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ABFM exam cost: the $1,300 fee, retakes, prep and keeping certification

Last checked October 19, 2026 · Sources: ABFM’s exam information booklet (exam and re-exam fees) and 2026 registration booklet; AAFP’s board exam guide and board review prices; Rosh Review; UWorld prices as cited. Totals are our sums.

The ABFM exam cost for most residents is $1,300, the fee in ABFM’s 2026 booklet and the amount AAFP says most residents paid in 2024; applying after the first deadline adds a $100 late fee. A re-examination is $650. Prep runs from free (AAFP’s 1,360 member questions) to $279 for Rosh Review’s bank and up to $1,435 for an AAFP live course. After you’re certified, continuing certification is $200 a year, per AAFP.

One-day exam fee
$1,300
ABFM's 2026 booklet
Late fee
$100
After the first deadline
Re-examination
$650
Per ABFM's booklet
Continuing certification
$200
Per year, per AAFP

ABFM fees

Fee Amount Notes
One-day certification exam $1,300 Most residents paid this in 2024, per AAFP
Late fee $100, non-refundable Applications after the first deadline
Re-examination $650 50% of the current fee, per ABFM’s booklet
Cancellation and seat fees Apply if you withdraw late Withdraw 30+ days before to avoid the cancellation fee, 5+ days to avoid the seat fee
Continuing certification $200 a year ABFM’s 2026 booklet says the annual fee includes two exam attempts

From ABFM’s booklets and AAFP, checked October 19, 2026.

What ABFM prep costs

Option Price
AAFP board-style questions Free (members)
Rosh Review Resident Qbank $279 Basic; $549 Premium
AAFP FP Comprehensive online $315 (member)
UWorld ABFM (90 days) $499 (cited)
AAFP Board Review Express online $925 (member)
AAFP Board Review Express live or livestream $1,435 member; $1,045 resident

From providers’ own pages; UWorld new-purchase prices as cited.

From $279
Rosh Review

2,000 questions; pass guarantee.

Buy now on Rosh Review
Free for members
AAFP

Free member questions; courses from $315.

Buy now on AAFP

Example budgets

Scenario Items About
Free prep $1,300 exam + AAFP’s free member questions $1,300
Question bank $1,300 exam + Rosh Review $279 $1,579
Course + bank $1,300 exam + AAFP BRE online $925 + Rosh Review $279 $2,504
Late application, then a retake $1,300 + $100 late fee + $650 re-exam $2,050 before prep

Our sums for a first-time pass; excludes AAFP membership dues and travel.

Ways to keep ABFM costs down

  • Apply before the first deadline to avoid the $100 late fee.
  • Ask your residency program whether it pays the exam fee or provides board review.
  • Start with AAFP’s free member questions before buying a bank.
  • Withdraw early if plans change: 30+ days before avoids the cancellation fee.

Common questions about ABFM exam cost

How much is the ABFM exam?

$1,300, per ABFM’s 2026 booklet and AAFP, plus $100 if you apply after the first deadline.

How much is an ABFM retake?

$650 per re-examination, per ABFM’s booklet.

How much does it cost to stay certified?

$200 a year for continuing certification, per AAFP; ABFM’s 2026 booklet says the annual fee covers two exam attempts.

Will my residency pay?

Many do; ask your program what it covers.

See also how to register, cheapest ABFM prep and our ABFM exam guide. MockTestPrep is independent and earns no commission from these providers.

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