Most Expensive States for Physician Assistant Licensing (2026)

The most expensive state for physician assistant licensing is Nevada at $850. The cheapest is Indiana at $550. Budget for an average of $716 across all states.

Highest

$850

Nevada

Average

$716

across 51 states

Median

$700

37 states at or below

Range

$300

spread across states

#	State	Total Initial Fees	Renewal Fee	CE Hours
#1	Nevada	$850	$200	—
#2	Alaska	$800	$200	—
#2	California	$800	$300	—
#2	Florida	$800	$280	—
#2	Louisiana	$800	$200	—
#2	Massachusetts	$800	$150	—
#2	New Jersey	$800	$200	—
#2	New York	$800	$45	—
#2	Texas	$800	$184	—
#10	Connecticut	$750	$200	—
#10	District of Columbia	$750	$175	—
#10	Maryland	$750	$200	—
#10	Oregon	$750	$200	—
#10	Washington	$750	$379	—
#15	Alabama	$700	$150	—
#15	Arizona	$700	$185	—
#15	Delaware	$700	$150	—
#15	Hawaii	$700	$150	—
#15	Idaho	$700	$150	—
#15	Illinois	$700	$150	—
#15	Kansas	$700	$150	—
#15	Kentucky	$700	$150	—
#15	Maine	$700	$150	—
#15	Michigan	$700	$150	—
#15	Minnesota	$700	$150	—
#15	Mississippi	$700	$150	—
#15	Missouri	$700	$150	—
#15	Montana	$700	$150	—
#15	New Hampshire	$700	$150	—
#15	New Mexico	$700	$150	—
#15	North Carolina	$700	$150	—
#15	North Dakota	$700	$150	—
#15	Ohio	$700	$150	—
#15	Oklahoma	$700	$150	—
#15	Pennsylvania	$700	$100	—
#15	Rhode Island	$700	$150	—
#15	South Carolina	$700	$45	—
#15	Tennessee	$700	$150	—
#15	Vermont	$700	$150	—
#15	Virginia	$700	$150	—
#15	West Virginia	$700	$150	—
#15	Wisconsin	$700	$150	—
#43	Colorado	$675	$150	—
#43	Iowa	$675	$150	—
#43	Nebraska	$675	$150	—
#43	South Dakota	$675	$150	—
#43	Utah	$675	$150	—
#43	Wyoming	$675	$150	—
#49	Arkansas	$650	$100	—
#49	Georgia	$650	$100	—
#51	Indiana	$550	$100	—

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.

Key Takeaways

•37 states come in at or below the median of $700
•The range spans from $550 to $850 — a $300 spread
•States in the Midwest tend to have lower values (avg $681), while Northeast states average $739

Frequently Asked Questions

Which state has the most expensive physician assistant license?

Nevada has the highest total initial licensing fees at $850. The national average is $716.

How much do physician assistant licensing costs vary between states?

There is significant variation across the 51 states with data. Values range from $550 to $850, with a median of $700.

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