Occupational Therapists
Median $100,330
Occupation · SOC 29-1161
What nurse midwives earn in the U.S., how pay varies across workers and states, and tools to plan around it.
$134,040 median annual wage
Source: U.S. Bureau of Labor Statistics, OEWS May 2025 (released 2026-05-15), SOC 29-1161.
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The median annual wage for nurse midwives was $134,040 in May 2025, so half of workers earned more and half earned less. The lowest-paid 10% earned less than $93,620 and the highest-paid 10% more than $188,320. As an hourly rate, the median is $64.44. About 7,920 people work in this occupation nationwide. The highest state medians are in California ($203,840), Hawaii ($170,110) and Massachusetts ($159,800). California also comes out on top after taxes and local prices.
What each step of the pay range for nurse midwives looks like per month. Take-home here includes federal tax, Social Security and Medicare for a single filer; add your state in the paycheck calculator.
| Step | Annual | Hourly | Monthly gross | Monthly after federal tax & FICA |
|---|---|---|---|---|
| 10th percentile | $93,620 | $45.01 | $7,802 | $6,224 |
| 25th percentile | $116,510 | $56.01 | $9,709 | $7,566 |
| Median | $134,040 | $64.44 | $11,170 | $8,574 |
| 75th percentile | $157,400 | $75.67 | $13,117 | $9,904 |
| 90th percentile | $188,320 | $90.54 | $15,693 | $11,665 |
39 states and territories have a published median, sorted from highest to lowest. The last two columns are our estimates: the median after 2026 federal and state taxes, and that take-home restated in national-average prices.
$120,329 take-home in national prices
$111,818 take-home in national prices
$110,197 take-home in national prices
Where a median nurse midwive paycheck goes furthest after 2026 taxes and BEA price levels.
| State | Employment | Median | 10th pct. | 90th pct. | Median after tax* | In national prices† |
|---|---|---|---|---|---|---|
| California | 870 | $203,840 | $140,970 | $227,590 | $133,229 | $120,329 |
| Hawaii | Not published | $170,110 | $125,720 | $193,780 | $115,914 | $105,423 |
| Massachusetts | 280 | $159,800 | $120,230 | $204,000 | $111,984 | $105,888 |
| Washington | 170 | $158,970 | $73,320 | $175,100 | $117,717 | $110,002 |
| New Jersey | 120 | $153,970 | $134,400 | $193,760 | $108,049 | $99,306 |
| Vermont | 60 | $151,030 | $126,090 | $169,170 | $106,879 | $109,107 |
| Oregon | 240 | $146,900 | $129,910 | $161,180 | $98,292 | $95,096 |
| New York | 360 | $144,510 | $104,860 | $177,240 | $102,110 | $94,615 |
| New Hampshire | 60 | $142,960 | $78,680 | $164,930 | $108,979 | $104,622 |
| Arizona | 80 | $140,960 | $101,160 | $258,680 | $104,482 | $103,779 |
| Maryland | 240 | $140,120 | $127,340 | $166,910 | $100,517 | $95,768 |
| Nebraska | Not published | $138,880 | $130,370 | $138,880 | $100,751 | $111,818 |
| Colorado | 180 | $137,610 | $124,970 | $161,460 | $99,371 | $96,428 |
| Virginia | Not published | $135,710 | $108,110 | $164,450 | $97,035 | $95,975 |
| Rhode Island | 80 | $135,180 | $117,100 | $168,300 | $97,742 | $95,564 |
| Minnesota | 410 | $134,810 | $110,050 | $158,440 | $95,066 | $96,395 |
| Alaska | 60 | $133,430 | $111,400 | $175,290 | $102,194 | $99,839 |
| Maine | 50 | $133,270 | $110,900 | $144,730 | $93,718 | $96,567 |
| Wisconsin | 200 | $133,070 | $87,990 | $156,490 | $95,829 | $101,843 |
| Iowa | 80 | $131,360 | $81,620 | $158,930 | $96,711 | $110,197 |
| Utah | 140 | $130,930 | $59,340 | $169,440 | $94,930 | $96,021 |
| Connecticut | 150 | $130,790 | $122,870 | $147,440 | $93,410 | $90,155 |
| Missouri | 80 | $130,220 | $89,860 | $154,560 | $95,088 | $104,703 |
| Ohio | 180 | $127,730 | $105,110 | $143,250 | $95,494 | $102,931 |
| Delaware | Not published | $127,510 | $102,680 | $153,610 | $90,834 | $91,009 |
| Florida | 460 | $127,460 | $49,780 | $146,590 | $98,385 | $95,137 |
| North Carolina | 240 | $126,040 | $97,830 | $155,340 | $92,894 | $98,482 |
| Michigan | 430 | $125,140 | $104,370 | $142,430 | $91,731 | $95,338 |
| Texas | 290 | $123,380 | $90,260 | $153,100 | $95,596 | $98,495 |
| New Mexico | 50 | $123,350 | $61,430 | $150,340 | $90,862 | $98,536 |
| South Carolina | 100 | $122,390 | $90,880 | $151,590 | $89,509 | $95,477 |
| Illinois | 280 | $120,840 | $58,200 | $156,920 | $88,004 | $88,041 |
| Pennsylvania | 320 | $119,990 | $77,620 | $158,520 | $89,475 | $91,702 |
| Louisiana | 60 | $119,280 | $96,680 | $134,640 | $89,551 | $101,524 |
| Tennessee | 330 | $116,980 | $93,620 | $135,410 | $91,125 | $99,190 |
| Georgia | 300 | $105,510 | $86,290 | $164,300 | $78,540 | $81,563 |
| Indiana | 170 | $101,630 | $101,630 | $145,100 | $77,358 | $82,888 |
| District of Columbia | 70 | $101,450 | $92,250 | $150,640 | $74,545 | $67,830 |
| North Dakota | Not published | $72,630 | $71,200 | $163,860 | $59,768 | $67,186 |
Source: U.S. Bureau of Labor Statistics, OEWS May 2025 (released 2026-05-15), SOC 29-1161. *Our estimate for a single filer paid biweekly with no pre-tax deductions or local tax, 2026 federal and state rules. †Take-home ÷ BEA Regional Price Parity × 100 (2024 price levels).