How much does it cost to study for Step 1?

Studying for USMLE Step 1 involves various costs, including the $695 exam fee, plus $400-$600 for question banks (like UWorld, AMBOSS), $100-$300 for key books, and $60-$120 per NBME practice test, with comprehensive prep courses potentially adding $1,000-$4,000 or more; you can expect total prep expenses to range from a few hundred dollars for self-study to several thousand for premium courses and resources.

How much does it cost to take Step 1?

USMLE Step 1 Exam Costs

This test is a steep financial commitment, with the registration fee (in 2025) costing U.S. and Canadian test-takers $680. Although this fee is universal, IMGs should be aware of additional expenses.

How much to study for Step 1?

On average, students spend 6–10 weeks in active review, but your USMLE Step 1 preparation time should reflect your own pace and confidence. Students with NBME scores above 65% often succeed with 4–6 weeks of USMLE preparation, while those scoring below 50% may benefit from 8–10 weeks of intensive Step 1 preparation.

What if I can't afford USMLE Step 1?

USMLE Fee Assistance Program

Financial barriers shouldn't stand in the way of your journey to becoming a licensed physician. That's why USMLE co-sponsor NBME is supporting medical students and residents with demonstrated financial need through a program to help cover the cost of Step exam fees.

Is 4 months enough for USMLE Step 1?

FAQs About USMLE Step 1 and Step 2 Preparation

You need enough time to thoroughly review all the material, take practice exams for each Step, and address weaker areas: For Step 1: at least 4-6 months. For Step 2: at least 3-4 months.

How much did USMLE STEP 1 cost me?

What is a 90% chance of passing Step 1?

A 90% chance of passing USMLE Step 1, often from an NBME practice exam, means you're very likely to pass but still have a 1 in 10 chance of failing, as it's a prediction not a guarantee, and validity depends on taking the real test soon after; it's calculated by the NBME, reflects statistical models, and isn't the same as mastering 90% of content, though strong practice scores usually indicate good readiness.
 

What is the 7 year rule for USMLE?

The USMLE 7-Year Rule mandates that most applicants must pass USMLE Steps 1, 2 CK, and Step 3 within seven years of passing their first step, starting from the date of that initial pass, for ECFMG Certification and medical licensure. Failure to meet this deadline invalidates earlier scores, requiring retesting, though waivers or extensions may be possible for documented extenuating circumstances like MD/PhD programs or severe illness, requiring contact with the specific state medical board or ECFMG. 

How common is it to fail Step 1?

While most people pass USMLE Step 1, failure rates have increased, especially since the scoring change to pass/fail in 2022, with overall pass rates for first-time test-takers dropping, and international medical graduates (IMGs) and repeat test-takers facing significantly lower odds, though the exact number varies yearly, with thousands failing in recent years (e.g., over 11,000 in 2023). For MD students, first-time pass rates were around 90-93% in 2022-2023, compared to 82-83% for DO students and ~72% for IMGs in 2023, with repeaters seeing even lower success.
 

Can you still be a doctor if you fail Step 1?

Know this: One failing score on a Step exam doesn't preclude you from being a physician. “Someone who failed Step 1 and went on to successfully pass it and do well—one of the things we look for in resident candidates is resilience and that's pretty good evidence of resilience,” Dr. Marzano said.

How do people survive financially in med school?

If your expenses are more than your income, consider reducing your spending on personal expenses, or look for ways to increase your income, like utilizing financial aid or finding flexible employment. If you need a little help setting up a budget, check out your school's financial wellness resources.

What are common Step 1 study mistakes?

Memorizing over understanding:

Unfortunately, many students make the mistake of memorizing the facts without first understanding them. This leads them to have low scores on the exam. USMLE Step1 demands you to combine concepts, apply different fields and manipulate information at a higher level.

Is 60% enough to pass Step 1?

Yes, around 60% correct is generally considered the approximate pass mark for USMLE Step 1, though the exact percentage varies with each exam form, and the score is reported as Pass/Fail, not a number, so consistently scoring higher (like 65-70%) on practice exams (NBMEs) is recommended for a comfortable pass. The official passing score (around 196 before 2022, now just "Pass") isn't a fixed number of questions, as some are experimental, but aiming for about 60% on practice tests is a good benchmark, with 70%+ being a safer target for a strong pass. 

Can I get financial aid for USMLE Step 1?

