How Much Does a Physician License Cost by State? (2026)

Physician licensing costs include state medical board fees, USMLE or COMLEX exam expenses, and credentialing charges that add up significantly. Across the 51 jurisdictions we track, total initial licensing fees range from $35 to $1,425, with an average of roughly $496. Understanding the full fee landscape can help you plan your budget before applying.

This guide provides a state-by-state breakdown of Physician (MD/DO) licensing costs. All data is sourced from the same official records that power our individual state pages — no estimates or guesses.

What Drives Physician (MD/DO) Licensing Costs?

The total cost of physician (md/do) licensure includes several components. Not every state charges for all of these, which is why costs vary:

1. Application fee: The fee paid to the state licensing board to process your application. Every state charges this, though amounts vary considerably.
2. Exam fee: If your state requires a state-specific or national exam, this fee is paid to the testing provider. Some states include exam costs in the application fee.
3. License issuance fee: A separate fee charged by some states when your license is actually issued after approval.
4. Background check fee: Many states require fingerprint-based background checks as part of the licensing process.
5. Renewal fee: Ongoing cost to maintain your license, typically due every 1–4 years depending on the state.

Cheapest States for Physician (MD/DO) Licensing

The following states have the lowest total government fees for physician (md/do) licensure based on our data:

Most Expensive States for Physician (MD/DO) Licensing

These states have the highest total licensing fees. Higher fees do not necessarily indicate more rigorous requirements — they reflect each state's administrative cost structure:

Physician (MD/DO) License Cost Table by State

The table below shows licensing fees for all 51 jurisdictions we track, sorted alphabetically. Click any state to view the full breakdown of fees, requirements, and application steps.

Note: Fees shown are government and exam fees as reported by official state licensing authorities. Education and training costs are additional and vary by provider. "Varies" indicates the state has fees that depend on license type, jurisdiction, or other factors.

Tips for Reducing Your Licensing Costs

• Check your state board website for current fees. Fees can change between legislative sessions. The most up-to-date information is always on your state’s licensing board website.
• Pass exams on the first attempt. Re-examination fees add cost and delay your timeline. Invest in thorough preparation.
• Ask about fee waivers. Some states offer reduced fees for veterans, military spouses, or applicants demonstrating financial hardship.
• Plan for renewal costs. Your initial license is not permanent. Budget for renewal fees and any continuing education requirements.
• Compare education provider prices. Where pre-licensing education is required, online programs are typically more affordable than in-person alternatives.

Related Guides

• How to Become a Physician (MD/DO): Step-by-Step Guide
• Physician (MD/DO) Licensing Requirements by State

Sources

Fee data is sourced from official state licensing boards and regulatory agencies.

• Individual state licensing board websites (cited on each state page).

Fees and requirements change as states update their licensing statutes. Always confirm current fees with your state's licensing board before applying.