Prospective clients often request a fee quote at the first consultation, and many interview several midwives before choosing. They compare the global fee, what it includes, payment schedules, and whether the practice works with insurance. A written estimate lets families plan and shows exactly what is and isn't covered.
When to use estimates: Use estimates to provide project quotes and get client approval before starting work. Once approved, convert your estimate to an invoice with one click to collect payment.
Create an invoice for payment collection
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Invoice_1001_Client_2026-10-14.pdf
Families compare packages by what care is included, and visit counts prevent misunderstandings later.
Birth center fees and home birth fees differ, and clients need to know if the facility cost is separate.
These costs can add hundreds of dollars, and clients should know about them before committing.
Clear due dates let families budget and show when the full fee must be paid.
The estimate should say what happens if care ends early, the client transfers, or the pregnancy ends.
Clients need to know if you bill insurance directly, provide a superbill only, or accept Medicaid.
Long drives to a home birth affect cost, and a stated radius avoids surprise mileage fees.
| Service | Priced | Typical range |
|---|---|---|
| Global maternity care package (home birth, prenatal through 6 weeks postpartum) | flat fee | $3,500-7,500 |
| Birth center global package (includes professional fee) | flat fee | $4,500-9,000 |
| Initial consult or intake visit | per visit | $100-250 |
| Additional prenatal or postpartum visit outside the package | per visit | $75-175 |
| Birth supplies kit | flat fee | $75-200 |
| Lactation or newborn feeding visit | per visit | $100-200 |
| Well-woman or annual exam | per visit | $150-300 |
| Travel beyond service area | per mile | $0.65-1.00 |
Typical US ranges. Rates vary by region, experience, and job size.
A single figure with itemized inclusions is easier for families to compare than a long menu of fees.
If you adjust fees by income, state the criteria and schedule on the estimate so the arrangement is consistent and fair to every client.
Your fee should cover on-call time, a second attendant or assistant, supplies, insurance, and continuing education, not just hours spent at births.
Costs for liability insurance, supplies, and assistants rise, so update your quote and apply new rates only to clients who sign after the change.
Only if your care agreement says so. State how long the quote is valid, such as 30 days, and note that medical needs can change which services are required.
Explain in the estimate that risk-out or transfer can change care and fees. Describe how you will bill for services provided up to that point.
Yes, give a good-faith estimate of the client's expected cost based on their plan, while noting that final amounts depend on what the insurer pays. Under the No Surprises Act, uninsured and self-pay clients in many cases are entitled to a good-faith estimate.
Use the Midwife invoice template to bill the client, or convert this estimate once it's approved.
Midwife invoice template