Do certified nurse midwifes or labor & delivery nurses earn more in Texas?

In Texas, certified nurse midwifes earn more — an estimated $123,380 a year versus $101,730 for labor & delivery nurses, a gap of about $21,650 (roughly 21% more). One figure is a median reported for Texas in official public wage data; the other is an estimate, because public data does not report that role separately.

Are these Texas figures exact?

Partly — one side is a reported wage and the other is an estimate. Public wage data doesn't break out every nursing role, so where it doesn't, we start from reported Texas pay for the closest reported role and adjust. Treat those as a ballpark.

Why are some figures verified and others estimates?

National pay for the main nursing roles — registered nurses, LPNs/LVNs, nurse practitioners, CRNAs, nurse midwives, and nursing assistants — comes from verified public wage data. State, city, and specialty figures that aren't reported on their own start from that national pay and are labeled "Estimated" or "Specialty estimate." We never show an estimate as a verified figure.

Texas · TX

Certified Nurse Midwife vs Labor & Delivery Nurse salary in Texas

In Texas, certified nurse midwifes earn more — an estimated $123,380 a year versus $101,730 for labor & delivery nurses, a gap of about $21,650 (roughly 21% more). Both are estimates based on national pay for each role adjusted for Texas.

Certified Nurse Midwife — Texas

Verified public wage data

Median annual pay

$123,380

-8% vs national

Hourly

$59.32/hr

Median $123,380

$90,260Middle 50%: $110,780–$138,290$153,100

Typical range: $110,780–$138,290; What most nurses earn
High end: $153,100; Top earners
Entry level: $90,260; Newer nurses

Labor & Delivery Nurse — Texas

Specialty estimate

Median annual pay

$101,730

Near national

Hourly

$48.91/hr

Median $101,730

$71,150Middle 50%: $83,920–$111,410$135,630

Typical range: $83,920–$111,410; What most nurses earn
High end: $135,630; Top earners
Entry level: $71,150; Newer nurses

Why the gap in Texas

Certified nurse midwives earn well above labor & delivery staff nurses. The CNM is an advanced-practice provider with a graduate degree who manages pregnancies and catches babies; the L&D nurse supports childbirth as a bedside RN. Many midwives start as L&D nurses, making this a common advancement path. The Texas figures apply the same local pay adjustment to both roles, so the gap here mirrors the national picture, shifted for Texas's cost of labor. Actual pay varies with experience, specialty, shift, and employer — compare the national Certified Nurse Midwife vs Labor & Delivery Nurse comparison or personalize the calculator.

Certified Nurse Midwife vs Labor & Delivery Nurse in Texas — FAQ

Do certified nurse midwifes or labor & delivery nurses earn more in Texas?: In Texas, certified nurse midwifes earn more — an estimated $123,380 a year versus $101,730 for labor & delivery nurses, a gap of about $21,650 (roughly 21% more). One figure is a median reported for Texas in official public wage data; the other is an estimate, because public data does not report that role separately.
How much is the certified nurse midwife vs labor & delivery nurse pay gap in Texas?: The estimated gap in Texas is about $21,650 a year, or roughly 21% more for certified nurse midwifes. Your actual pay depends on experience, specialty, shift, and employer — use the calculator to compare both for your situation.
Are these Texas figures exact?: Partly — one side is a reported wage and the other is an estimate. Public wage data doesn't break out every nursing role, so where it doesn't, we start from reported Texas pay for the closest reported role and adjust. Treat those as a ballpark.
Why are some figures verified and others estimates?: National pay for the main nursing roles — registered nurses, LPNs/LVNs, nurse practitioners, CRNAs, nurse midwives, and nursing assistants — comes from verified public wage data. State, city, and specialty figures that aren't reported on their own start from that national pay and are labeled "Estimated" or "Specialty estimate." We never show an estimate as a verified figure.

Source & confidence— A verified figure from official U.S. public wage data.

BLS OEWS (May 2025, state)

Texas figures are published directly by the U.S. Bureau of Labor Statistics for Texas (May 2025). They are not estimated or adjusted.

Source year 2025. Last reviewed July 17, 2026. Full methodology

Estimated figures for Texas. Last reviewed July 17, 2026.