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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 | Annual; APRN licenses expire June 30 each year (e.g., 2025 APRN renewal season ended 6/30/2025) |
| #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 (biennial) |
| #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 | Consistent with board renewal cycle; confirmed by 12/31/2025 expiration reference |
| #13 | Alabama | $78.50 | $175 | 2 years |
| #14 | Iowa | $81 | $81 | 3 years |
| #15 | Wisconsin | $82 | $82 | 2 years (renewal date: 02/28 or 29 of even years) |
| #16 | Minnesota | $85 | $105 | 2 years |
| #17 | Idaho | $Not more than $90 | $120 | 2 years |
| #18 | New Mexico | $93 | $100 | 2 years |
| #19 | Vermont | $95 | $125 | 2 years |
| #19 | Virginia | $95 | $125 | 2 years (biennial) |
| #21 | Utah | $98 | $135 | 2 years (expires January 31 of even-numbered 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 (biennial, even-numbered years) |
| #22 | Missouri | $100 | $150 | 2 years |
| #22 | New Hampshire | $100 | $100 | 2 years |
| #22 | Ohio | $100 | $150 | 2 years (biennial, renewed before July 1 on odd-numbered years) |
| #22 | South Dakota | $100 | $100 | 2 years (biennial) |
| #31 | Rhode Island | $105 | $145 | 2 years |
| #31 | South Carolina | $105 | $145 | 2 years (even years; all licenses expire April 30 of even-numbered years) |
| #31 | Washington | $105 | $135 | Annual (renewals due on applicant's birthday each 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 (renew by June 30 of every odd-numbered year) |
| #40 | District of Columbia | $143 | $179 | 2 years |
| #41 | Arizona | $150 | $150 | 2 years |
| #41 | Connecticut | $150 | $200 | 1 year (annual renewal) |
| #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.
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