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Nashville, Tennessee · 2026

Nurse Midwives Salary in Nashville

Based on BLS data · Cost of living adjusted · Updated 2026 · 3 min read

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Average Salary

$132,359

per year

Cost of Living Adjusted

$131,048

effective purchasing power

vs National Average

+1%

national avg: $131,570

Salary Range in Nashville

25th %ile

$110,660

Entry

Median

$130,427

Mid

75th %ile

$147,650

Senior

Nurse midwives in Nashville, Tennessee earn an average salary of $130,427, which is slightly below the national average of $131,570. While the cost of living in Nashville is nearly at the national average, understanding salary ranges and growth factors can help you negotiate better compensation.

Complete Nurse Midwives Salary Guide — Nashville

Based on BLS data · Updated 2026

Salary Overview for Nurse Midwives in Nashville

Nurse midwives in Nashville earn an average salary of $130,427, with a median of $130,427. This means half of professionals in this role earn more and half earn less. The salary range is substantial: the 25th percentile earns $110,660, while the 75th percentile earns $147,650. This $37,000 spread indicates significant variation based on experience, credentials, and employer type. The field is growing at 2.9% year-over-year, which is moderate growth reflecting steady demand for maternal healthcare services.

Understanding Cost of Living Impact

Nashville's cost of living index is 101, just slightly above the national average of 100. This means your salary goes nearly as far in Nashville as it would nationally. Your effective purchasing power in Nashville is $131,048, which is actually higher than your nominal salary of $130,427. This $621 difference suggests Nashville offers slightly better value than the national average, making your compensation more comfortable than it might appear on paper. Housing, groceries, and transportation costs are close to national averages, so your salary maintains solid purchasing power for daily expenses.

Comparison to National Average

Nurse midwives in Nashville earn $1,143 less than the national average of $131,570. This 0.87% difference is minimal and reflects Nashville's competitive healthcare market. You're not sacrificing significant earnings by working in Nashville compared to other major cities. In fact, when adjusted for cost of living, your effective purchasing power slightly exceeds the national average, making Nashville an attractive location for this profession.

Factors Affecting Pay in Nashville

Several factors influence nurse midwife salaries in Nashville. Healthcare facility type matters significantly—major medical centers and teaching hospitals typically pay more than smaller clinics. Your credentials and certifications, including CNM (Certified Nurse Midwife) status and additional specializations, directly impact earnings. Experience is crucial; entry-level midwives earn substantially less than those with 10+ years of experience. Geographic location within Nashville also matters; positions in affluent areas or major hospital systems command higher salaries. Finally, shift differentials for nights, weekends, and on-call availability can substantially increase total compensation.

Reaching the Top 25% Earning Tier

To reach the 75th percentile salary of $147,650, focus on these strategies. First, pursue advanced certifications beyond basic CNM credentials, such as specializations in high-risk pregnancies or neonatal care. Seek positions at major medical centers like Vanderbilt University Medical Center, which typically offer higher salaries and benefits. Develop expertise in underserved areas—rural midwifery or serving vulnerable populations often includes loan forgiveness and premium pay. Negotiate aggressively during hiring; many employers have flexibility in starting salaries. Consider leadership roles such as clinical supervisor or educator, which command premium compensation. Finally, stay current with continuing education and maintain excellent performance reviews to justify salary increases during annual reviews.

Salary Distribution — Nurse Midwives in Nashville

25th percentile: $110,660, Median: $130,427, Average: $132,359, 75th percentile: $147,650, National average: $131,570

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