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United States · Licensing exam

How much does the USMLE cost?

As of October 2026, Step 1 costs $695, Step 2 CK costs $695 and Step 3 costs $955. The same fees apply for 2027 eligibility periods. If you take Step 1 or Step 2 CK outside the U.S. and Canada, there’s an extra region fee. Fees aren’t refunded, so plan your dates carefully.

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Updated October 2026 · Written from official sources, listed at the bottom of this page

Exam fees for 2026 and 2027

StepApplication feeExtra region fee outside the U.S. and Canada
Step 1$695$210
Step 2 CK$695$235
Step 3$955Not applicable: Step 3 is only given in the U.S. and its territories

The fees are the same whether you apply through NBME (U.S. schools) or FSMB (schools outside the U.S.). In India, an 18% tax is added to Step 1 and Step 2 CK. FSMB also charges a $75 account creation fee for international applicants.

Rescheduling fees

When you make the changeStep 1Step 2 CKStep 3
46 or more days beforeFreeFreeFree
31 to 45 days before$35$35$35
6 to 30 days before$100$100$100
5 days or fewer before$158$178$317

Prometric charges a fee if you change, cancel or move your appointment within 45 days of your test. The fee depends on the day you make the change.

Other costs to plan for

  • Eligibility period extension: $70 for Step 1 or Step 2 CK through NBME. You can ask for one three-month extension.
  • Missing your eligibility period: you have to apply again and pay the full fee.
  • NBME self-assessments: from $62 per form.
  • ECFMG Certification, if you trained outside the U.S. ECFMG charges its own fees, separate from the USMLE.
  • Transcripts and score rechecks: both cost extra.

Help with fees

NBME runs a USMLE Fee Assistance Program for students and residents who can show financial need. Check usmle.org for the current rules before you apply.

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Everything else, in one place

OverviewUSMLEQuestions and passingHow many questions are on the USMLE, and what’s the passing score?ScoringHow USMLE scoring worksBookingHow to sign up for and schedule the USMLEWhat to bringWhat to bring to the USMLEOnline examCan you take the USMLE online?Step 1USMLE Step 1: pass/fail, format and lengthStep 2 CKUSMLE Step 2 CK scores, percentiles and formatStep 3USMLE Step 3: applying, the two days, CCS and scoresResults and transcriptsWhen do USMLE results come out?Free 120 and self-assessmentsFree official USMLE practice: sample questions and NBME self-assessmentsInternational graduatesThe USMLE for international medical graduatesIf you failFailed a USMLE Step? How retakes workContent outline and booksUSMLE study guide: the official content outlinePractice testFree USMLE practice questionsWhere to learnWhere to study for the USMLEStudy plannerUSMLE study planner
Sources: USMLE, NBME and 2 more. Checked October 2026.

Rules and fees can change, so check the official site before your test.