USMLE Step 1 Exam Fees

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USMLE Step 1 Fees:

Given below is the USMLE Step 1 fees, and additional costs.

For aspirants from USA and Canada:

USMLE Exam Fees

Step 1

Application Fees


Additional Surcharge



For International Students:

ECMFG Certificate



Fee Structure:


USMLE Step 1

Application Fees


Extension of Eligibility Period


Testing Region Change


Score Recheck


ECFMG Exam Chart


ECFMG CSA History Chart


Paper transcript

$70/request (up to 10 transcripts)

USMLE Transcript: ERAS(Electronic Transmission)

$80 per ERAS


Rescheduling Fees:

Days before USMLE Step 1 schedule

Testing Region

Step 1

31+ days before the test date

All testing regions

No Fee

Less than 31 days to more than 5 days before the test date

All testing regions


5 or fewer days before the USMLE Step 1 scheduled test

US and Canada


Africa, Asia (including Hong Kong and Pakistan),

Australia, China, India, Indonesia, Latin America,

Middle East (including Egypt), Thailand


Europe (including Israel), Korea, Taiwan