Labor & Delivery Nurse Salary by State

Labor and Delivery Nurse Salary

The average labor and delivery nurse salary is $79,900 annually as of September 2023, according to ZipRecruiter, however, found that labor and delivery nurses in the U.S. earn much higher average annual salaries of $132,436 annually or $64 per hour. 

Labor and Delivery Nurse Salary Ranges

The majority of labor and delivery nurses earned between $72,700 and $90,500. However, salaries can range from as low as $66,145 to as high as $100,151, according to

ZipRecruiter reports that labor and delivery nurse salaries have a much higher range in annual salaries from $26,000 to $199,500.

Labor and Delivery Nurse Salary vs Average RN Salary 

Labor and delivery nurses appear to earn a higher income than the average registered nurse salary in the US.

The BLS states that the average nurse salary in 2022 was $81,220. This is 1,320 less than’s average labor and delivery nurse salary estimate, but $52,536 less than Ziprecruiter’s estimate. 

Labor and Delivery Nurse Salary by State

State Annual Salary Hourly Wage
Massachusetts $102,641 $49.35
Hawaii $100,678 $48.40
New Jersey $100,604 $48.37
Connecticut $99,181 $47.68
Washington $98,431 $47.32
New York $98,090 $47.16
Rhode Island $96,782 $46.53
Wisconsin $96,561 $46.42
Tennessee $96,208 $46.25
Minnesota $95,957 $46.13
Ohio $95,505 $45.92
Alaska $95,483 $45.91
North Dakota $95,243 $45.79
Nevada $94,731 $45.54
New Hampshire $94,662 $45.51
Utah $93,728 $45.06
Maryland $93,540 $44.97
Louisiana $93,058 $44.74
South Dakota $92,463 $44.45
Nebraska $91,951 $44.21
New Mexico $91,823 $44.15
Oregon $91,204 $43.85
Iowa $90,891 $43.70
Virginia $90,745 $43.63
Kansas $90,094 $43.31
California $89,192 $42.88
Vermont $89,007 $42.79
South Carolina $88,071 $42.34
Wyoming $87,968 $42.29
Colorado $87,886 $42.25
Delaware $87,449 $42.04
Missouri $87,106 $41.88
Oklahoma $85,461 $41.09
West Virginia $85,265 $40.99
Mississippi $84,427 $40.59
Kentucky $84,334 $40.55
Pennsylvania $83,822 $40.30
Montana $83,737 $40.26
Idaho $83,527 $40.16
Maine $83,140 $39.97
Arizona $82,875 $39.84
Arkansas $82,646 $39.73
Michigan $82,445 $39.64
Indiana $82,343 $39.59
Illinois $82,197 $39.52
Texas $80,646 $38.77
Georgia $79,948 $38.44
Alabama $78,078 $37.54
Florida $75,352 $36.23
North Carolina $75,050 $36.08
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Source ZipRecruiter

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Labor and Delivery Nurse Salary by Years of Experience

Here’s the average labor and delivery nurse salary based on years of experience per Payscale:

  1. Less than one year experience: $26.89 per hour
  2. 1-4 years of experience: $29.38 per hour
  3. 5-9 years of experience: $32.64 per hour
  4. 10-19 years of experience: $35.65 per hour
  5. 20 years+ of experience: $39.00 per hour

Labor and Delivery Nurse Salary by Work Setting

Labor and delivery nurses most commonly work on labor and delivery units in hospitals. However, they can be found working in other settings too, such as:

  1. Private clinics
  2. Birthing centers
  3. In-home settings

Labor and delivery nurses who work in the hospital setting usually earn the highest wages and benefits. However, this type of nurse will have opportunities for overtime and shift differential pay wherever they work because babies are delivered around the clock!.

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How to Increase Your Salary as a Labor and Delivery Nurse

There are many ways to increase your salary as a labor and delivery nurse, such as:

Advance Your Education

Your level of education has one of the biggest impacts on your overall earning potential as a labor and delivery RN. Many new nurses start their careers with an associate’s or bachelor’s degree. However, as you progress in your career you may decide to further your education and become more of an expert in the field. 


A great way to show that you have the expertise as a labor and delivery nurse AND make more money is to achieve your Inpatient Obstetric Nursing (RNC-OB) certification.

