Alternate Pathways for Initial Certification

International Medical Graduate Fees

Last verified on January 4, 2024

Application and Exam Fees

The ABR has an exam fee model. Candidates are charged an application fee, a Qualifying Exam fee, and a Certifying Exam fee. If a candidate does not fully pass the computer-based Qualifying Exam or the oral Certifying Exam on the first administration, a one-time re-exam fee will be assessed to retake that exam. Fees must be paid in myABR. Please note, application and exam fees are nonrefundable.

Four-Year Plan Appointment

Fee Type Description Amount
Application Fee Due with submission of your application. $2000
Qualifying Exam Fee This fee is charged once your application has been approved and is due before registration for your Qualifying Exam. It covers both part 1 and part 2 of the exam. $1280
Certifying Exam Fee This fee is charged once you have passed your Qualifying Exam and is due before registration for your Certifying Exam. $1280
Re-exam Fee If you do not fully pass an exam, a re-exam fee will be assessed to retake that specific exam. This is a one-time re-exam fee for each exam taken. $640

Candidates who register for an exam and cancel or do not show for the exam will have any paid exam fees applied to their next eligible exam. Candidates who register for the Certifying Exam and cancel more than five business days after registration closes or do not show for the exam appointment will be charged a $400 cancellation/no show fee. Any exam fees paid will be applied to their next eligible exam.

Payment in full or partial payments of $100 or more may be made by Visa™, MasterCard™, American Express™, or eCheck only (U.S. currency). Payment by cashier’s check or money order will not be accepted. If payment is declined for any reason, there will be a $100 processing fee.

Fees After Board Eligibility Ends

Once initial board eligibility ends, a candidate may submit a second application for an additional board eligibility period.

Second Board Eligibility Period Fees

No application fee is charged for a second board eligibility period.

Fee Description Amount
Qualifying Exam Fee   $1280
Certifying Exam Fee   $1280
Re-exam Fee If you do not fully pass an exam, a re-exam fee will be assessed to retake that specific exam. This is a one-time re-exam fee for each exam taken. $640