Who Earns What

How much does a midwife make?

US Nurse Midwives
$134,040

a year · about $64 an hour

A typical midwife in the United States makes $134,040 a year, about $64 an hour, about 2.6× a typical US worker (median, May 2025, US Bureau of Labor Statistics).

What do they do?

At a clinic, a midwife checks a pregnant patient, listens to the baby's heartbeat, and answers questions. If labor starts, they may support the birth at a hospital, then check the parent and baby and record care.

Did you know? In the U.S., nurse midwives can care for healthy newborns during their first 28 days and provide primary care from adolescence through later life—not just around birth.

Is that a lot?

Compared with jobs you know
This job$134,040
Typical worker$50,980
Elementary teacher$63,970
Doctor$244,180
Cashier$32,880

If 100 people had this job

Most earn between $93,620 and $188,320
55 of 100
more than half

How do you become one?

In the U.S., first earn a bachelor's degree and become an RN, then finish an ACME-accredited graduate midwifery program. Pass the national AMCB exam and get a license in the state where you will work.

School needed: Graduate degree or long training

Good for people who like helping and teaching and figuring things out

Why does pay differ?

In the United States, experience and extra qualifications can affect a nurse midwife’s pay. Pay also differs by workplace and state; BLS data show differences among hospitals, outpatient centers, and states.

Where does it pay most?

Highest in California ($203,840), lowest in North Dakota ($72,630).

See every state
Whole US$134,040
California$203,840
Hawaii$170,110
Massachusetts$159,800
Washington$158,970
New Jersey$153,970
Indiana$101,630
District of Columbia$101,450
North Dakota$72,630

Top 5 and bottom 3 states, typical (median) yearly pay.

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Kids' questions

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Who earns more?

In Japan, a midwife averages $37,780. Midwife salary in Japan

Data table and sources
Midwife pay in the United States (May 2025, median and spread) — Data: US BLS OEWS, May 2025
Lower earner (10th from bottom)Typical person (median)Higher earner (10th from top)People in this job
$93,620$134,040$188,320about 8,000
States where midwifes earn the most (median, May 2025)
StateTypical person (median)People in this job
California$203,840about 870
Hawaii$170,110—
Massachusetts$159,800about 280
Washington$158,970about 170
New Jersey$153,970about 120

Official definition: 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.

Source: US Bureau of Labor Statistics, OEWS May 2025 (bls.gov); descriptions and related jobs from O*NET 31.0. Figures as of May 2025, full-time yearly pay (hourly × 2,080 hours). bls.gov/oes · O*NET OnLine

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Data: US BLS OEWS, May 2025 · 1 USD = 150 JPY