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The most expensive state for emt / paramedic licensing is Alaska at $1,200. The cheapest is Idaho at $0. Budget for an average of $448 across all states.
Highest
$1,200
Alaska
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 | Alaska | $1,200 | $100 | — |
| #1 | District of Columbia | $1,200 | $45 | — |
| #3 | Alabama | $1,000 | $Aligned with NREMT recertification cycle | — |
| #3 | Arizona | $1,000 | $30 | — |
| #3 | Arkansas | $1,000 | $20 | — |
| #3 | California | $1,000 | $37 (EMSA) + LEMSA fees vary | — |
| #3 | Colorado | $1,000 | $75 | — |
| #3 | Connecticut | $1,000 | $155 | — |
| #3 | Delaware | $1,000 | $25 | — |
| #3 | Florida | $1,000 | $50 | — |
| #3 | Massachusetts | $1,000 | $26 | — |
| #3 | Michigan | $1,000 | $25 | — |
| #3 | Nevada | $1,000 | $36 | — |
| #3 | New Jersey | $1,000 | $35 | — |
| #15 | New Hampshire | $900 | $80 | — |
| #16 | Maryland | $800 | $25 | — |
| #16 | Minnesota | $800 | $37.50 | — |
| #16 | Mississippi | $800 | $35 | — |
| #16 | Missouri | $800 | $25 | — |
| #16 | Montana | $800 | $15 | — |
| #16 | Nebraska | $800 | $35 | — |
| #22 | Rhode Island | $224 | $20 | — |
| #23 | Oregon | $214 | $50 | — |
| #24 | Oklahoma | $189 | $22.50 | — |
| #25 | Indiana | $104 | $50 | — |
| #25 | Ohio | $104 | $40 | — |
| #25 | Pennsylvania | $104 | $0 | — |
| #25 | South Dakota | $104 | $20 | — |
| #25 | Tennessee | $104 | $25 | — |
| #25 | Texas | $104 | $64 | — |
| #25 | Utah | $104 | $45 | — |
| #25 | Vermont | $104 | $50 | — |
| #25 | Virginia | $104 | $30 | — |
| #25 | Washington | $104 | $0 | — |
| #25 | West Virginia | $104 | $15 | — |
| #25 | Wisconsin | $104 | $22 | — |
| #25 | Wyoming | $104 | $20 | — |
| #38 | Hawaii | $102 | $102-$171 | — |
| #39 | North Dakota | $100 | $25 | — |
| #39 | South Carolina | $100 | $20 | — |
| #41 | Georgia | $75 | $75 | — |
| #42 | North Carolina | $68 | $25 | — |
| #43 | New Mexico | $65 | $35 | — |
| #44 | Kansas | $60 | $30 | — |
| #45 | Louisiana | $50 | $10 | — |
| #46 | Illinois | $45 | $50 | — |
| #47 | Iowa | $30 | $15 | — |
| #48 | New York | $25 | $0 | — |
| #49 | Maine | $21 | $30 | — |
| #50 | Kentucky | $10 | $60 | — |
| #51 | Idaho | $0 | $35 | — |
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.
Alaska has the highest total initial licensing fees at $1,200. The national average is $448.
There is significant variation across the 51 states with data. Values range from $0 to $1,200, with a median of $104.