Rescheduling Fees

For Appointments at Prometric Test Centers for Step 1, Step 2 CK, and Step 3 Examinations:

Prometric will charge a fee if USMLE examinees change testing appointments (e.g., reschedule, cancel, change test center location) at Prometric Test Centers thirty or fewer days before their scheduled test date. No fee is charged for changing testing appointments 31 or more days prior to the first day of the scheduled test.

The date that you change your appointment, using local time at the Regional Registration Center for the Prometric Testing Region, will determine whether you pay a fee and the amount of this fee:

  • If you change your appointment 31 or more days before (but not including) the first day of your scheduled test date, there is no fee.
  • If you change your appointment fewer than 31 days but more than 5 days before (but not including) the first day of your scheduled test date, there is a $50 fee.
  • If you change your appointment 5 or fewer days before (but not including) the first day of your scheduled test date, there is a higher fee. This fee varies by Prometric Testing Region and by exam.

A schedule of fees is provided in the table below. As stated in the USMLE Bulletin of Information, appointments may be changed by following the instructions on your Scheduling Permit. You will need to provide your Prometric Confirmation Number when you change your appointment. If you reschedule, your rescheduled test date(s) must fall within your assigned eligibility period.

Appointment Change Fees for Computer-based Examinations
Fees (listed in US dollars) effective January 1, 2016 through December 31, 2018
The date that you change your appointment Prometric Testing Region Step 1 Step 2 CK Step 3
31 or more days before (but not including) the first day of the scheduled test date All testing regions No Fee No Fee No Fee
Fewer than 31 days and more than 5 days before (but not including) the first day of the scheduled test date All testing regions $50 $50 $50
5 or fewer days before (but not including) the first day of the scheduled test date US and Canada $114 $128 $228*
Africa, Asia (including Hong Kong and Pakistan),
Australia, China, India, Indonesia, Latin America,
Middle East (including Egypt), Thailand
$276 $311 N/A
Europe (including Israel), Korea, Taiwan $314 $353 N/A
Japan $506 $569 N/A

* For Step 3 administrations, if you are rescheduling one or more, but fewer than all days of your appointment, between 1 and 5 days prior to your first scheduled test date, you will be charged a rescheduling fee of $114.

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 $637.50 fee when you reschedule.
  • If you cancel 1 day before your scheduled test date you will be charged a $1,275 fee when you reschedule.
  • If you miss your scheduled testing appointment without canceling, you will be charged a $1,275 fee when you reschedule.
Example: Appointment Change Fees for CS Examinations
Fees (listed in US dollars) effective as of January 1, 2016
Scheduled Test Date Cancel Date(s) Fee
  July 15 On or before June 30 No Fee
July 1 – July 12 $400
July 13 $637.50
July 14 $1275

If you cancel without rescheduling or miss your scheduled testing appointment, there is no guarantee that testing appointments during your eligibility period will be available when you attempt to reschedule. If you do not reschedule within your eligibility period, you must submit a new application and exam registration fee in order to take the exam.

If you are unable to keep your scheduled testing appointment, we encourage you to cancel your appointment as soon as possible, regardless of whether you are ready to reschedule. When examinees cancel more than 14 calendar days before their appointment, it is more likely that another examinee will be able to fill that testing slot. Avoiding large numbers of unfilled testing slots helps the USMLE Program manage capacity and minimize increases in the cost of the exam.