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The cheapest state to get a physician (md/do) license is Alabama at $75. The most expensive is California at $1,206. The national average is $403.
Lowest
$75
Alabama
Average
$403
across 51 states
Median
$350
28 states at or below
Range
$1,131
spread across states
| # | State | Renewal Fee | Initial Fees | Renewal Cycle |
|---|---|---|---|---|
| #1 | Alabama | $75 | $525 | Annual (licenses expire December 31 each year; renewal window is October 1 – December 31 with a grace period January 1–31) |
| #2 | Wisconsin | $120 | $60 | Biennial; renewal date is 10/31 of each odd-numbered year |
| #3 | Missouri | $125 | $75 | 2 years |
| #4 | Kentucky | $150 | $300 | Annual |
| #5 | Wyoming | $155 | $400 | Annual |
| #6 | Hawaii | $171 | $480 | 2 years |
| #6 | Nebraska | $171 | $350 | 2 years (licenses expire October 1 of every even year) |
| #8 | Minnesota | $192.00 (+ $60 late fee) | $424.00 | Annual |
| #9 | Arkansas | $200 | $400 | Annual (on or before the last day of birth month) |
| #9 | Indiana | $200 | $250 | 2 years (biennial) |
| #9 | Michigan | $200 | $370 | 3 years |
| #9 | Oklahoma | $200 | $500 | Annual |
| #9 | South Carolina | $200 | $580 | 2 years (biennial) |
| #9 | Utah | $200 | $200 | 2 years |
| #15 | North Dakota | $205 | $400 | 2 years (biennial) |
| #16 | Georgia | $230 | $500 | 2 years (biennial) |
| #17 | Idaho | $250 | $400 | 2 years |
| #17 | North Carolina | $250 | $400 | Annual |
| #19 | Kansas | $300 | $300 | Annual |
| #19 | Mississippi | $300 | $550 | Annual |
| #19 | South Dakota | $300 | $400 | 3 years |
| #22 | Ohio | $305 | $305 | 2 years |
| #23 | Tennessee | $310 | $510 | 2 years |
| #24 | Louisiana | $330 | $382 | Annual |
| #25 | Virginia | $337 | $302 | 2 years |
| #26 | Alaska | $350 (active biennial license renewal fee) | $400 | 2 years (biennial; all licenses expire December 31 of even-numbered years) |
| #26 | Delaware | $350 | $430 | 2 years |
| #26 | Iowa | $350 | $445 | 2 years |
| #29 | Pennsylvania | $360 | $35 | 2 years |
| #30 | New Hampshire | $378 | $300 | 2 years |
| #31 | Florida | $379 (active) | $630 | 2 years (biennial) |
| #32 | Colorado | $390 | $400 | 2 years |
| #33 | West Virginia | $400 (for MDs/DPMs) | $400 | 2 years (biennial) |
| #34 | Maine | $450 | $700 | 2 years |
| #34 | Vermont | $450 | $650 | 2 years |
| #36 | Texas | $491 | $817 | 2 years (biennial) |
| #37 | Arizona | $500 | $500 | 2 years |
| #37 | Montana | $500 | $500 | 2 years |
| #39 | Maryland | $512 | $790 | Annual |
| #40 | Illinois | $543 | $500 | 3 years |
| #41 | Connecticut | $575 | $565 | 2 years |
| #42 | New Jersey | $580 | $805 | 2 years |
| #43 | Massachusetts | $600 | $600 | 2 years |
| #43 | New Mexico | $600 | $400 | 3 years |
| #43 | New York | $600 | $735 | 3 years |
| #46 | District of Columbia | $675 | $803 | 2 years |
| #47 | Oregon | $745 | $375 | 2 years |
| #48 | Rhode Island | $920 | $1,090 | 2 years (renewed on June 30th of every even-numbered year) |
| #49 | Washington | $996 | $511 | 2 years |
| #50 | Nevada | $1200 | $1,425 | 2 years (biennial) |
| #51 | California | $1,206 | $1,151 | 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.
Alabama has the lowest renewal fee at $75. The national average renewal fee is $403.
There is significant variation across the 51 states with data. Values range from $75 to $1,206, with a median of $350.
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