Certified Nurse Midwives (CNMs) play a critical role in healthcare, providing expert care to women throughout pregnancy, childbirth, and beyond. As demand for midwifery services grows, many are curious about what CNMs earn—especially in 2025. This guide breaks down everything you need to know about CNM salaries, including average income, key factors affecting earnings, job outlook, and more.
What Is the Average CNM Salary in 2025?
In 2025, the average salary for a Certified Nurse Midwife in the United States is approximately $120,000 to $135,000 per year. Salaries can vary widely depending on geographic location, experience level, education, and work setting.
Key Factors Influencing CNM Salaries
Several variables can impact a CNM’s earning potential:
Experience Level: More experience generally means higher pay.
Geographic Location: Urban areas or states with high demand (like California and New York) offer better compensation.
Work Setting: CNMs working in hospitals often earn more than those in clinics or private practices.
Education and Certification: Advanced degrees and additional certifications can boost salary.
Work Hours and On-Call Duties: CNMs who work nights, weekends, or on-call shifts may receive higher pay or bonuses.
CNM Salary by Experience Level
| Experience Level | Estimated Annual Salary (2025) |
|---|---|
| Entry-Level (0–2 years) | $90,000 – $105,000 |
| Mid-Career (3–7 years) | $110,000 – $125,000 |
| Experienced (8–15 years) | $130,000 – $145,000 |
| Senior (15+ years) | $145,000 – $160,000+ |
As midwives gain experience, they often take on more complex responsibilities, leadership roles, or even move into education and administrative positions, which can significantly raise income.
Take-Home Pay for a $103K Salary
For a CNM earning $103,000 in 2025:
Federal Income Tax: Approximately 22% – 24%
State Tax (varies): ~5% (in states with income tax)
Social Security & Medicare: ~7.65%
Estimated take-home pay would be around $70,000–$75,000 per year, depending on location and deductions.
Benefits That Add to Total Compensation
Beyond base salary, CNMs often receive excellent benefits, including:
Health, dental, and vision insurance
Retirement plans (401(k) with matching)
Paid time off and parental leave
Continuing education reimbursement
Malpractice insurance coverage
These perks can add $15,000–$25,000+ in additional value to the total compensation package.
Job Market Trends in 2025
The job outlook for Certified Nurse Midwives remains strong in 2025:
Projected Growth: The Bureau of Labor Statistics continues to project faster-than-average job growth for nurse midwives through 2030.
Increased Demand: More patients are seeking personalized, holistic maternity care, driving demand for CNMs.
Expanded Roles: CNMs are now working beyond maternity care—in reproductive health, primary care, and sexual wellness.
States with the highest demand in 2025 include California, New York, Texas, Illinois, and Florida.
Education and Certifications That Boost Salary
To become a CNM, you must:
Earn a BSN (Bachelor of Science in Nursing)
Become a licensed RN (Registered Nurse)
Complete a graduate-level CNM program (MSN or DNP)
Pass the AMCB certification exam
Additional certifications that may increase salary include:
Prescriptive Authority
Neonatal Resuscitation Program (NRP)
Advanced Practice Registered Nurse (APRN) Licensure
Higher educational degrees (such as a DNP) often translate to greater earning power and leadership opportunities.
Conclusion: Is Becoming a CNM Worth It in 2025?
Absolutely. With a strong job outlook, high earning potential, and meaningful work, becoming a Certified Nurse Midwife is a rewarding career both financially and personally. By understanding the factors that influence CNM salaries, professionals can make informed decisions to maximize their earning potential and career satisfaction.
Whether you’re just starting your journey or considering career advancement, the CNM role in 2025 continues to offer a bright, stable, and impactful future.