthing process, either independently or as part of a healthcare team.

Median pay
$134,040
Growth to 2035
+11.5%
Openings a year
400
Typical entry
Master's

The median pay for Nurse Midwives is $134,040 a year ($64.44/hr), according to BLS OEWS, May 2025. Employment is projected to grow 11.5% through 2035, with about 400 openings a year (BLS EP, 2025–2035). Typical entry-level education: Master's degree.

  • SOC 29-1161
  • Healthcare Practitioners and Technical
  • Last updated October 9, 2026

At a glance

Nurse Midwife in four numbers

Median pay
$134,040a year, or $64.44/hr
Lowest 10% $94KTop 10% $188K

US median, all jobs: $50,980

BLS OEWS, May 2025
Projected growth
+11.5%Much faster than average
This career
+11.5%
All jobs
+3.5%
Projected employment change, 2025–2035
ItemValue
This career+11.5%
All jobs+3.5%
BLS EP, 2025–2035
Openings a year
4008,200 jobs today
  • Jobs in 20258.2K
  • Projected 20359.1K
Employment, 2025–2035
ItemValue
Jobs in 20258.2K
Projected 20359.1K
BLS EP, 2025–2035
Typical education
Master'sneeded to enter
  • Post-bacc certificate3.1%
  • Master's81.3%
  • Post-master’s certificate15.6%
Highest education held by nurse midwives
SegmentValue
Post-bacc certificate3.1%
Master's81.3%
Post-master’s certificate15.6%
BLS EP, 2025–2035; mix: O*NET

Also advertised as: Certified Nurse-Midwife (CNM), Nurse Midwife, Staff Certified Nurse Midwife, Staff Nurse Midwife.

Pay

How much do Nurse Midwives make?

Annual pay, lowest-paid to highest-paid

Every nurse midwife in the US, by percentile of annual wage

Median

$134,040

Middle half earn $116,510 to $157,400

10th
$93,620
25th
$116,510
75th
$157,400
90th
$188,320

All US occupations: $50,980

Nurse Midwife annual wages
PercentileValue
10th$93,620
25th$116,510
Median$134,040
75th$157,400
90th$188,320
All US occupations$50,980

Source: BLS OEWS, May 2025

Median annual wage
$134,040
Median hourly wage
$64.44/hr
Mean annual wage
$136,980
People employed
7,920

Versus all US occupations

At $134,040, Nurse Midwives earn 163% above the $50,980 median across all US occupations, a difference of $83,060 a year.

Versus healthcare practitioners and technical occupations

Inside the Healthcare Practitioners and Technical group, where the middle occupation pays $102,760, this is 30% above the group median.

Pay range

The top 10% earn $188,320 or more while the bottom 10% earn $93,620, a gap of 2.0×. That is a typical spread for a US occupation.

Rank in the bank

This median pays more than 89% of the 1,741 occupations in the NueCareer career bank.

Highest-paying state

California pays the most at $203,840, and still leads at $184,104 once local prices are taken into account.

Pay by state

Which states pay Nurse Midwives the most?

State medians come from the same OEWS release as the national figures. The cost-of-living column divides each state median by that state's BEA Regional Price Parity, restating pay in national-average dollars so a high-cost state and a low-cost one can be compared directly.

Top 10 states by median annual wage for Nurse Midwives
StateMedianCOL-adjustedEmployed
1California$203,840$184,104870
2Hawaii$170,110$154,714N/A
3Massachusetts$159,800$151,101280
4Washington$158,970$148,552170
5New Jersey$153,970$141,510120
6Vermont$151,030$154,17860
7Oregon$146,900$142,123240
8New York$144,510$133,904360
9New Hampshire$142,960$137,24460
10Arizona$140,960$140,01280

Job outlook

Is Nurse Midwife a growing career?

Projected change in jobs

Employment change over 2025–2035, against every US occupation

Nurse Midwives
+11.5%
All US occupations
+3.5%

Much faster than average. +11.5% projected growth vs 3.5% for all occupations.

Projected employment change, 2025–2035
ItemValue
Nurse Midwives+11.5%
All US occupations+3.5%

Source: BLS EP, 2025–2035

Much faster than average

BLS projects employment of Nurse Midwives to change 11.5% over 2025–2035, roughly 3.3× the 3.5% projected for all occupations. That is 900 more jobs.

