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Nurse Midwives Salary in North Carolina: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Nurse Midwives salary really buy you in North Carolina?

North Carolina is 5.8% cheaper than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$126,040
Median annual (2025)
+6.2%
Real Purchasing Power
$133,800
COL-adjusted (RPP=94.2)

North Carolina Cost of Living Index

North Carolina's Regional Price Parity (RPP) is 94.2, meaning prices are 5.8% lower the national average. A Nurse Midwives earning $126,040 in North Carolina has the equivalent purchasing power of $133,800 in an average-cost US state.

NC: 94.2
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for North Carolina's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $97,830 $103,853 +$6,023
25th Percentile (P25) $105,840 $112,356 +$6,516
Median (P50) $126,040 $133,800 +$7,760
75th Percentile (P75) $139,030 $147,590 +$8,560
90th Percentile (P90) $155,340 $164,904 +$9,564
Key Insight

A Nurse Midwives in North Carolina earns $126,040 on paper, but low living costs mean your money goes 6% further — like earning $133,800 in an average-cost state. This makes North Carolina one of the best value states for this occupation.

What the Cost-of-Living Data Says

North Carolina Sits Near the National Cost Benchmark

RPP 94.2

With an RPP of 94.2, North Carolina is within a few percent of the national cost-of-living baseline. Salary adjustment for Nurse Midwives is therefore minor — what you earn is close to what you'd keep in real purchasing power.

Meaningful Purchasing-Power Shift

+6.2%

After applying North Carolina's RPP, the $126,040 median salary translates to $133,800 in real terms — a 6.2% gain. That difference can cover several months of expenses over a year for a Nurse Midwives.

Below-Median Adjusted Pay

#20 / 39

North Carolina's rank of #20 of 39 states means real purchasing power for Nurse Midwives trails the national half-way line.

Best States for Nurse Midwives (After Cost of Living)

Where does Nurse Midwives salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

$181,191
RPP 112.5
$154,654
RPP 89.8
3. Hawaii
$153,528
RPP 110.8
4. Vermont
$149,386
RPP 101.1
5. Iowa
$148,597
RPP 88.4
$146,069
RPP 109.4
$144,781
RPP 109.8
$144,171
RPP 92.3
$142,941
RPP 91.1
$141,516
RPP 108.8

North Carolina ranks #20 out of 39 states for Nurse Midwives after cost-of-living adjustment.

How much do you actually take home? See Nurse Midwives take-home pay in North Carolina after taxes →

Frequently Asked Questions

What is the real salary for a Nurse Midwives in North Carolina after cost of living?

A Nurse Midwives in North Carolina earns a median salary of $126,040 per year. After adjusting for North Carolina's cost of living (RPP=94.2), the real purchasing power is $133,800 — a +6.2% difference.

Is North Carolina expensive to live in?

North Carolina's cost of living is 5.8% lower than the national average according to the BEA Regional Price Parities (2022). The RPP index for North Carolina is 94.2 (US average = 100).

What are Regional Price Parities (RPP)?

Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Nurse Midwives in North Carolina: $126,040 x (100 / 94.2) = $133,800. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Nurse Midwives in North Carolina financially?

From a purchasing power perspective, yes. A Nurse Midwives in North Carolina enjoys 6.2% more buying power than the nominal salary suggests, because living costs are below the national average. However, other factors like job availability, career growth, and quality of life also matter.

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