* For students / graduates of medical schools located outside the US:
Region fee information
For Step 1, there is a $205 region fee for exams taken outside of the U.S. and Canada. For Step 2 CK, there is a region fee of $230 for exams taken outside the U.S. and Canada. This is not a USMLE fee.
Note for applicants who select India testing region:
Pursuant to Notification No. 28/2023-Central Tax, the USMLE program is required by the Indian government to collect and remit goods and services taxes for online information database access and retrieval (OIDAR) services provided in India, which include Steps 1 & 2 of the USMLE taken in India. Effective December 4, 2024, this 18% tax will be collected and remitted directly to India, and no amount will be retained by the USMLE program.