Yes, the Fee Assistance program is open to anyone who is taking the USMLE Step 1 or Step 2 CK in 2025. Review the cycle dates above to ensure you submit your application in the appropriate cycle.

Which USMLE Step is the hardest?

Step 2 had the highest passing rates for both US/Canadian students (98%) and non-US/Canadian test takers (88%). This data suggests that Step 1 was the hardest exam to pass. No matter which step you are preparing for, the USMLE exams are challenging.

What happens if I fail USMLE Step 1?

USMLE Step 1: What to Do If You Don't Pass

You might also be required to retake and pass the exam by a certain date. Moreover, if you fail to pass the USMLE Step 1 on several attempts, you could face dismissal, so it is critical that you thoroughly ready yourself to retake the exam.

How much money do I need for an USMLE?

The base cost for USMLE Step 1 and Step 2 CK is around $695 for US/Canadian test-takers in 2026, while International Medical Graduates (IMGs) applying via ECFMG face higher fees, potentially over $1,000 per exam including surcharges, with costs increasing in 2025. Additional expenses include study materials (UWorld), practice tests (NBMEs), and significant costs for IMGs like ECFMG certification, ERAS tokens, and travel for interviews, making the total journey $12,000 to $20,000+. 

Is Step 1 harder than the mcat?

Most sources suggest the USMLE Step 1 is generally considered harder than the MCAT due to its immense content depth in basic sciences and higher stakes (though its scoring changed), while the MCAT is often seen as a broader critical thinking/reading test; however, opinions vary, with some finding the MCAT's abstract, interdisciplinary nature more challenging than Step 1's deep science focus. Step 1 covers a vast amount of medical science (physiology, pharmacology, etc.) after two years of med school, whereas the MCAT tests foundational sciences and reasoning for med school entry, often seen as tricky or abstract, per Reddit users and this YouTube video. 

How many attempts to pass USMLE Step 1?

All students must pass the USMLE Step 1 exam as a graduation requirement from the School of Medicine. Students are allowed 4 attempts at the USMLE Step 1 as specified in the School's Bylaws and Regulations.

What is the hardest year of medical school?

There's no single "hardest" year, as it depends on individual strengths, but Year 3 (clinical rotations) and Year 1 (foundational science shock) are most commonly cited as toughest; Year 3 brings grueling hours, real patient stress, and "pimping," while Year 1 overwhelms with the sheer volume of new information and adjusting to a new academic level, with Year 2 (board prep) and Year 4 (residency applications) having their own distinct challenges. 

What is a 75% on Step 1?

A 75% on USMLE Step 1 usually refers to a high performance level, often meaning you scored better than 75% of other test-takers (75th percentile) or got around 75% of questions correct on practice exams, indicating a very high chance of passing, as a ~65% correct on NBMEs often predicts passing. While Step 1 is now pass/fail, historically, a score in the 75th percentile (around 240-250+ on the old scale) was considered strong for residency applications, and 70-75% on practice NBMEs suggests near-certain success on the actual exam.
 

What percent of MD students pass Step 1?

In 2021—the year prior to Step 1's moving to pass-fail scoring—95% of first-time test takers from MD-granting medical schools and 94% from DO-granting schools passed Step 1. In the years since, that number has ranged from 91–93% for MD students and 86–89% for DO students. What's behind the decline?

Why do IMGs fail Step 1?

For many IMGs, their medical education has not been oriented towards the USMLE and US style standardized exams. Their medical school curriculum calendars are set up to match the training system in that country, and are not aligned to the needs of taking the USMLE series of exams.

What is the shortest residency to become a doctor?

The shortest MD residencies in the U.S. are typically 3 years, offered in primary care fields like Family Medicine, Internal Medicine, Pediatrics, and Preventive Medicine, with some Emergency Medicine programs also being 3 years. These generalist specialties provide broad medical foundations, allowing physicians to enter practice quickly, though many pursue further fellowship training for subspecialization.
 

Do step scores expire?

The USMLE valid period for Step 1 and Step 2 CK is 7 years from the date of passing. It's important to stay aware of this timeline, especially when you're planning your path to residency. Step 3 has no expiration date, but it's essential to complete the steps in order to avoid having to retake the earlier exams.

Has anyone gotten a 300 on USMLE?

The highest possible score for the USMLE Step 2 CK is 300, but no one has ever achieved a “perfect” score. A score around 280 would be considered a top Step 2 CK score.