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The cheapest state to get a naturopathic doctor (nd) license is Pennsylvania at $100. The most expensive is California at $941. The national average is $395.
Lowest
$100
Pennsylvania
Average
$395
across 14 states
Median
$400
8 states at or below
Range
$841
spread across states
| # | State | Total Initial Fees | Renewal Fee | CE Hours |
|---|---|---|---|---|
| #1 | Pennsylvania | $100 | $50 | — |
| #2 | Kansas | $165 | $125.00 | — |
| #3 | Utah | $200 | $113 | — |
| #4 | Vermont | $275 | $115 | 30 hrs |
| #5 | New Hampshire | $300 | — | 45 hrs |
| #6 | Minnesota | $383.25 | $150 | 25 hrs |
| #7 | Washington | $386 | $456 (includes $16 HEAL-WA fee) | 60 hrs |
| #8 | New Mexico | $400 | $360 | 75 hrs |
| #9 | North Dakota | $405 | $400 (active); $200 (inactive) | — |
| #10 | Arizona | $450 | $400 | 30 hrs |
| #11 | Hawaii | $458 | — | — |
| #12 | Montana | $500 | — | — |
| #13 | Connecticut | $565 | — | 15 hrs |
| #14 | California | $941-$1,400 | $1,000 | 60 hrs |
| — | Alabama | Varies — see details | — | — |
| — | Alaska | Varies — see details | $See 12 AAC 02.270 fee schedule | — |
| — | Arkansas | Varies — see details | — | — |
| — | Colorado | Varies — see details | — | — |
| — | Delaware | Varies — see details | — | — |
| — | District of Columbia | Varies — see details | — | 30 hrs |
| — | Florida | Varies — see details | — | — |
| — | Georgia | Varies — see details | — | — |
| — | Idaho | Varies — see details | — | 48 hrs |
| — | Illinois | Varies — see details | — | — |
| — | Indiana | Varies — see details | — | — |
| — | Iowa | Varies — see details | — | — |
| — | Kentucky | Varies — see details | — | — |
| — | Louisiana | Varies — see details | — | — |
| — | Maine | Varies — see details | — | 25 hrs |
| — | Maryland | Varies — see details | — | 50 hrs |
| — | Massachusetts | Varies — see details | — | 50 hrs |
| — | Michigan | Varies — see details | — | — |
| — | Mississippi | Varies — see details | — | — |
| — | Missouri | Varies — see details | — | — |
| — | Nebraska | Varies — see details | — | — |
| — | Nevada | Varies — see details | — | — |
| — | New Jersey | Varies — see details | — | — |
| — | New York | Varies — see details | — | — |
| — | North Carolina | Varies — see details | — | — |
| — | Ohio | Varies — see details | — | — |
| — | Oklahoma | Varies — see details | — | — |
| — | Oregon | Varies — see details | $350 (active); $140 (inactive); $15 (retired) | 25 hrs |
| — | Rhode Island | Varies — see details | — | 30 hrs |
| — | South Carolina | Varies — see details | — | — |
| — | South Dakota | Varies — see details | — | — |
| — | Tennessee | Varies — see details | — | — |
| — | Texas | Varies — see details | — | — |
| — | Virginia | Varies — see details | — | — |
| — | West Virginia | Varies — see details | — | — |
| — | Wisconsin | Varies — see details | $60 (starting 2026); $85 late fee | — |
| — | 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.
Pennsylvania has the lowest total initial licensing fees at $100. The national average is $395.
California has the highest total initial fees at $941, which is $841 more than the cheapest state.
The average total initial licensing cost across 14 states is $395. Costs range from $100 to $941.
There is significant variation across the 14 states with data. Values range from $100 to $941, with a median of $400.
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