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The most expensive state for physician (md/do) licensing is Nevada at $1,425. The cheapest is Pennsylvania at $35. Budget for an average of $496 across all states.
Highest
$1,425
Nevada
Average
$496
across 51 states
Median
$430
26 states at or below
Range
$1,390
spread across states
| # | State | Total Initial Fees | Renewal Fee | CE Hours |
|---|---|---|---|---|
| #1 | Nevada | $1,425 | $1200 | — |
| #2 | California | $1,151 | $1206 | — |
| #3 | Rhode Island | $1,090 | $920 | — |
| #4 | Texas | $817 | $491 | — |
| #5 | New Jersey | $805 | $580 | — |
| #6 | District of Columbia | $803 | $675 | — |
| #7 | Maryland | $790 | $512 | — |
| #8 | New York | $735 | $600 | — |
| #9 | Maine | $700 | $450 | — |
| #10 | Vermont | $650 | $450 | — |
| #11 | Florida | $630 | $379 | — |
| #12 | Massachusetts | $600 | $600 | — |
| #13 | South Carolina | $580 | $200 | — |
| #14 | Connecticut | $565 | $575 | — |
| #15 | Mississippi | $550 | $300 | — |
| #16 | Alabama | $525 | $75 | — |
| #17 | Washington | $511 | $996 | — |
| #18 | Tennessee | $510 | $310 | — |
| #19 | Arizona | $500 | $500 | — |
| #19 | Georgia | $500 | $230 | — |
| #19 | Illinois | $500 | $543 | — |
| #19 | Montana | $500 | $500 | — |
| #19 | Oklahoma | $500 | $200 | — |
| #24 | Hawaii | $480 | $171 | — |
| #25 | Iowa | $445 | $350 | — |
| #26 | Delaware | $430 | $350 | — |
| #27 | Minnesota | $424 | $192 | — |
| #28 | Alaska | $400 | $350 | — |
| #28 | Arkansas | $400 | $200 | — |
| #28 | Colorado | $400 | $390 | — |
| #28 | Idaho | $400 | $250 | — |
| #28 | New Mexico | $400 | $600 | — |
| #28 | North Carolina | $400 | $250 | — |
| #28 | North Dakota | $400 | $205 | — |
| #28 | South Dakota | $400 | $300 | — |
| #28 | West Virginia | $400 | $400 | — |
| #28 | Wyoming | $400 | $155 | — |
| #38 | Louisiana | $382 | $330 | — |
| #39 | Oregon | $375 | $745 | — |
| #40 | Michigan | $370 | $200 | — |
| #41 | Nebraska | $350 | $171 | — |
| #42 | Ohio | $305 | $305 | — |
| #43 | Virginia | $302 | $337 | — |
| #44 | Kansas | $300 | $300 | — |
| #44 | Kentucky | $300 | $150 | — |
| #44 | New Hampshire | $300 | $378 | — |
| #47 | Indiana | $250 | $200 | — |
| #48 | Utah | $200 | $200 | — |
| #49 | Missouri | $75 | $125 | — |
| #50 | Wisconsin | $60 | $120 | — |
| #51 | Pennsylvania | $35 | $360 | — |
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.
Nevada has the highest total initial licensing fees at $1,425. The national average is $496.
There is significant variation across the 51 states with data. Values range from $35 to $1,425, with a median of $430.