StateRates

Nurse Midwives salary by state

The median nurse midwives in the United States earned $128,790 a year in 2024, about $61.92 an hour. Across the 22 states reporting the occupation, pay runs from $196,700 in California down to $97,380 in Tennessee.

Healthcare practitioners SOC 29-1161

National median $128,790 $61.92 per hour
Highest paying state $196,700 California
Lowest paying state $97,380 Tennessee
Employed 6,810 across 22 states

What the spread means

Pay for this occupation varies enormously by location. California pays roughly 2 times what Tennessee does for the same job title, which is a wider gap than most occupations show and usually points to differences in licensing, unionisation or the industries that employ these workers in each state.

A high median is not automatically a better deal. States that pay well for this work are frequently expensive places to live, and the same salary buys very different amounts of housing and energy depending on where it is earned. The state pages linked below carry electricity, gas and housing figures for the same places.

Where the work is concentrated

Location quotient compares how common an occupation is in a state against how common it is nationally. A value of 2 means the state employs twice the national share of these workers. It is a better guide to where the jobs actually are than the raw count, which mostly tracks state population.

Most concentrated states, 2024
State Concentration Employed Median pay
Florida 1.63× 860 $115,440
Pennsylvania 1.63× 530 $107,740
Georgia 1.47× 380 $125,830
North Carolina 1.32× 350 $121,490
New York 0.96× 490 $137,860

Every state

Nurse Midwives pay by state, 2024
# State Median salary Hourly 10th pct 90th pct Employed vs U.S.
1 California $196,700 $94.57 $111,800 $226,840 880 + 52.7%
2 Massachusetts $155,710 $74.86 $127,950 $225,190 190 + 20.9%
3 Washington $145,000 $69.71 $105,990 $205,640 150 + 12.6%
4 Utah $138,020 $66.36 $78,270 $179,250 100 + 7.2%
5 New York $137,860 $66.28 $108,970 $173,130 490 + 7%
6 New Jersey $135,680 $65.23 $106,630 $161,010 190 + 5.3%
7 Colorado $132,670 $63.78 $47,960 $154,750 210 + 3%
8 Maryland $129,910 $62.46 $116,190 $159,650 260 + 0.9%
9 Indiana $129,010 $62.02 $110,770 $165,000 100 + 0.2%
10 Minnesota $127,180 $61.14 $85,560 $157,660 260 -1.3%
11 Georgia $125,830 $60.50 $97,760 $159,250 380 -2.3%
12 Connecticut $124,530 $59.87 $109,110 $147,350 100 -3.3%
13 Oregon $123,080 $59.18 $69,340 $159,480 270 -4.4%
14 Ohio $121,720 $58.52 $105,790 $148,630 150 -5.5%
15 North Carolina $121,490 $58.41 $94,310 $143,100 350 -5.7%
16 New Mexico $118,650 $57.04 $37,290 $144,930 130 -7.9%
17 Michigan $116,810 $56.16 $94,320 $142,440 270 -9.3%
18 Florida $115,440 $55.50 $45,930 $141,010 860 -10.4%
19 Illinois $114,420 $55.01 $52,660 $143,630 310 -11.2%
20 Texas $111,190 $53.46 $80,890 $146,030 370 -13.7%
21 Pennsylvania $107,740 $51.80 $74,670 $152,890 530 -16.3%
22 Tennessee $97,380 $46.82 $89,710 $130,780 260 -24.4%

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024 state estimates. Retrieved 2026-09-09. Figures cover wage and salary workers and exclude the self-employed. Methodology

Frequently asked questions

How much does a nurse midwives make?

The national median is $128,790 a year, or about $61.92 an hour, as of the 2024 Occupational Employment and Wage Statistics survey. Half of workers in the occupation earn more than that and half earn less.

Which state pays nurse midwivess the most?

California, at a median of $196,700. Massachusetts ($155,710) and Washington ($145,000) follow. Pay that looks high often reflects a high cost of living rather than a better deal, so it is worth reading alongside what housing and energy cost in the same state.

How many people work as nurse midwivess?

About 6,810 across the states reporting the occupation, against a national estimate of 8,280.

Is this figure a salary or an hourly rate?

Both are published. BLS surveys employers rather than workers, so these are wages paid rather than wages reported by employees, and they exclude self-employed people. Annual figures for occupations that are typically part-time or seasonal should be read with that in mind.