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The cheapest state to get a nurse midwife (cnm) license is West Virginia at $35. The most expensive is Kentucky at $330. The national average is $137.
Lowest
$35
West Virginia
Average
$137
across 51 states
Median
$125
26 states at or below
Range
$295
spread across states
| # | State | Total Initial Fees | Renewal Fee | CE Hours |
|---|---|---|---|---|
| #1 | West Virginia | $35 | $35 | 12 hrs |
| #2 | Indiana | $50 | $50 | 0 hrs |
| #2 | Maryland | $50 | $50 | 0 hrs |
| #4 | Nebraska | $68 | $68 | 20 hrs |
| #5 | Oklahoma | $70 | $70 | 0 hrs |
| #6 | Colorado | $75 | $69 | 20 hrs |
| #6 | Montana | $75 | $75 | 0 hrs |
| #8 | Iowa | $81 | $81 | 36 hrs |
| #9 | Wisconsin | $82 | $82 | 0 hrs |
| #10 | New York | $85 | $65 | 0 hrs |
| #11 | Louisiana | $100 | $100 | 30 hrs |
| #11 | Maine | $100 | $75 | 50 hrs |
| #11 | Mississippi | $100 | $100 | 0 hrs |
| #11 | New Hampshire | $100 | $100 | 30 hrs |
| #11 | New Mexico | $100 | $93 | 30 hrs |
| #11 | North Carolina | $100 | $55 | 0 hrs |
| #11 | Pennsylvania | $100 | $65 | 30 hrs |
| #11 | South Dakota | $100 | $100 | 0 hrs |
| #19 | Minnesota | $105 | $85 | 24 hrs |
| #20 | Florida | $110 | $110 | 24 hrs |
| #21 | Idaho | $120 | $90 | 0 hrs |
| #22 | Arkansas | $125 | $100 | 15 hrs |
| #22 | Georgia | $125 | $75 | 30 hrs |
| #22 | Illinois | $125 | $100 | 20 hrs |
| #22 | Vermont | $125 | $95 | 0 hrs |
| #22 | Virginia | $125 | $95 | 15 hrs |
| #27 | Utah | $135 | $98 | 0 hrs |
| #27 | Washington | $135 | $105 | 8 hrs |
| #29 | Rhode Island | $145 | $105 | 10 hrs |
| #29 | South Carolina | $145 | $105 | 30 hrs |
| #31 | Arizona | $150 | $150 | 0 hrs |
| #31 | California | $150 | $190 | 30 hrs |
| #31 | Kansas | $150 | $100 | 30 hrs |
| #31 | Massachusetts | $150 | $120 | 15 hrs |
| #31 | Missouri | $150 | $100 | 0 hrs |
| #31 | Ohio | $150 | $100 | 24 hrs |
| #31 | Oregon | $150 | $150 | 0 hrs |
| #31 | Texas | $150 | $131 | 20 hrs |
| #39 | Hawaii | $160 | $132 | 30 hrs |
| #39 | North Dakota | $160 | $130 | 12 hrs |
| #41 | Alabama | $175 | $78.50 | 24 hrs |
| #42 | District of Columbia | $179 | $143 | 24 hrs |
| #43 | Alaska | $200 | $200 | 30 hrs |
| #43 | Connecticut | $200 | $150 | 0 hrs |
| #43 | Michigan | $200 | $160 | 25 hrs |
| #43 | Nevada | $200 | $200 | 45 hrs |
| #47 | Tennessee | $210 | $110 | 5 hrs |
| #48 | Delaware | $255 | $182 | 30 hrs |
| #48 | Wyoming | $255 | $175 | 0 hrs |
| #50 | New Jersey | $260 | $200 | 30 hrs |
| #51 | Kentucky | $330 | $200 | 14 hrs |
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.
West Virginia has the lowest total initial licensing fees at $35. The national average is $137.
Kentucky has the highest total initial fees at $330, which is $295 more than the cheapest state.
The average total initial licensing cost across 51 states is $137. Costs range from $35 to $330.
There is significant variation across the 51 states with data. Values range from $35 to $330, with a median of $125.