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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.