Nurse Midwife Salary: Pay and Take-Home by State
The typical (median) nurse midwife in the US earns $64.44 an hour, or $134,040 a year, according to Bureau of Labor Statistics estimates for 7,920 jobs (May 2025, occupation: nurse midwives). The middle half earn between $116,510 and $157,400 a year, and the top 10% earn more than $188,320.
After federal income tax, Social Security and Medicare, the median salary leaves a single filer about $102,883 a year ($8,574 a month) in a state with no income tax. Using each state's own median pay for this job, take-home is highest in California ($131,757 a year) and lowest in Indiana ($75,325).
Nurse Midwife pay range
| Pay level | Hourly | Yearly | Take-home a year* |
|---|---|---|---|
| Bottom 10% earn less than | $45.01 | $93,620 | $74,692 |
| 25th percentile | $56.01 | $116,510 | $90,795 |
| Median (half earn more) | $64.44 | $134,040 | $102,883 |
| 75th percentile | $75.67 | $157,400 | $118,849 |
| Top 10% earn more than | $90.54 | $188,320 | $139,983 |
The average (mean) is $136,980 a year ($65.86 an hour), above the median because a minority of high earners pull it up. *Take-home after federal income tax, Social Security and Medicare for a single filer in a state with no income tax (2026). Source: BLS Occupational Employment and Wage Statistics, May 2025, occupation 29-1161. Source
Nurse Midwife salary by state
The highest median pay for nurse midwifes is in California ($203,840), Massachusetts ($159,810), Washington ($158,970), New Jersey ($153,980), Vermont ($151,030). The lowest is in District of Columbia ($101,440), Indiana ($101,630), Georgia ($105,520).
The most nurse midwifes work in California (870), Florida (460), Michigan (430).
After each state's taxes, the most take-home at the local median is in California ($131,757), Washington ($117,717), Massachusetts ($112,602), New Hampshire ($108,979), New Jersey ($106,745). A state with no income tax can come out ahead of a state that pays more before tax.
Median pay in each state for this job (BLS, May 2025), and take-home at that pay. Take-home is after federal income tax, Social Security, Medicare and the state's income tax and payroll programs, for a single filer with a 2026 W-4 and no deductions. Local taxes are not included. *District of Columbia: federal taxes only (DC income tax is not modeled yet). Not shown, because BLS did not publish an estimate or it was flagged as unreliable: Delaware, Hawaii, Nebraska, North Dakota, Virginia.
| State | Median hourly | Median yearly | Take-home a year | Jobs |
|---|---|---|---|---|
| Alaska | $64.15 | $133,430 | $101,798 | 60 |
| Arizona | $67.77 | $140,960 | $104,793 | 80 |
| California | $98.00 | $203,840 | $131,757 | 870 |
| Colorado | $66.16 | $137,610 | $98,904 | 180 |
| Connecticut | $62.88 | $130,790 | $93,010 | 150 |
| District of Columbia | $48.77 | $101,440 | $80,193* | 70 |
| Florida | $61.28 | $127,460 | $98,385 | 460 |
| Georgia | $50.73 | $105,520 | $78,546 | 300 |
| Illinois | $58.09 | $120,830 | $87,998 | 280 |
| Indiana | $48.86 | $101,630 | $75,325 | 170 |
| Iowa | $63.16 | $131,370 | $96,599 | 80 |
| Louisiana | $57.35 | $119,290 | $89,462 | 60 |
| Maine | $64.07 | $133,270 | $93,604 | 50 |
| Maryland | $67.37 | $140,130 | $96,324 | 240 |
| Massachusetts | $76.83 | $159,810 | $112,602 | 280 |
| Michigan | $60.16 | $125,130 | $91,725 | 430 |
| Minnesota | $64.81 | $134,800 | $94,228 | 410 |
| Missouri | $62.61 | $130,230 | $95,104 | 80 |
| New Hampshire | $68.73 | $142,960 | $108,979 | 60 |
| New Jersey | $74.03 | $153,980 | $106,745 | 120 |
| New Mexico | $59.30 | $123,340 | $90,461 | 50 |
| New York | $69.48 | $144,520 | $101,264 | 360 |
| North Carolina | $60.59 | $126,030 | $92,779 | 240 |
| Ohio | $61.41 | $127,730 | $95,021 | 180 |
| Oregon | $70.62 | $146,890 | $98,140 | 240 |
| Pennsylvania | $57.69 | $120,000 | $89,482 | 320 |
| Rhode Island | $64.99 | $135,180 | $96,621 | 80 |
| South Carolina | $58.84 | $122,390 | $88,982 | 100 |
| Tennessee | $56.24 | $116,980 | $91,125 | 330 |
| Texas | $59.32 | $123,390 | $95,603 | 290 |
| Utah | $62.95 | $130,940 | $94,940 | 140 |
| Vermont | $72.61 | $151,030 | $106,437 | 60 |
| Washington | $76.43 | $158,970 | $117,717 | 170 |
| Wisconsin | $63.97 | $133,060 | $95,489 | 200 |
Overtime and pay rules for nurse midwifes
Many nurse midwifes are salaried and exempt from overtime as professional employees, which requires both professional duties and a salary of at least $684 a week (the federal standard salary level). An exempt employee is not owed overtime for extra hours, so there is no overtime to deduct. If you are paid by the hour, overtime rules apply. Source Source At this pay, a traditional 401(k), an HSA and other pre-tax benefits are usually the biggest tax savers.