Many employers offer an increase in hourly wage once nurses pass their certification exam. In addition, becoming board certified lets employers, co-workers, and your patients know that you have specialty nursing expertise in obstetric nursing care. In addition, this certification is usually required by most hospitals after 2-4 years of employment.

Some of the main topics that the  RNC-OB certification exam covers include:

  • The stages of labor 
  • Best practices for caesarian section birthing
  • Best practices for different populations
  • Anesthetics and pharmacology
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Negotiating during the hiring process can help you get a higher salary in some cases. Even though most healthcare facilities have a pay structure for new employees, you may find some room for negotiation, especially if the hiring employers are struggling to find labor and delivery nurses.

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Travel nurses are RNs who take short-term assignments at hospitals and other health care facilities to help fill nursing shortage gaps. Traveling nurses often have a great opportunity to earn more money while exploring new areas of the country.

Travel nurses usually have a “total pay package” instead of just earning an hourly rate, which includes:

  • Hourly base pay
  • Sign-on bonuses
  • Travel reimbursements
  • Housing, food, mileage stipends
  • Other job-related expenses

Also, the COVID-19 pandemic caused many facilities to offer “crisis pay” as an incentive to get more travel nurses to work in hospitals that were chronically understaffed. Some hospitals were offering up to 2-3 times their normal per hour rate or higher to attract new travel nurses for assignments.

Lastly, travel nursing as a labor and delivery nurse can help you learn how other facilities operate and help you learn more about the specialty than you would by staying at the same medical facility.

Additional Compensation


Labor and delivery nurses who work overtime earn increased pay for their additional work hours. In most cases, this means working over 40 hours a week or over 12 hours in a 24 hour period.

Overtime wages differ per facility, but they are usually one and a half to three times the normal hourly wage. Working a lot of overtime hours can add up quickly!

Since babies are born around the clock, labor and delivery nurses often have the opportunity to earn more overtime pay than other types of nurses.

Shift Differential

A shift differential is extra pay for working weekends, holidays, evenings, or night shifts. Shift differentials usually increase a normal hourly wage by a few additional dollars. 

If a nurse works Saturday shift in a facility that pays a $4 shift differential, they can expect to earn an additional $48 dollar for working the same amount of time they normally do.


Most nurses, in general, don’t earn bonuses However, it is common for nurses to be offered a sign-on bonus as an incentive to work at a new facility. In this case, bonuses can range from several hundred dollars to several thousand.

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Before agreeing to a sign-on bonus make sure you examine the terms very closely. Many hospitals will require that you stay working full-time at their facility for two to five years to keep the bonus. You must pay it back if you don’t.

Hazard Pay

Hazard pay is extra compensation above the normal compensation for nurses who work in physically harder or dangerous conditions, such as severely understaffed hospitals with COVID-19 patients.

Employers do not need to provide hazard pay by law. It is most commonly used as an incentive to bring on new nurses.

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Labor and Delivery Nurse Education Costs

Nursing school to become a labor and delivery nurse is a huge investment, and there are many factors that determine how much a nursing student pays for school. 

First, nursing school costs depend on whether you want to pursue an ADN or a BSN. 

  • ADN programs take two years to complete at a community college or technician school.
    • ADN programs can range from $6000 to $20,000.
  • BSN programs take four years to complete at a public or private four-year university. 
    • A BSN can cost anywhere from $35,000 to $100,000.

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Nurse Midwife

According to, nurse midwives in the United States earn a median salary of $114,841. However, midwife salaries can range from as low as $97,183 to as high as $144,144.

Neonatal Nurse

According to ZipRecruiter, neonatal nurses earn $99,711 annually or $48 per hour. Neonatal nurse annual salaries in the U.S. can range from $32,000 to $136,500 per year.

OB Nurse reports that OB nurses in the United States earn a median salary of $75,822 as of 2022. However, OB nurse salary ranges can vary from $62,808 to $95,005.

Postpartum Nurse also reports that postpartum nurses make a very similar salary to OB nurses earning a mean annual salary of $75,139.  They found that most postpartum salaries range from as low as $62.243 to as high as $94,150.

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