Annual openings

About 400 openings are projected each year, 4.9% of the 8,200 jobs that existed in 2025. Most come from workers leaving the occupation, not from growth alone.

Overall employment of nurse anesthetists, nurse midwives, and nurse practitioners is projected to grow 36 percent from 2025 to 2035, much faster than the average for all occupations.

Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.

Employment growth is projected to occur because of an increase in the demand for healthcare services. Several factors will likely contribute to this demand; the most important contributors include the aging population and growing prevalence of chronic disease.

Advanced practice registered nurses (APRNs) perform many of the same services as physicians. APRNs will increasingly be used in team-based models of care, particularly in hospitals, offices of physicians, clinics, and other ambulatory care settings, where they will likely be needed to provide preventive, primary, and acute care.

Getting in

How to become a Nurse Midwife

Nurse anesthetists, nurse midwives, and nurse practitioners, also referred to as advanced practice registered nurses (APRNs), must have at least a master’s degree in their specialty role. APRNs also must be licensed registered nurses in their state, pass a national certification exam, and have a state APRN license.

  1. 1

    Typical entry-level education

    Master's degree

  2. 2

    Work experience in a related occupation

    None

  3. 3

    Typical on-the-job training

    None

  4. 4

    Preparation needed (O*NET job zone)

    Considerable preparation

BLS Employment Projections, 2025–2035; job zone from O*NET 31.0 Database.

What education people in the job have

O*NET incumbent survey: the highest level of education reported by people already working as nurse midwives.

  • Master's Degree81.3%
  • Post-Master's Certificate15.6%
  • Post-Baccalaureate Certificate3.1%
Highest education held by nurse midwives
ItemValue
Master's Degree81.3%
Post-Master's Certificate15.6%
Post-Baccalaureate Certificate3.1%

Source: O*NET 31.0 Database

Full BLS Occupational Outlook Handbook entry

The work

What does a Nurse Midwife do?

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.

Nurse anesthetists, nurse midwives, and nurse practitioners, also referred to as advanced practice registered nurses (APRNs), coordinate patient care and may provide primary and specialty healthcare. The scope of practice varies from state to state.

Day-to-day tasks

  1. Provide prenatal, intrapartum, postpartum, or newborn care to patients.
  2. Monitor fetal development by listening to fetal heartbeat, taking external uterine measurements, identifying fetal position, or estimating fetal size and weight.
  3. Document patients' health histories, symptoms, physical conditions, or other diagnostic information.
  4. Provide patients with direct family planning services, such as inserting intrauterine devices, dispensing oral contraceptives, and fitting cervical barriers, including cervical caps or diaphragms.
  5. Prescribe medications as permitted by state regulations.
  6. Develop and implement individualized plans for health care management.
  7. Explain procedures to patients, family members, staff members or others.
  8. Order and interpret diagnostic or laboratory tests.

O*NET core tasks, ordered by reported importance.

Working conditions and hours

Most APRNs work full time. In physicians’ offices, APRNs typically work during normal business hours. In hospitals and other healthcare facilities, they may work in shifts, including nights, weekends, and holidays, to provide round-the-clock patient care. Some APRNs, especially those who work in critical care or those who deliver babies, also may need to be on call.

Where the work happens

  • Indoors, climate-controlled

    NeverEvery day

    Indoors, in a climate-controlled space, every day.

  • Outdoors in all weather

    NeverEvery day

    Almost never works outdoors.

Physical demands

  • Sitting

    NeverAlmost all the time
  • Standing

    NeverAlmost all the time
  • Bending or twisting

    NeverAlmost all the time

Working with people

  • Contact with other people

    NoneConstant

    Constant contact with other people.

  • Face-to-face discussions

    NeverEvery day

    Face-to-face discussions every day.

  • Dealing with the public

    Not importantExtremely important

    Dealing with customers or the public is very important.

Pressure and stakes

  • Strict deadlines

    NeverEvery day
  • Conflict situations

    NeverEvery day

    Handling conflict situations at least monthly.

  • Cost of a mistake

    Not seriousExtremely serious

    Mistakes carry very serious consequences.

Autonomy

  • Freedom to decide

    NoneA lot

    A lot of freedom to make decisions without checking first.

Schedules: BLS Occupational Outlook Handbook, 2025–2035 edition. Conditions: O*NET Work Context survey. Each item has its own scale, so each dot is read against the two answers that end its own line.

