Nurse Midwives Salary
In Sacramento-Roseville-Folsom, CA, nurse midwives earn $191,220 at the median, or about $91.93 an hour. The range runs from $128K at the entry level to $217K for experienced workers. Prices run high here (RPP 106.67), so that salary is closer to $179,263 in real purchasing power. Rent on a 2-bedroom averages $2,255/month, or 20.7% of estimated take-home pay.
So what does $191K get you in Sacramento-Roseville-Folsom?
Groceries, utilities, transportation, and healthcare scaled from national averages by Sacramento-Roseville-Folsom’s Regional Price Parity (106.67). Rent from HUD Fair Market Rents. Taxes estimated for single filer, standard deduction. * Healthcare is the employee-paid share only (premiums + out-of-pocket). Actual costs vary by coverage type: employer-sponsored, ACA marketplace, or uninsured.
About nurse midwives
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What this looks like in Sacramento-Roseville-Folsom
Sacramento-Roseville-Folsom sits well above the national pay line for nurse midwives, local pay runs about 43% higher than the U.S. median of $134K. Housing is manageable: a 2-bedroom at the HUD median costs $2,255/month, 21.1% of take-home, well inside the 30% guideline. Cost-of-living overall is 7% above the national average (BEA RPP 106.67), so groceries and services cost more too. Combined with manageable housing costs, Sacramento-Roseville-Folsom offers a genuinely strong financial position for nurse midwivess at the median.
Compared to nearby metros
Median pay for nurse midwives in metros near Sacramento-Roseville-Folsom, adjusted for local cost of living.
| Metro | Median pay | COL-adjusted |
|---|---|---|
| Los Angeles-Long Beach-Anaheim | $203K | $179K |
| San Francisco-Oakland-Fremont | $213K | $184K |
| San Diego-Chula Vista-Carlsbad | $181K | $162K |
| Riverside-San Bernardino-Ontario | $219K | $206K |
COL-adjusted = median salary ÷ (BEA Regional Price Parity ÷ 100). Expresses purchasing power in national-average dollars.
Compensation breakdown
Annual earnings by percentile, Sacramento-Roseville-Folsom, CA
Entry-level nurse midwives (10th percentile) start around $128K. Mid-career wages sit at $191K. Top earners bring in $217K or more, a $89K spread from bottom to top.
Nurse Midwives pay across states
Median income ranked highest to lowest, compared to the national figure
View Nurse Midwives salary in all states
| State | Median salary | vs. national | Employment |
|---|---|---|---|
| California | $204K | +52% | 870 |
| Hawaii | $170K | +27% | N/A |
| Massachusetts | $160K | +19% | 280 |
| Washington | $159K | +19% | 170 |
| New Jersey | $154K | +15% | 120 |
| Vermont | $151K | +13% | 60 |
| Oregon | $147K | +10% | 240 |
| New York | $145K | +8% | 360 |
| New Hampshire | $143K | +7% | 60 |
| Arizona | $141K | +5% | 80 |
| Maryland | $140K | +5% | 240 |
| Nebraska | $139K | +4% | N/A |
| Colorado | $138K | +3% | 180 |
| Virginia | $136K | +1% | N/A |
| Rhode Island | $135K | +1% | 80 |
| Minnesota | $135K | +1% | 410 |
| Alaska | $133K | -0% | 60 |
| Maine | $133K | -1% | 50 |
| Wisconsin | $133K | -1% | 200 |
| Iowa | $131K | -2% | 80 |
| Utah | $131K | -2% | 140 |
| Connecticut | $131K | -2% | 150 |
| Missouri | $130K | -3% | 80 |
| Ohio | $128K | -5% | 180 |
| Delaware | $128K | -5% | N/A |
| Florida | $127K | -5% | 460 |
| North Carolina | $126K | -6% | 240 |
| Michigan | $125K | -7% | 430 |
| Texas | $123K | -8% | 290 |
| New Mexico | $123K | -8% | 50 |
| South Carolina | $122K | -9% | 100 |
| Illinois | $121K | -10% | 280 |
| Pennsylvania | $120K | -10% | 320 |
| Louisiana | $119K | -11% | 60 |
| Tennessee | $117K | -13% | 330 |
| Georgia | $106K | -21% | 300 |
| Indiana | $102K | -24% | 170 |
| District of Columbia | $101K | -24% | 70 |
| North Dakota | $73K | -46% | N/A |
Showing 1–10 of 39 states
BLS does not publish data for every state when sample sizes are too small
Track nurse midwives salary changes
BLS updates this data quarterly. We'll email you when Sacramento-Roseville-Folsom numbers change.
Related careers in Healthcare
Frequently asked questions
Can a nurse midwife afford a 2BR apartment alone in Sacramento-Roseville-Folsom?
Yes — at the median salary of $191K, rent takes 21.1% of take-home pay. A 2-bedroom at the HUD Fair Market Rent runs $2,255/month. That stays under the 30% guideline most financial planners use.
What’s the entry-level salary for nurse midwives in Sacramento-Roseville-Folsom?
The 10th-percentile wage — what new nurse midwives typically earn — is $128K/year. Take-home on that works out to about $7,680/month. At HUD’s $2,255/month FMR, rent would take 29% of that take-home — manageable on an entry-level income.
Is nurse midwife a high-paying job in Sacramento-Roseville-Folsom?
Local pay is 43% above the national median — $191K here vs. $134K nationally. Keep in mind cost of living here is 7% above the national average, which offsets some of that premium.
How does Sacramento-Roseville-Folsom compare to the national average for nurse midwives?
Sacramento-Roseville-Folsom pays $191K median vs. the U.S. average of $134K — that’s +43%. After adjusting for local cost of living (RPP 106.67), the purchasing-power equivalent is $179K — still ahead of the national median.
How much do nurse midwives make in Sacramento-Roseville-Folsom, CA?
The median is $191,220 a year, that works out to about $92 an hour. But the range is wide: entry-level workers start around $128,000, and experienced nurse midwives can clear $216,560. These are BLS numbers, based on employer-reported data, not self-reported surveys.
Is $191K enough to live in Sacramento-Roseville-Folsom?
On that salary, you'd take home roughly $10,706/month after taxes. A 2-bedroom here rents for about $2,255/month, which eats 21.1% of your paycheck. That's under the 30% guideline most financial planners use, so the numbers work.
How far does a nurse midwives salary go in Sacramento-Roseville-Folsom?
Sacramento-Roseville-Folsom has a Regional Price Parity of 106.67 (100 is the national average). Prices are above average here, so your dollar buys less than the same salary would in a cheaper metro. After cost-of-living adjustment, the median nurse midwives salary is worth about $179,263 in national-average purchasing power.
Where do nurse midwives get paid the most?
The table above ranks every state by median pay for this role. Keep in mind that the highest-paying states tend to have the highest costs of living, so the top salary doesn't always mean the most money in your pocket.