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The cheapest state to get a paramedic license is Arizona at $0. The most expensive is California at $250. The national average is $58.
Lowest
$0
Arizona
Average
$58
across 51 states
Median
$50
39 states at or below
Range
$250
spread across states
| # | State | Renewal Fee | Initial Fees | Renewal Cycle |
|---|---|---|---|---|
| #1 | Arizona | $0 | $242 | 2 years |
| #1 | Washington | $0 | $225 | 3 years |
| #3 | Alabama | $10 | $235 | 2 years (24 months) |
| #4 | Nevada | $15 | $324 | 2 years |
| #5 | Maine | $21 | $196 (based on $21 state application fee + $175 NREMT fee) | 2 years |
| #6 | Alaska | $25 | $275 | 2 years (consistent with NREMT and Alaska EMS recertification cycle) |
| #6 | Delaware | $25 | $275 | 2 years |
| #6 | Florida | $25 | $275 | 2 years (biennial) |
| #6 | Michigan | $25 | $275 | 3 years |
| #10 | Hawaii | $32 | $247 | 2 years |
| #10 | New Jersey | $32 | $275 | 2 years |
| #12 | Oklahoma | $33 | $385 | 2 years |
| #13 | Idaho | $35 | $260 | 2 years for AEMT and Paramedic |
| #13 | Nebraska | $35 | $260 | 2 years |
| #15 | Arkansas | $50 | $320 | 2 years |
| #15 | Illinois | $50 | $330 | 4 years |
| #15 | Indiana | $50 | $275 | 2 years |
| #15 | Iowa | $50 | $275 | 2 years |
| #15 | Kansas | $50 | $285 | 2 years |
| #15 | Louisiana | $50 | $325 | 2 years |
| #15 | Maryland | $50 | $275 | 2 years |
| #15 | Minnesota | $50 | $275 | 2 years |
| #15 | Mississippi | $50 | $275 | 2 years |
| #15 | Missouri | $50 | $275 | 5 years |
| #15 | Montana | $50 | $275 | 2 years |
| #15 | New Hampshire | $50 | $272 | 2 years |
| #15 | New Mexico | $50 | $275 | 2 years |
| #15 | New York | $50 | $180 | 3 years |
| #15 | North Carolina | $50 | $275 | 4 years |
| #15 | North Dakota | $50 | $275 | 2 years |
| #15 | Pennsylvania | $50 | $275 | 2 years |
| #15 | South Carolina | $50 | $275 | 4 years |
| #15 | South Dakota | $50 | $275 | 2 years (NREMT recertification cycle confirmed) |
| #15 | Utah | $50 | $290 | 2 years |
| #15 | Vermont | $50 | $275 | 2 years |
| #15 | Virginia | $50 | $275 | 3 years |
| #15 | West Virginia | $50 | $275 | 2 years |
| #15 | Wisconsin | $50 | $275 | 2 years |
| #15 | Wyoming | $50 | $275 | 2 years |
| #40 | Colorado | $75 | $290 | 3 years |
| #40 | District of Columbia | $75 | $300 | 2 years |
| #40 | Georgia | $75 | $295 | 2 years |
| #40 | Kentucky | $75 | $300 | 2 years (biennial) |
| #40 | Ohio | $75 | $300 | 3 years |
| #45 | Tennessee | $100 | $400 | 2 years |
| #46 | Oregon | $110 | $345 | 2 years (odd years for Paramedics: April 1 – June 30 renewal window in odd-numbered years) |
| #47 | Rhode Island | $120 | $345 | 2 years |
| #48 | Texas | $126 | $351 | 2 years |
| #49 | Connecticut | $150 | $400 | Annual (1 year) |
| #49 | Massachusetts | $150 | $375 | 2 years |
| #51 | California | $250 | $474 | 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.
Arizona has the lowest renewal fee at $0. The national average renewal fee is $58.
There is significant variation across the 51 states with data. Values range from $0 to $250, with a median of $50.
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