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The cheapest state to get a emt / paramedic license is Idaho at $0. The most expensive is District of Columbia at $1,200. The national average is $448.
Lowest
$0
Idaho
Average
$448
across 51 states
Median
$104
27 states at or below
Range
$1,200
spread across states
| # | State | Total Initial Fees | Renewal Fee | CE Hours |
|---|---|---|---|---|
| #1 | Idaho | $0 | $35 | — |
| #2 | Kentucky | $10 | $60 | — |
| #3 | Maine | $21 | $30 | — |
| #4 | New York | $25 | $0 | — |
| #5 | Iowa | $30 | $15 | — |
| #6 | Illinois | $45 | $50 | — |
| #7 | Louisiana | $50 | $10 | — |
| #8 | Kansas | $60 | $30 | — |
| #9 | New Mexico | $65 | $35 | — |
| #10 | North Carolina | $68 | $25 | — |
| #11 | Georgia | $75 | $75 | — |
| #12 | North Dakota | $100 | $25 | — |
| #12 | South Carolina | $100 | $20 | — |
| #14 | Hawaii | $102 | $102-$171 | — |
| #15 | Indiana | $104 | $50 | — |
| #15 | Ohio | $104 | $40 | — |
| #15 | Pennsylvania | $104 | $0 | — |
| #15 | South Dakota | $104 | $20 | — |
| #15 | Tennessee | $104 | $25 | — |
| #15 | Texas | $104 | $64 | — |
| #15 | Utah | $104 | $45 | — |
| #15 | Vermont | $104 | $50 | — |
| #15 | Virginia | $104 | $30 | — |
| #15 | Washington | $104 | $0 | — |
| #15 | West Virginia | $104 | $15 | — |
| #15 | Wisconsin | $104 | $22 | — |
| #15 | Wyoming | $104 | $20 | — |
| #28 | Oklahoma | $189 | $22.50 | — |
| #29 | Oregon | $214 | $50 | — |
| #30 | Rhode Island | $224 | $20 | — |
| #31 | Maryland | $800 | $25 | — |
| #31 | Minnesota | $800 | $37.50 | — |
| #31 | Mississippi | $800 | $35 | — |
| #31 | Missouri | $800 | $25 | — |
| #31 | Montana | $800 | $15 | — |
| #31 | Nebraska | $800 | $35 | — |
| #37 | New Hampshire | $900 | $80 | — |
| #38 | Alabama | $1,000 | $Aligned with NREMT recertification cycle | — |
| #38 | Arizona | $1,000 | $30 | — |
| #38 | Arkansas | $1,000 | $20 | — |
| #38 | California | $1,000 | $37 (EMSA) + LEMSA fees vary | — |
| #38 | Colorado | $1,000 | $75 | — |
| #38 | Connecticut | $1,000 | $155 | — |
| #38 | Delaware | $1,000 | $25 | — |
| #38 | Florida | $1,000 | $50 | — |
| #38 | Massachusetts | $1,000 | $26 | — |
| #38 | Michigan | $1,000 | $25 | — |
| #38 | Nevada | $1,000 | $36 | — |
| #38 | New Jersey | $1,000 | $35 | — |
| #50 | Alaska | $1,200 | $100 | — |
| #50 | District of Columbia | $1,200 | $45 | — |
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.
Idaho has the lowest total initial licensing fees at $0. The national average is $448.
District of Columbia has the highest total initial fees at $1,200, which is $1,200 more than the cheapest state.
The average total initial licensing cost across 51 states is $448. Costs range from $0 to $1,200.
There is significant variation across the 51 states with data. Values range from $0 to $1,200, with a median of $104.