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The cheapest state to get a nurse midwife (cnm) license is West Virginia at $35. The most expensive is New Jersey at $200. The national average is $110.
Lowest
$35
West Virginia
Average
$110
across 51 states
Median
$100
30 states at or below
Range
$165
spread across states
| # | State | Renewal Fee | Initial Fees | Renewal Cycle |
|---|---|---|---|---|
| #1 | West Virginia | $35 | $35 | 1 year |
| #2 | Indiana | $50 | $50 | 2 years |
| #2 | Maryland | $50 | $50 | 2 years |
| #4 | North Carolina | $55 | $100 | 2 years |
| #5 | New York | $65 | $85 | 4 years |
| #5 | Pennsylvania | $65 | $100 | 2 years |
| #7 | Nebraska | $68 | $68 | 2 years |
| #8 | Colorado | $69 | $75 | 2 years |
| #9 | Oklahoma | $70 | $70 | 2 years |
| #10 | Georgia | $75 | $125 | 2 years |
| #10 | Maine | $75 | $100 | 2 years |
| #10 | Montana | $75 | $75 | 2 years |
| #13 | Alabama | $78.50 | $175 | 2 years |
| #14 | Iowa | $81 | $81 | 3 years |
| #15 | Wisconsin | $82 | $82 | 2 years |
| #16 | Minnesota | $85 | $105 | 2 years |
| #17 | Idaho | $90 | $120 | 2 years |
| #18 | New Mexico | $93 | $100 | 2 years |
| #19 | Vermont | $95 | $125 | 2 years |
| #19 | Virginia | $95 | $125 | 2 years |
| #21 | Utah | $98 | $135 | 2 years |
| #22 | Arkansas | $100 | $125 | 2 years |
| #22 | Illinois | $100 | $125 | 2 years |
| #22 | Kansas | $100 | $150 | 2 years |
| #22 | Louisiana | $100 | $100 | 2 years |
| #22 | Mississippi | $100 | $100 | 2 years |
| #22 | Missouri | $100 | $150 | 2 years |
| #22 | New Hampshire | $100 | $100 | 2 years |
| #22 | Ohio | $100 | $150 | 2 years |
| #22 | South Dakota | $100 | $100 | 2 years |
| #31 | Rhode Island | $105 | $145 | 2 years |
| #31 | South Carolina | $105 | $145 | 2 years |
| #31 | Washington | $105 | $135 | 1 year |
| #34 | Florida | $110 | $110 | 2 years |
| #34 | Tennessee | $110 | $210 | 1 year (biennial for APRNs) |
| #36 | Massachusetts | $120 | $150 | 2 years |
| #37 | North Dakota | $130 | $160 | 2 years |
| #38 | Texas | $131 | $150 | 2 years |
| #39 | Hawaii | $132 | $160 | 2 years |
| #40 | District of Columbia | $143 | $179 | 2 years |
| #41 | Arizona | $150 | $150 | 2 years |
| #41 | Connecticut | $150 | $200 | 1 year |
| #41 | Oregon | $150 | $150 | 2 years |
| #44 | Michigan | $160 | $200 | 2 years |
| #45 | Wyoming | $175 | $255 | 2 years |
| #46 | Delaware | $182 | $255 | 2 years |
| #47 | California | $190 | $150 | 2 years |
| #48 | Alaska | $200 | $200 | 2 years |
| #48 | Kentucky | $200 | $330 | 1 year |
| #48 | Nevada | $200 | $200 | 2 years |
| #48 | New Jersey | $200 | $260 | 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.
West Virginia has the lowest renewal fee at $35. The national average renewal fee is $110.
There is significant variation across the 51 states with data. Values range from $35 to $200, with a median of $100.