How the exemptions work across jobs: who gets overtime pay.
Taxes on a nurse midwife's pay
On the median $134,040, federal income tax, Social Security and Medicare take about 23.2% of pay for a single filer: $20,903 of income tax and $10,254 of Social Security and Medicare a year.
Tax bracket. After the $16,100 standard deduction, taxable income is $117,940, so the top federal rate is 24%. Each extra dollar from a raise or extra shifts is taxed at about 31.65% before state tax: 24% income tax plus 7.65% Social Security and Medicare. Source
401(k). Putting 5% ($6,702 a year) into a traditional 401(k) lowers federal income tax by about $1,608, so it costs about $5,094 of take-home pay.
Self-employed or contract work
BLS pay figures cover employees only; self-employed nurse midwifes are not counted. If you work as a contractor (1099), you pay both halves of Social Security and Medicare (15.3% self-employment tax) and usually make quarterly estimated payments. Use the 1099 Tax Calculator to see what to set aside, and see 1099 vs W-2 take-home pay for how much more a contractor needs to earn.
Jobs with similar pay
| Job | Median yearly | Median hourly |
|---|---|---|
| Optometrist | $136,570 | $65.66 |
| Software Engineer (Developer) | $135,980 | $65.38 |
| Physician Assistant | $135,880 | $65.33 |
| Nurse Practitioner | $132,300 | $63.61 |
| Veterinarian | $130,100 | $62.55 |
For a full breakdown of a similar wage, see $65 an hour is how much a year.
Nurse Midwife salary questions
How much does a nurse midwife make?
The median pay is $64.44 an hour, or $134,040 a year (May 2025, Bureau of Labor Statistics). The bottom 10% earn less than $93,620 and the top 10% more than $188,320.
How much does a nurse midwife make after taxes?
About $102,883 a year, or $3,957 every two weeks, on the median salary for a single filer in a state with no income tax. In Indiana, at that state's own median pay, it is about $75,325.
How much does a nurse midwife make a month?
About $11,170 a month before taxes at the median salary, and roughly $8,574 after federal taxes in a state with no income tax.
Which state pays nurse midwifes the most?
California, with a median of $203,840 a year ($98 an hour). Next are Massachusetts ($159,810) and Washington ($158,970). After state taxes, take-home at the local median is highest in California.
How much does a nurse midwife make an hour?
The median is $64.44 an hour. The middle half earn $56.01 to $75.67, and the top 10% more than $90.54.
Do nurse midwifes get paid overtime?
Many nurse midwifes are salaried and exempt from overtime as professional employees, which requires both professional duties and a salary of at least $684 a week (the federal standard salary level). An exempt employee is not owed overtime for extra hours, so there is no overtime to deduct. If you are paid by the hour, overtime rules apply. At this pay, a traditional 401(k), an HSA and other pre-tax benefits are usually the biggest tax savers.
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All jobs · Hourly to salary chart. BLS data published 2026, reference period May 2025; tax figures checked Oct 26, 2026.