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The cheapest state to get a occupational therapist license is Arkansas at $3. The most expensive is New York at $294. The national average is $117.
Lowest
$3
Arkansas
Average
$117
across 51 states
Median
$100
30 states at or below
Range
$291
spread across states
| # | State | Renewal Fee | Initial Fees | Renewal Cycle |
|---|---|---|---|---|
| #1 | Arkansas | $3 | $Approximately $592 (application + NBCOT + background check) | 2 years |
| #2 | Idaho | $40.00 | $744 | 1 year |
| #3 | Pennsylvania | $45 | $674 | 2 years (licenses expire June 30 of odd years) |
| #4 | Utah | $47 | $698 | 2 years (licenses expire May 31 of odd years) |
| #5 | Indiana | $50 | $734 | 2 years |
| #5 | North Carolina | $50 | $694 | 1 year |
| #7 | Florida | $60 | $874 | 2 years (biennial) |
| #8 | Colorado | $75 | $Approximately $809 | 2 years (licenses expire December 31 of even-numbered years) |
| #8 | Kentucky | $75 | $734 | 1 year |
| #8 | North Dakota | $75 | $709 | 2 years |
| #8 | Wisconsin | $75 | $734 | 2 years (renews 05/31 each odd-numbered year) |
| #12 | Hawaii | $85 | $754 | 2 years (renew by December 31 of every even-numbered year) |
| #13 | District of Columbia | $94 | $866 | 2 years |
| #14 | Texas | $97 | $902 | 2 years |
| #15 | Arizona | $100 | $Approximately $790 | 2 years |
| #15 | Georgia | $100 | $784 | 2 years |
| #15 | Illinois | $100 | $784 | 2 years |
| #15 | Kansas | $100 | $784 | 1 year (annual) |
| #15 | Maine | $100 | $784 | 1 year |
| #15 | Mississippi | $100 | $784 | 2 years |
| #15 | Missouri | $100 | $784 | 2 years (licenses expire April 30 of even-numbered years) |
| #15 | New Mexico | $100 | $784 | 1 year (annual) |
| #15 | Ohio | $100 | $784 | 2 years |
| #15 | Oklahoma | $100 | $784 | 2 years |
| #15 | Oregon | $100 | $784 | 2 years |
| #15 | Rhode Island | $100 | $784 | 2 years |
| #15 | South Carolina | $100 | $784 | 2 years |
| #15 | South Dakota | $100 | $784 | Annual (1 year) |
| #15 | Vermont | $100 | $784 | 2 years |
| #15 | Wyoming | $100 | $784 | 1 year |
| #31 | New Hampshire | $110 | $804 | 2 years |
| #31 | Tennessee | $110 | $804 | 2 years (biennial, tied to birthday month) |
| #33 | Iowa | $120 | $824 | 2 years |
| #33 | Nebraska | $120 | $824 | 2 years (24-month renewal period) |
| #35 | Virginia | $135 | $854 | 2 years (biennial) |
| #36 | Alabama | $140 | $Approximately $784 (application + NBCOT exam + license fee + background check) | Biennial (2-year) renewal cycle indicated by homepage reference to online renewal portal and CE Broker integration |
| #37 | California | $150 | $Approximately $884 | 2 years (biennial) |
| #37 | Louisiana | $150 | $884 | 1 year |
| #37 | West Virginia | $150 | $884 | 2 years |
| #40 | New Jersey | $160 | $904 | 2 years |
| #41 | Michigan | $165.40 | $914.8 | 2 years |
| #42 | Delaware | $171 | $926 | 2 years (August 1 to July 31 of even-numbered years) |
| #43 | Washington | $175 | $934 | 2 years |
| #44 | Alaska | $180 | $Approximately $990 | 2 years |
| #45 | Minnesota | $185 | $954 | 2 years |
| #46 | Montana | $190 | $964 | Annual (April 17 – June 15 renewal window; late renewal online for 45 days until July 30) |
| #47 | Connecticut | $200 | $984 | Biennial (2 years) |
| #47 | Maryland | $200 | $984 | 2 years |
| #47 | Massachusetts | $200 | $984 | 2 years (biennial) |
| #47 | Nevada | $200 | $984 | 2 years |
| #51 | New York | $294 | $923 | 3 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.
Arkansas has the lowest renewal fee at $3. The national average renewal fee is $117.
There is significant variation across the 51 states with data. Values range from $3 to $294, with a median of $100.
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