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The most expensive state for cna licensing is New Hampshire at $310. The cheapest is Kansas at $20. Budget for an average of $151 across all states.
Highest
$310
New Hampshire
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 | New Hampshire | $310 (computed: $200 exam + $63 registration + $47 background check) | $63 | — |
| #2 | North Dakota | $275 | $0 (no renewal fee) | — |
| #3 | Minnesota | $270 | $0 | — |
| #4 | Wyoming | $247 | $50 | — |
| #5 | Alaska | $230 | $100 | — |
| #6 | Hawaii | $225 (written/skills) or $235 (oral/skills) | $0 (Group 1) or $27 (Group 2) | — |
| #7 | Michigan | $215 | $40 | — |
| #8 | Washington | $210 | $85 | — |
| #9 | Florida | $205–$230 | $55 | — |
| #9 | Rhode Island | $205 | $35 | — |
| #11 | Nevada | $190 | $0 | — |
| #12 | Virginia | $180 | $30 | — |
| #13 | South Dakota | $177.5 | $0 (no fee mentioned on official renewal page) | — |
| #14 | Oregon | $176.50 | $60 | — |
| #15 | District of Columbia | $167–$192 | $0 | — |
| #16 | Iowa | $165 | $0 | — |
| #16 | South Carolina | $165 | $35 | — |
| #18 | Tennessee | $164.15 | $0 | — |
| #19 | Maryland | $161.25 | $40 | — |
| #20 | Pennsylvania | $157–$175 | $0 | — |
| #21 | California | $156 | $0 | — |
| #22 | Louisiana | $151 | $0 | — |
| #23 | Texas | $145–$160 | $0 | — |
| #24 | Vermont | $143.25 | $50 | — |
| #25 | New Mexico | $140 | $25 | — |
| #25 | North Carolina | $140 | $0 | — |
| #25 | West Virginia | $140 | $0 (no renewal fee listed) | — |
| #28 | Wisconsin | $137.75 (standard written knowledge + skills test) | $0 (no renewal fee referenced) | — |
| #29 | Alabama | $135–$185 | $Consistent with Alabama's no-formal-renewal-process model | — |
| #29 | Colorado | $135+ | $0 | — |
| #29 | Kentucky | $135–$150 | $0 | — |
| #29 | Mississippi | $135 | $25 | — |
| #33 | Georgia | $130+ | $0 | — |
| #34 | Arizona | $125 | $0 | — |
| #34 | Arkansas | $125–$135 | $0 — consistent with the official DHS statement that no initial licensing fee is charged; renewal fee also not charged | — |
| #34 | Maine | $125 | $0 | — |
| #34 | Missouri | $125 | $20 | — |
| #34 | Montana | $125 | $0 | — |
| #39 | Connecticut | $118+ | $0 (no fee for renewal) | — |
| #40 | Delaware | $115+ | $25 | — |
| #40 | New York | $115 | $40 | — |
| #42 | Utah | $110 | $0 | — |
| #43 | Ohio | $104 | $0 | — |
| #44 | Indiana | $100 | $0 | — |
| #44 | Massachusetts | $100 | $0 | — |
| #44 | Nebraska | $100 | $0 | — |
| #47 | Illinois | $85 | $0 | — |
| #48 | New Jersey | $76 | $30 | — |
| #49 | Oklahoma | $75 | $LTC digital renewal is $0 (free online); renewal PDF application references fees; 'other types: $10' consistent with special_notes | — |
| #50 | Idaho | $29–$39 | $0 | — |
| #51 | Kansas | $20 | $0 | — |
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.
New Hampshire has the highest total initial licensing fees at $310. The national average is $151.
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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