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The cheapest state to get a emt / paramedic license is New York at $0. The most expensive is Connecticut at $155. The national average is $38.
Lowest
$0
New York
Average
$38
across 50 states
Median
$30
26 states at or below
Range
$155
spread across states
| # | State | Renewal Fee | Initial Fees | Renewal Cycle |
|---|---|---|---|---|
| #1 | New York | $0 | $25 | 4 years |
| #1 | Pennsylvania | $0 | $104 | 3 years |
| #1 | Washington | $0 | $104 | 3 years |
| #4 | Louisiana | $10 | $50 | 2 years |
| #5 | Iowa | $15 | $30 | 2 years |
| #5 | Montana | $15 | $800 | 2 years |
| #5 | West Virginia | $15 | $104 | 2 years (NREMT); 4 years (state SETS) |
| #8 | Arkansas | $20 | $1,000 | 2 years |
| #8 | Rhode Island | $20 | $224 | 2 years |
| #8 | South Carolina | $20 | $100 | 4 years |
| #8 | South Dakota | $20 | $104 | 2 years |
| #8 | Wyoming | $20 | $104 | 2 years |
| #13 | Wisconsin | $22 | $104 | 3 years |
| #14 | Oklahoma | $22.50 | $189 | 2 years |
| #15 | Delaware | $25 | $1,000 | 2 years |
| #15 | Maryland | $25 | $800 | 3 years |
| #15 | Michigan | $25 | $1,000 | 3 years |
| #15 | Missouri | $25 | $800 | 5 years |
| #15 | North Carolina | $25 | $68 | 4 years (state); 2 years (NREMT) |
| #15 | North Dakota | $25 | $100 | 2 years |
| #15 | Tennessee | $25 | $104 | 2 years |
| #22 | Massachusetts | $26 | $1,000 | 2 years |
| #23 | Arizona | $30 | $1,000 | 2 years |
| #23 | Kansas | $30 | $60 | 2 years |
| #23 | Maine | $30 | $21 | 2 years |
| #23 | Virginia | $30 | $104 | 4 years |
| #27 | Idaho | $35 | $0 | 3 years (EMR/EMT); 2 years (AEMT/Paramedic) |
| #27 | Mississippi | $35 | $800 | 2 years |
| #27 | Nebraska | $35 | $800 | 2 years |
| #27 | New Jersey | $35 | $1,000 | 3 years |
| #27 | New Mexico | $35 | $65 | 2 years |
| #32 | Nevada | $36 | $1,000 | 2 years |
| #33 | California | $37 (EMSA) + LEMSA fees vary | $1,000 | 2 years |
| #34 | Minnesota | $37.50 | $800 | 2 years |
| #35 | Ohio | $40 | $104 | 3 years |
| #36 | District of Columbia | $45 | $1,200 | 2 years |
| #36 | Utah | $45 | $104 | 2 years |
| #38 | Florida | $50 | $1,000 | 2 years |
| #38 | Illinois | $50 | $45 | 4 years |
| #38 | Indiana | $50 | $104 | 2 years |
| #38 | Oregon | $50 | $214 | 2 years |
| #38 | Vermont | $50 | $104 | 2 years |
| #43 | Kentucky | $60 | $10 | 2 years |
| #44 | Texas | $64 | $104 | 4 years |
| #45 | Colorado | $75 | $1,000 | 3 years |
| #45 | Georgia | $75 | $75 | 2 years |
| #47 | New Hampshire | $80 | $900 | 2 years |
| #48 | Alaska | $100 | $1,200 | 2 years |
| #49 | Hawaii | $102-$171 | $102 | 2 years |
| #50 | Connecticut | $155 | $1,000 | 2 years |
| — | Alabama | $Aligned with NREMT recertification cycle | $1,000 | 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.
New York has the lowest renewal fee at $0. The national average renewal fee is $38.
There is significant variation across the 50 states with data. Values range from $0 to $155, with a median of $30.