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The most expensive state for midwife (cpm/lm) licensing is South Dakota at $1,000. The cheapest is West Virginia at $0. Budget for an average of $166 across all states.
Highest
$1,000
South Dakota
Average
$166
across 29 states
Median
$50
18 states at or below
Range
$1,000
spread across states
| # | State | Total Initial Fees | Renewal Fee | CE Hours |
|---|---|---|---|---|
| #1 | South Dakota | $1000 | $1500 | — |
| #2 | Maine | $875 | $675 | — |
| #3 | Michigan | $650 | $400 | 30 hrs |
| #4 | Illinois | $500 | $500 | 20 hrs |
| #5 | New York | $322 | — | — |
| #6 | Alaska | $250 | — | — |
| #7 | Minnesota | $233 | $100 | — |
| #8 | Louisiana | $200 | — | — |
| #8 | Montana | $200 | $100 | — |
| #10 | Texas | $195 | $390 | — |
| #11 | Kentucky | $165 | $165 | — |
| #12 | Arizona | $50 | — | — |
| #12 | Hawaii | $50 | — | — |
| #12 | Indiana | $50 | — | — |
| #12 | South Carolina | $50 | — | — |
| #16 | Wisconsin | $10 | — | — |
| #17 | Connecticut | $0 | $0 | — |
| #17 | Georgia | $0 | $0 | — |
| #17 | Kansas | $0 | $0 | — |
| #17 | Massachusetts | $0 | $0 | — |
| #17 | Mississippi | $0 | $0 | — |
| #17 | Missouri | $0 | $0 | — |
| #17 | Nebraska | $0 | $0 | — |
| #17 | Nevada | $0 | $0 | — |
| #17 | North Carolina | $0 | $0 | — |
| #17 | North Dakota | $0 | $0 | — |
| #17 | Ohio | $0 | $0 | — |
| #17 | Pennsylvania | $0 | $0 | — |
| #17 | West Virginia | $0 | $0 | — |
| — | Alabama | Varies — see details | — | — |
| — | Arkansas | Varies — see details | — | — |
| — | California | Varies — see details | $300 | 36 hrs |
| — | Colorado | Varies — see details | — | — |
| — | Delaware | Varies — see details | — | — |
| — | District of Columbia | Varies — see details | — | — |
| — | Florida | Varies — see details | — | — |
| — | Idaho | Varies — see details | — | 10 hrs |
| — | Iowa | Varies — see details | — | — |
| — | Maryland | Varies — see details | — | — |
| — | New Hampshire | Varies — see details | — | — |
| — | New Jersey | Varies — see details | — | — |
| — | New Mexico | Varies — see details | — | — |
| — | Oklahoma | Varies — see details | — | — |
| — | Oregon | Varies — see details | — | 35 hrs |
| — | Rhode Island | Varies — see details | — | — |
| — | Tennessee | Varies — see details | — | — |
| — | Utah | Varies — see details | — | 2 hrs |
| — | Vermont | Varies — see details | — | — |
| — | Virginia | Varies — see details | $312 | — |
| — | Washington | Varies — see details | — | — |
| — | Wyoming | Varies — see details | — | — |
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.
South Dakota has the highest total initial licensing fees at $1,000. The national average is $166.
There is significant variation across the 29 states with data. Values range from $0 to $1,000, with a median of $50.