Core skills

O*NET importance, 1 to 5

  • Active Listening4.1
  • Speaking4.1
  • Critical Thinking4.1
  • Reading Comprehension4.0
  • Active Learning4.0
  • Monitoring4.0
  • Writing3.9
  • Learning Strategies3.3
Core skills for Nurse Midwives
ItemValue
Active Listening4.1
Speaking4.1
Critical Thinking4.1
Reading Comprehension4.0
Active Learning4.0
Monitoring4.0
Writing3.9
Learning Strategies3.3

Source: O*NET 31.0 Database

Transferable skills

O*NET importance, 1 to 5

  • Social Perceptiveness4.1
  • Coordination3.9
  • Service Orientation3.9
  • Complex Problem Solving3.9
  • Judgment and Decision Making3.8
  • Instructing3.3
  • Systems Analysis3.1
  • Time Management3.1
Transferable skills for Nurse Midwives
ItemValue
Social Perceptiveness4.1
Coordination3.9
Service Orientation3.9
Complex Problem Solving3.9
Judgment and Decision Making3.8
Instructing3.3
Systems Analysis3.1
Time Management3.1

Source: O*NET 31.0 Database

Tools and software

  • Medical software · in demand
  • Office suite software · in demand
  • Spreadsheet software · in demand

“In demand” marks an O*NET Employer-Based Hot Technology, software named in real job postings for this occupation.

Personality fit

What personality type suits a Nurse Midwife?

Interest profile

O*NET Occupational Interests (RIASEC), scored 1 to 7

Nurse Midwife · Realistic: 3Nurse Midwife · Investigative: 4Nurse Midwife · Artistic: 2Nurse Midwife · Social: 6Nurse Midwife · Enterprising: 3Nurse Midwife · Conventional: 3
Nurse Midwife interest profile
AxisNurse Midwife
Realistic3
Investigative4
Artistic2
Social6
Enterprising3
Conventional3

Source: O*NET 31.0 Database

What the work is built around

Day to day this is work built around teaching, helping and working directly with other people, combined with investigating, analysing and solving problems with ideas and data.

  • Social6.0
  • Investigative4.3
  • Conventional3.4
  • Realistic3.2
  • Enterprising3.0
  • Artistic1.9

Closest MBTI types

NueCareer fit scores: cosine similarity between each MBTI type's interest vector and this occupation's O*NET interest profile. Not a BLS or O*NET figure; the method is documented on our methodology page.

Questions

Nurse Midwife: frequently asked questions

How much do Nurse Midwives make?

Nurse Midwives earn a median of $134,040 a year (BLS OEWS, May 2025). That is 163% above the $50,980 median for all US occupations. That works out at $64.44/hr. The middle half earn between $116,510 and $157,400. The top 10% earn $188,320 or more.

Do you need a degree to become a Nurse Midwife?

Yes. BLS reports a master's degree as the typical entry-level education for Nurse Midwives, and O*NET rates the preparation needed as considerable preparation. In O*NET's survey of people already doing the job, 81.3% hold master's degree.

Is Nurse Midwife a growing career?

Yes, strongly. Employment is projected to grow 11.5% over 2025–2035, more than double the 3.5% projected for all occupations (BLS EP, 2025–2035). BLS still projects about 400 openings a year, mostly from workers retiring or moving to other work.

What does a Nurse Midwife do?

Nurse anesthetists, nurse midwives, and nurse practitioners, also referred to as advanced practice registered nurses (APRNs), coordinate patient care and may provide primary and specialty healthcare. A core O*NET task: provide prenatal, intrapartum, postpartum, or newborn care to patients. Employers most often ask for Medical software, Office suite software, Spreadsheet software.

Which states pay Nurse Midwives the most?

The highest state medians for Nurse Midwives are California ($203,840), Hawaii ($170,110), Massachusetts ($159,800) (BLS OEWS, May 2025).

What personality type suits a Nurse Midwife?

O*NET scores Nurse Midwives highest on the Social, Investigative and Conventional interest areas, so the work mixes teaching, helping and working directly with other people with investigating, analysing and solving problems with ideas and data. On NueCareer's MBTI-to-interest mapping the closest types are ESFJ, ISFJ, ESFP. Personality is a fit signal, not a gate. The free NueCareer quiz scores your own profile against all 1,731 careers in the bank.