How Much Does Midwife-Assisted Birth Cost?
A midwife-assisted birth involves care from a certified nurse-midwife (CNM) or certified professional midwife (CPM). Midwifery care typically includes prenatal visits, labor and delivery support, and postpartum care. This option is generally less expensive than physician-attended hospital births.
Without Insurance
$5,000
With Insurance
$1,500
Medicare
$1,200
Cost by State
| State | Without Insurance | With Insurance | Medicare |
|---|---|---|---|
| Mississippi | $3,800 | $1,100 | $900 |
| Arkansas | $3,900 | $1,200 | $900 |
| Oklahoma | $3,900 | $1,200 | $900 |
| West Virginia | $4,000 | $1,200 | $1,000 |
| Alabama | $4,100 | $1,200 | $1,000 |
| Kentucky | $4,200 | $1,300 | $1,000 |
| Louisiana | $4,200 | $1,200 | $1,000 |
| South Dakota | $4,200 | $1,300 | $1,000 |
| Iowa | $4,300 | $1,300 | $1,000 |
| Kansas | $4,300 | $1,300 | $1,000 |
| New Mexico | $4,300 | $1,300 | $1,000 |
| South Carolina | $4,300 | $1,300 | $1,000 |
| Idaho | $4,400 | $1,300 | $1,100 |
| Missouri | $4,400 | $1,300 | $1,100 |
| Nebraska | $4,400 | $1,300 | $1,000 |
| North Dakota | $4,400 | $1,300 | $1,100 |
| Tennessee | $4,400 | $1,300 | $1,100 |
| Indiana | $4,500 | $1,400 | $1,100 |
| Utah | $4,500 | $1,400 | $1,100 |
| Wyoming | $4,500 | $1,400 | $1,100 |
| Georgia | $4,600 | $1,400 | $1,100 |
| Montana | $4,600 | $1,400 | $1,100 |
| Ohio | $4,600 | $1,400 | $1,100 |
| Michigan | $4,700 | $1,400 | $1,100 |
| North Carolina | $4,700 | $1,400 | $1,100 |
| Arizona | $4,800 | $1,400 | $1,100 |
| Texas | $4,800 | $1,400 | $1,100 |
| Wisconsin | $4,800 | $1,400 | $1,100 |
| Florida | $5,100 | $1,500 | $1,200 |
| Maine | $5,100 | $1,500 | $1,200 |
| Delaware | $5,300 | $1,600 | $1,300 |
| Minnesota | $5,300 | $1,600 | $1,300 |
| Nevada | $5,300 | $1,600 | $1,300 |
| Pennsylvania | $5,300 | $1,600 | $1,300 |
| Vermont | $5,300 | $1,600 | $1,300 |
| Colorado | $5,400 | $1,600 | $1,300 |
| Virginia | $5,400 | $1,600 | $1,300 |
| Illinois | $5,500 | $1,700 | $1,300 |
| New Hampshire | $5,500 | $1,700 | $1,300 |
| Oregon | $5,500 | $1,700 | $1,300 |
| Rhode Island | $5,600 | $1,700 | $1,300 |
| Maryland | $5,800 | $1,700 | $1,400 |
| Washington | $5,800 | $1,700 | $1,400 |
| New Jersey | $6,100 | $1,800 | $1,500 |
| Alaska | $6,300 | $1,900 | $1,500 |
| Hawaii | $6,400 | $1,900 | $1,500 |
| Connecticut | $6,500 | $2,000 | $1,600 |
| Massachusetts | $6,600 | $2,000 | $1,600 |
| California | $6,800 | $2,000 | $1,600 |
| New York | $7,000 | $2,100 | $1,700 |
Frequently Asked Questions
How much does midwife-assisted birth cost without insurance?
The average cost of midwife-assisted birth without insurance in the United States is $5,000. Costs vary significantly by state.
Does insurance cover midwife-assisted birth?
Most health insurance plans cover midwife-assisted birth when medically necessary. With insurance, the average out-of-pocket cost is $1,500.
Does Medicare cover midwife-assisted birth?
Medicare Part B typically covers midwife-assisted birth when ordered by a doctor. The average Medicare-approved amount is $1,200.
What additional costs should I expect beyond midwife-assisted birth?
Additional costs may include prenatal testing, anesthesia fees, newborn care, extended hospital stays, and any complications. These can add $1,000 to $5,000 or more.
Data sourced from FAIR Health Consumer & CMS Medicare Provider Payment Data 2025. Last updated: 2026-03-01. This information is for educational purposes only and does not constitute medical advice.