Certified Nurse Midwife (CNM) Salary in 2025

Certified Nurse Midwives (CNMs) continue to be in high demand in 2025, as healthcare systems emphasize holistic, patient-centered care for women and families. If you’re considering a career as a CNM or are already in the field, understanding your earning potential is crucial. This guide breaks down the average CNM salary in 2025, what affects it, and what to expect moving forward.

Average CNM Salary in 2025

As of 2025, the average salary for a Certified Nurse Midwife in the United States ranges between $103,000 and $135,000 per year. The median salary sits around $118,000 annually, reflecting a steady increase over the past few years due to rising demand and expanded roles in reproductive healthcare.

Salary by Experience Level

Experience is one of the most significant factors impacting CNM salary. Here’s a general breakdown:

Entry-Level (0–2 years): $90,000 – $105,000
Mid-Level (3–5 years): $106,000 – $120,000
Experienced (6–10 years): $121,000 – $132,000
Senior-Level (10+ years): $133,000 – $145,000+

With experience, CNMs may also transition into leadership roles, research, or education, which can further increase earnings.

Factors Influencing CNM Salary

Several variables can impact a Certified Nurse Midwife’s earnings:

1. Location

CNMs in states like California, New York, and Massachusetts tend to earn at the higher end of the pay scale.
Rural areas may offer incentives or bonuses due to limited healthcare provider availability.

2. Type of Employer

Hospitals and birthing centers: Typically offer higher salaries and benefits.
Private practices or clinics: May offer lower base pay but greater scheduling flexibility.
Academic or teaching institutions: Often provide stability and retirement benefits.

3. Certifications and Education

Holding additional certifications, such as Certified Midwife (CM) or Advanced Practice Registered Nurse (APRN), can lead to better pay.
Earning a Doctor of Nursing Practice (DNP) may open doors to higher-paying leadership roles.

4. Shift Differentials and On-Call Pay

Working night shifts, weekends, or being on-call often comes with additional compensation, impacting take-home pay.

Example: Take-Home Pay for a $103,000 Salary

Let’s break down the estimated monthly take-home pay for a CNM earning $103,000 annually (before taxes):

Federal Taxes & Social Security (approx.): ~$20,000/year
State Taxes (varies): ~$3,000–$6,000/year
Net Salary: ~$75,000–$80,000/year
Monthly Take-Home Pay: ~$6,200–$6,700

Note: These figures can vary based on filing status, deductions, and state tax rates.

CNM Job Market Trends in 2025

The job market for CNMs remains robust in 2025, driven by:

Increased awareness of midwifery care benefits
Growing emphasis on preventive and personalized care
Shortages in obstetricians in some regions, increasing reliance on CNMs
Telehealth and remote care options expanding CNM service reach

The Bureau of Labor Statistics continues to project a 7–12% growth rate for CNM roles through 2030, outpacing many other professions.

Education and Certification Requirements

To become a CNM in 2025, candidates must:

Hold a Bachelor of Science in Nursing (BSN)
Complete an Accredited Nurse-Midwifery Program
Pass the AMCB (American Midwifery Certification Board) exam
Maintain certification through continuing education and periodic renewal

Optional: A Doctorate in Nursing Practice (DNP) is not required but can boost salary potential and leadership opportunities.

Benefits and Perks

In addition to competitive salaries, CNMs often receive:

Comprehensive health insurance
Retirement plan contributions
Paid time off and parental leave
Continuing education stipends
Malpractice insurance coverage

Final Thoughts

A career as a Certified Nurse Midwife in 2025 offers not only a strong salary but also job security, professional fulfillment, and a growing array of opportunities. By gaining experience, pursuing advanced education, and staying informed about industry trends, CNMs can maximize their earning potential and continue making a meaningful impact in women’s health.