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

Last updated: 2025 BLS data · Page refreshed:

What does a Nurse Midwives salary really buy you in Tennessee?

Tennessee is 8.2% cheaper than the US average

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

Nominal Salary
$116,980
Median annual (2025)
+8.9%
Real Purchasing Power
$127,429
COL-adjusted (RPP=91.8)

Tennessee Cost of Living Index

Tennessee's Regional Price Parity (RPP) is 91.8, meaning prices are 8.2% lower the national average. A Nurse Midwives earning $116,980 in Tennessee has the equivalent purchasing power of $127,429 in an average-cost US state.

TN: 91.8
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 Tennessee's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $93,620 $101,982 +$8,362
25th Percentile (P25) $104,390 $113,714 +$9,324
Median (P50) $116,980 $127,429 +$10,449
75th Percentile (P75) $125,290 $136,481 +$11,191
90th Percentile (P90) $135,410 $147,505 +$12,095
Key Insight

A Nurse Midwives in Tennessee earns $116,980 on paper, but low living costs mean your money goes 9% further — like earning $127,429 in an average-cost state. This makes Tennessee one of the best value states for this occupation.

What the Cost-of-Living Data Says

Tennessee Runs Well Below National Cost

RPP 91.8

Tennessee's Regional Price Parity (RPP) of 91.8 means a basket of goods and services costs about 8.2% less than the national average. For a Nurse Midwives, every dollar earned effectively buys more here than in a 100-RPP state.

Meaningful Purchasing-Power Shift

+8.9%

After applying Tennessee's RPP, the $116,980 median salary translates to $127,429 in real terms — a 8.9% gain. That difference can cover several months of expenses over a year for a Nurse Midwives.

Bottom-Quartile COL-Adjusted Pay

#30 / 39

Tennessee ranks #30 of 39 — bottom quartile for Nurse Midwives real purchasing power. Relocation, employer negotiation, or remote roles at higher-paying markets tend to generate the biggest ROI.

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

Tennessee ranks #30 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 Tennessee after taxes →

Frequently Asked Questions

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

A Nurse Midwives in Tennessee earns a median salary of $116,980 per year. After adjusting for Tennessee's cost of living (RPP=91.8), the real purchasing power is $127,429 — a +8.9% difference.

Is Tennessee expensive to live in?

Tennessee's cost of living is 8.2% lower than the national average according to the BEA Regional Price Parities (2022). The RPP index for Tennessee is 91.8 (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 Tennessee: $116,980 x (100 / 91.8) = $127,429. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Nurse Midwives in Tennessee financially?

From a purchasing power perspective, yes. A Nurse Midwives in Tennessee enjoys 8.9% 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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