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Date Updated: December 28, 2016

USMLE Examination Fees

For Students and Graduates of Medical Schools in the United States and Canada Accredited by the LCME or AOA


2016 fees
2016 Fees Effective Dates for 2016 Fees
Step 1
$600*
Three month eligibility periods beginning November 1, 2015 - January 31, 2016 and ending October 1, 2016 - December 31, 2016
Step 2 CK
$600*
Step 1 and 2CK
$70
Eligibility Period Extension (requests received starting January 1, 2016)
Step 2 CS
$1,275
For completed applications received starting January 1, 2016.

2017 fees
2017 Fees Effective Dates for 2017 Fees
Step 1
$605*
Three month eligibility periods beginning November 1, 2016 - January 31, 2017 and ending October 1, 2017 - December 31, 2017
Step 2 CK
$605*
Step 1 and 2CK
$70
Eligibility Period Extension (requests received starting January 1, 2017)
Step 2 CS
$1,280
For completed applications received starting January 1, 2017.

For Step 2 CS Examination Appointments:

If you have a scheduled testing appointment and are unable to take the exam on your scheduled test date or at your scheduled center, you may cancel your scheduled testing appointment and reschedule for a different date and/or center, subject to availability. You may cancel and/or reschedule at any time through the end of the day before your scheduled test date. However, no canceling is allowed beginning at 12:00 AM, Eastern Time in the United States, on your scheduled test date. The date that you cancel your testing appointment will determine the amount of your rescheduling fee, as described in the list and table below. All dates and notice periods are calculated using Eastern Time in the United States.

  • If you cancel more than 14 calendar days before your scheduled test date, you will not be charged a fee when you reschedule.
  • If you cancel between 3 and 14 calendar days before your scheduled test date, you will be charged a $400 fee when you reschedule.
  • If you cancel 2 calendar days before your scheduled test date, you will be charged a $640.00 fee when you reschedule.
  • If you cancel 1 day before your scheduled test date you will be charged a $1,280 fee when you reschedule.
  • If you miss your scheduled testing appointment without canceling, you will be charged a $1,280 fee when you reschedule.

Next year's application materials will be available in the second half of September.

* For information about taking Step 1 and Step 2 CK at international centers and regional surcharges email USMLEreg@nbme.org or call 215-590-9700.

Please note: If you submit a check in payment of registration and/or examinee records services that is uncollectible and returned to the NBME, you will be charged a $25 fee. No further services will be provided until payment is received.

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