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The cheapest state to get a cna license is Arizona at $0. The most expensive is Alaska at $100. The national average is $16.
Lowest
$0
Arizona
Average
$16
across 50 states
Median
$0
32 states at or below
Range
$100
spread across states
| # | State | Renewal Fee | Initial Fees | Renewal Cycle |
|---|---|---|---|---|
| #1 | Arizona | $0 | $125 | 2 years |
| #1 | Arkansas | $0 — consistent with the official DHS statement that no initial licensing fee is charged; renewal fee also not charged | $125–$135 | 2 years (24 months, no grace period) |
| #1 | California | $0 | $156 | 2 years |
| #1 | Colorado | $0 | $135+ | 2 years (24 months) |
| #1 | Connecticut | $0 (no fee for renewal) | $118+ | 24 months |
| #1 | District of Columbia | $0 | $167–$192 | 24 months |
| #1 | Georgia | $0 | $130+ | 2 years (24 months, no grace period) |
| #1 | Hawaii | $0 (Group 1) or $27 (Group 2) | $225 (written/skills) or $235 (oral/skills) | 24 months (2 years) |
| #1 | Idaho | $0 | $29–$39 | 24 months from the date of the last day worked |
| #1 | Illinois | $0 | $85 | 2 years (24 months) |
| #1 | Indiana | $0 | $100 | 2 years |
| #1 | Iowa | $0 | $165 | 2 years (24 months) |
| #1 | Kansas | $0 | $20 | 2 years (24 months) |
| #1 | Kentucky | $0 | $135–$150 | 24 months |
| #1 | Louisiana | $0 | $151 | 2 years (24 months) |
| #1 | Maine | $0 | $125 | Every 24 months |
| #1 | Massachusetts | $0 | $100 | 2 years (24 months) |
| #1 | Minnesota | $0 | $270 | 24 months |
| #1 | Montana | $0 | $125 | 2 years |
| #1 | Nebraska | $0 | $100 | 2 years (continuous) |
| #1 | Nevada | $0 | $190 | 2 years |
| #1 | North Carolina | $0 | $140 | 2 years |
| #1 | North Dakota | $0 (no renewal fee) | $275 | 2 years (24 months) |
| #1 | Ohio | $0 | $104 | 24 months |
| #1 | Oklahoma | $LTC digital renewal is $0 (free online); renewal PDF application references fees; 'other types: $10' consistent with special_notes | $75 | 2 years |
| #1 | Pennsylvania | $0 | $157–$175 | 2 years |
| #1 | South Dakota | $0 (no fee mentioned on official renewal page) | $177.5 | 2 years (24-month period) |
| #1 | Tennessee | $0 | $164.15 | 2 years |
| #1 | Texas | $0 | $145–$160 | 2 years |
| #1 | Utah | $0 | $110 | 2 years |
| #1 | West Virginia | $0 (no renewal fee listed) | $140 | 2 years |
| #1 | Wisconsin | $0 (no renewal fee referenced) | $137.75 (standard written knowledge + skills test) | 2 years (24-month certification period) |
| #33 | Missouri | $20 | $125 | 2 years |
| #34 | Delaware | $25 | $115+ | 2 years (24 months) |
| #34 | Mississippi | $25 | $135 | 2 years |
| #34 | New Mexico | $25 | $140 | 2 years |
| #37 | New Jersey | $30 | $76 | Every 24 months |
| #37 | Virginia | $30 | $180 | 1 year |
| #39 | Rhode Island | $35 | $205 | 2 years (24 months) |
| #39 | South Carolina | $35 | $165 | 24 months |
| #41 | Maryland | $40 | $161.25 | 2 years |
| #41 | Michigan | $40 | $215 | 24 months |
| #41 | New York | $40 | $115 | 2 years |
| #44 | Vermont | $50 | $143.25 | 2 years |
| #44 | Wyoming | $50 | $247 | 2 years (even-numbered years, October 1 - December 31) |
| #46 | Florida | $55 | $205–$230 | 2 years (expires May 31 of renewal year) |
| #47 | Oregon | $60 | $176.50 | 2 years |
| #48 | New Hampshire | $63 | $310 (computed: $200 exam + $63 registration + $47 background check) | 2 years |
| #49 | Washington | $85 | $210 | Annual (on or before birthday each year) |
| #50 | Alaska | $100 | $230 | Confirmed via 'License Expiration Dates' link and renewal application on official site; fixed expiration on March 31 of even-numbered years is consistent with CBPL patterns |
| — | Alabama | $Consistent with Alabama's no-formal-renewal-process model | $135–$185 | 2 years |
Renewal fees are per renewal cycle as reported by state licensing boards. Where fee ranges are listed, the lower bound is used for ranking. Click any state for full renewal details.
Arizona has the lowest renewal fee at $0. The national average renewal fee is $16.
There is significant variation across the 50 states with data. Values range from $0 to $100, with a median of $0.
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