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The cheapest state to get a cna license is Kansas at $20. The most expensive is New Hampshire at $310. The national average is $151.
Lowest
$20
Kansas
Average
$151
across 51 states
Median
$140
27 states at or below
Range
$290
spread across states
| # | State | Total Initial Fees | Renewal Fee | CE Hours |
|---|---|---|---|---|
| #1 | Kansas | $20 | $0 | — |
| #2 | Idaho | $29–$39 | $0 | — |
| #3 | Oklahoma | $75 | $LTC digital renewal is $0 (free online); renewal PDF application references fees; 'other types: $10' consistent with special_notes | — |
| #4 | New Jersey | $76 | $30 | — |
| #5 | Illinois | $85 | $0 | — |
| #6 | Indiana | $100 | $0 | — |
| #6 | Massachusetts | $100 | $0 | — |
| #6 | Nebraska | $100 | $0 | — |
| #9 | Ohio | $104 | $0 | — |
| #10 | Utah | $110 | $0 | — |
| #11 | Delaware | $115+ | $25 | — |
| #11 | New York | $115 | $40 | — |
| #13 | Connecticut | $118+ | $0 (no fee for renewal) | — |
| #14 | Arizona | $125 | $0 | — |
| #14 | Arkansas | $125–$135 | $0 — consistent with the official DHS statement that no initial licensing fee is charged; renewal fee also not charged | — |
| #14 | Maine | $125 | $0 | — |
| #14 | Missouri | $125 | $20 | — |
| #14 | Montana | $125 | $0 | — |
| #19 | Georgia | $130+ | $0 | — |
| #20 | Alabama | $135–$185 | $Consistent with Alabama's no-formal-renewal-process model | — |
| #20 | Colorado | $135+ | $0 | — |
| #20 | Kentucky | $135–$150 | $0 | — |
| #20 | Mississippi | $135 | $25 | — |
| #24 | Wisconsin | $137.75 (standard written knowledge + skills test) | $0 (no renewal fee referenced) | — |
| #25 | New Mexico | $140 | $25 | — |
| #25 | North Carolina | $140 | $0 | — |
| #25 | West Virginia | $140 | $0 (no renewal fee listed) | — |
| #28 | Vermont | $143.25 | $50 | — |
| #29 | Texas | $145–$160 | $0 | — |
| #30 | Louisiana | $151 | $0 | — |
| #31 | California | $156 | $0 | — |
| #32 | Pennsylvania | $157–$175 | $0 | — |
| #33 | Maryland | $161.25 | $40 | — |
| #34 | Tennessee | $164.15 | $0 | — |
| #35 | Iowa | $165 | $0 | — |
| #35 | South Carolina | $165 | $35 | — |
| #37 | District of Columbia | $167–$192 | $0 | — |
| #38 | Oregon | $176.50 | $60 | — |
| #39 | South Dakota | $177.5 | $0 (no fee mentioned on official renewal page) | — |
| #40 | Virginia | $180 | $30 | — |
| #41 | Nevada | $190 | $0 | — |
| #42 | Florida | $205–$230 | $55 | — |
| #42 | Rhode Island | $205 | $35 | — |
| #44 | Washington | $210 | $85 | — |
| #45 | Michigan | $215 | $40 | — |
| #46 | Hawaii | $225 (written/skills) or $235 (oral/skills) | $0 (Group 1) or $27 (Group 2) | — |
| #47 | Alaska | $230 | $100 | — |
| #48 | Wyoming | $247 | $50 | — |
| #49 | Minnesota | $270 | $0 | — |
| #50 | North Dakota | $275 | $0 (no renewal fee) | — |
| #51 | New Hampshire | $310 (computed: $200 exam + $63 registration + $47 background check) | $63 | — |
Total initial fees include application, exam, and license fees paid to the state (excludes education/training costs). Where fee ranges are listed, the lower bound is used for ranking. Click any state for full fee details.
Kansas has the lowest total initial licensing fees at $20. The national average is $151.
New Hampshire has the highest total initial fees at $310, which is $290 more than the cheapest state.
The average total initial licensing cost across 51 states is $151. Costs range from $20 to $310.
There is significant variation across the 51 states with data. Values range from $20 to $310, with a median of $140.
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