How Much Does a Midwife Cost?

Last Updated on December 16, 2023
Written by CPA Alec Pow | Content Reviewed by Certified CFA CFA Alexander Popinker

A midwife is a trained health professional who provides care and support during pregnancy, labor, birth, and the postpartum period. Midwives offer a more personalized approach than physicians and hospitals, with continuous support and assistance through the birthing journey. Their services are completely safe for low-risk pregnancies and can take place in hospitals, birth centers, or at home.

Understanding midwife costs helps families plan and budget for this essential care. We’ll break down typical fees and pricing structure, factors that impact cost, strategies for spending less, and considerations beyond just monetary expenses. While rates range significantly, general pricing provides initial estimates.

How Much Does a Midwife Cost?

Most midwives charge $2,000-$5,000 for full prenatal, birth, and postpartum care. Exact pricing depends on credentials, experience, location, insurance coverage, and birth setting.

Midwife Price Breakdown

Service Breakdown Cost Range
Initial Consultation Free – $200
Prenatal Care $500 – $3,000
Labor/Delivery Care $700 – $2,500
Postpartum Visits $300 – $1,000
Childbirth Education Classes $50 – $200 per class
Lactation Consulting $50 – $150 per session
Home Birth Services $2,000 – $4,000
Water Birth Assistance $300 – $800
Doula Services $800 – $2,000
Follow-up Home Visits $100 – $400 per visit
Newborn Care Education $100 – $300 per session

Insurance sometimes covers midwifery. Government programs like Medicaid pay 100%. Home births cost more out-of-pocket but less overall. Birth center deliveries fall middle-ground around $3,000 total.

Additional typical fees include childbirth classes ($80-$300) and newborn screening tests ($100-$300). Equipment, supplies, and newborn care add other expenses.

You might also like our articles about the cost of having a baby, hiring a doula, or baby diapers.

According to Midwife4You, the cost of midwifery services in Pennsylvania and nearby states ranges from $3,000 to $7,000. The specific cost of the services provided by the author is $3,800. The website also compares the cost of a home birth with a midwife to the cost of a hospital birth, indicating that the hospital birth can be double to three times the cost of a home birth for an uncomplicated low-risk delivery.

The Connecticut Childbirth & Women’s Center goes over the global fee for families birthing in the center and receiving care with the midwives, which according to them is $8,500. The website also provides information on insurance coverage and self-pay fees for midwifery care.

Redwood Midwifery claims that the current fee for comprehensive midwifery care and home birth is $8,500, with a deposit of $1,500 due at the beginning of care. The remainder is paid in installments, with the balance due in full at the time of the birth.

Parents.com has an article in which they say that most midwives charge a flat rate between $3,000 to $9,000 for their services.

ZipRecruiter, a big recruiting website, notes that the average salary for a midwife in Atlanta, Georgia, is reported to be $63.40 per hour or $131,872 per year.

Factors Affecting Midwife Birth Fee

Several factors affect midwifery pricing:


  • Experience level – New midwives cost less than veterans.
  • Location – Higher rates in metro vs rural areas
  • Credential type – Licensed vs certified status impacts fees.
  • Insurance accepted – Providers taking insurance access subsidies.
  • Birth setting – More clinical settings increase facility fees.
  • Service scope – Pre/postnatal care duration affects the overall price.

Saving on Midwife Costs

Strategies to reduce midwifery expenses include:

  • Take childbirth/breastfeeding classes at community centers
  • Seek group midwifery care for lower shared costs
  • Use freestanding birth centers to avoid hospital fees
  • Check for sliding-scale options from nonprofit practices
  • Get cost estimates beforehand for budgeting/negotiation
  • Consult insurance about coverage, reimbursements, and in-network providers
  • Apply for financial assistance programs if eligible

Additional Considerations

While essential, remember midwives offer more than clinical care. Their holistic support model also provides emotional comfort, empowered choice, continuity beyond brief appointments, resource accessibility, and minimized interventions without sacrificing safety.

These qualitative factors complement practical cost-reduction techniques when evaluating childbirth options.


Typical midwife costs range from $2,000 to $5,000 including prenatal through postnatal care, spanning initial consults, labor and birth, and follow-up visits. Various strategic levers like insurance utilization, alternate locations, Group care, and financial assistance mitigate expenses.

Beyond budgetary impacts, midwives’ ongoing advocacy provides vital reassurance throughout the intensely transformative childbirth process.

Frequently asked questions about midwives

What is a midwife?

Midwife servicesA midwife is a healthcare professional specializing in obstetrics and gynecology. Their expertise includes primary care, prenatal and obstetric care, and routine gynecological services like annual exams and contraception.

Midwives are known for their holistic approach to pregnancy and childbirth, often supporting natural birth processes. They’re suitable for low-risk pregnancies or those with mild complications and typically work alongside obstetricians and gynecologists in hospitals.

What does a midwife do?

The services provided by a midwife depend on their qualifications and where they practice. Certified midwives and certified nurse midwives offer a broader range of services.

These services can include prenatal appointments, routine pregnancy monitoring, ultrasounds, prenatal blood work, attending births, newborn care, postpartum care, nutrition and lactation education, birth control counseling, Pap tests, breast exams, and screenings for STIs and other infections.

Certified nurse midwives can practice in various settings like hospitals, clinics, birth centers, or homes, while those not certified have more limited practice locations​.

What are the different types of midwives?

There are several types of midwives, including:

  • Certified Nurse Midwives (CNMs): These professionals have completed nursing school and hold a graduate degree in midwifery. They can provide comprehensive reproductive care, prescribe medication, and are certified to work across all states.
  • Certified Midwives (CMs): CMs have a master’s degree in midwifery but haven’t completed nursing school. They can prescribe medications but are only licensed in a few states.
  • Certified Professional Midwives (CPMs): CPMs are certified to work in birth centers or homes. They cannot prescribe medications and are not licensed to practice in all states.
  • Unlicensed or Lay Midwives: These individuals don’t have formal certification or licensing and usually receive training through self-study or apprenticeship. They primarily work in home settings.
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