Certified Nurse-Midwives (CNMs) play a crucial role in women’s health, providing comprehensive care throughout pregnancy, childbirth, and postpartum, as well as gynecological and primary care. With healthcare needs expanding and women’s health gaining more attention, the demand for CNMs is steadily rising. Understanding the CNM salary in 2026 is key for career planning and maximizing earning potential.
This article provides a detailed overview of CNM salaries, factors that influence pay, salary by experience, job market trends, benefits, certifications, and comparisons with related nurse practitioner specialties.
Average CNM Salary in 2026
Certified Nurse-Midwives are among the well-compensated advanced practice nurses, reflecting their expertise in women’s health and obstetric care.
Estimated Salary Range (2026)
| Salary Level | Annual Salary |
|---|---|
| Entry-Level | $90,000 – $105,000 |
| Mid-Career | $110,000 – $125,000 |
| Experienced | $130,000 – $145,000 |
| Top Earners | $150,000+ |
Average CNM salary in 2026:
👉 Approximately $118,000 – $125,000 per year
Salaries vary depending on location, work setting, experience, and additional certifications.
Factors That Influence CNM Salary
Several variables affect CNM earnings:
1. Geographic Location
CNMs in metropolitan areas or states with a higher cost of living typically earn more. Rural areas may offer competitive pay to attract providers but might include fewer benefits.
2. Work Setting
- Hospitals and labor & delivery units often offer higher salaries.
- Private practices may offer flexible schedules but slightly lower pay.
- Outpatient women’s health clinics can vary widely in compensation.
3. Shift and Hours
- CNMs on-call, night, or weekend shifts can receive shift differentials.
- Per diem or part-time positions generally pay less than full-time roles.
4. Education Level
- MSN-prepared CNMs meet standard entry-level requirements.
- DNP-prepared CNMs may earn higher salaries, especially in leadership or teaching roles.
5. Certifications & Specializations
Advanced certifications or subspecialty training in high-risk obstetrics or gynecologic care can increase earnings.
CNM Salary by Experience (2026)
Experience significantly impacts compensation in the CNM field.
| Experience Level | Average Annual Salary |
|---|---|
| 0–2 Years | $90,000 – $100,000 |
| 3–5 Years | $105,000 – $115,000 |
| 6–10 Years | $120,000 – $135,000 |
| 10+ Years | $140,000 – $155,000 |
With time, CNMs often gain autonomy in their practice, take on leadership roles, and increase earnings.
Job Market Trends for CNMs in 2026
The demand for CNMs is growing due to multiple factors:
Key Trends
- Increasing focus on women’s health and maternity care
- Rising maternal age and associated complexities
- Physician shortages in obstetrics and gynecology
- Expanded scope of practice for CNMs in many states
- Greater emphasis on holistic and patient-centered care
Hiring Outlook
Hospitals, birthing centers, and women’s health clinics are actively recruiting CNMs, making this a secure and in-demand career path in 2026.
Benefits and Compensation Beyond Salary
CNMs often receive competitive benefits packages in addition to their base salary.
Common Benefits:
- Health, dental, and vision insurance
- Retirement plans with employer contributions
- Paid time off and sick leave
- Continuing education reimbursement
- Malpractice insurance coverage
Additional Perks:
- Flexible scheduling opportunities
- Leadership and teaching roles
- Tuition assistance for advanced degrees
Total compensation can add an additional $15,000–$30,000+ beyond base pay, depending on the employer.
Certifications That Impact CNM Salary
Certifications can enhance both employability and earning potential:
High-Value Certifications in 2026
- ACNM Certification (CNM credential)
- Advanced Perinatal or High-Risk Obstetrics certifications
- Neonatal Resuscitation Program (NRP)
- Advanced Life Support in Obstetrics (ALSO)
- Subspecialty training in reproductive endocrinology or gynecologic care
CNMs holding multiple certifications or advanced training may earn $10,000–$20,000 more annually than those with basic certification alone.
Education Path and Salary Impact
Minimum Requirement
- MSN in Nurse-Midwifery (required for CNM certification)
Advanced Degree Advantage
- Doctor of Nursing Practice (DNP)
- Access to leadership, teaching, and research roles
- Higher salary potential
- Greater influence in clinical and policy decisions
CNM Salary vs Related NP Specialties (2026)
Here’s a comparison of CNM salaries with other nurse practitioner specialties:
| NP Specialty | Average Salary (2026) |
|---|---|
| CNM | $118,000 – $125,000 |
| Family NP (FNP) | $115,000 – $120,000 |
| Acute Care NP | $128,000 – $132,000 |
| Psychiatric NP | $130,000 – $145,000 |
| Neonatal NP | $135,000 – $150,000 |
While CNMs earn slightly less than acute care or neonatal NPs on average, the role offers unique fulfillment and autonomy in women’s health.
Is CNM a Good Career Choice in 2026?
Absolutely. CNMs benefit from:
- Competitive salaries
- Strong job security
- Opportunities for autonomy
- High demand nationwide
Pros:
- Meaningful patient impact
- Flexibility in work setting
- Opportunities for specialization and leadership
Considerations:
- High responsibility during labor and delivery
- Irregular hours and on-call shifts
- Continuous professional development required
Final Thoughts
The CNM salary in 2026 reflects the high value of specialized care in women’s health. With average salaries exceeding $120,000, strong job prospects, and potential for growth, pursuing a career as a Certified Nurse-Midwife offers both financial stability and professional fulfillment.
By gaining experience, pursuing certifications, and considering advanced degrees, CNMs can maximize earning potential while contributing to a critical area of healthcare.