The cheapest way to prepare for the ABIM exam
Start free with ABIM’s blueprint, tutorials and reference ranges, and ask your residency program what it already provides. The cheapest full question bank with a published price is Rosh Review at $279. BoardVitals is reported at about $209 for a single month if you only need a short burst. And ABIM’s 50% fee credit can cut the $1,430 exam fee to $715 for eligible first-time candidates.
Rosh Review and ABIM fees from their own pages; other prices as reported or cited. Checked October 12, 2026.
| Option | Price | What you get |
|---|---|---|
| ABIM blueprint, tutorials, reference ranges | Free | Official material |
| BoardVitals, 1 month | ~$209 (reported) | 1,650+ questions, Pass Guarantee |
| Rosh Review Resident Qbank | $279 | 2,000 questions, Pass Guarantee |
| UWorld ABIM, 90 days | $499 (cited) | Explanations-first bank |
| ACP MKSAP, 1 year | $825 list (reported); less for residents | Syllabus plus questions |
Cheapest first.
Ways to pay less
- Ask your program first: it may already provide MKSAP or a question bank, and ACP offers bulk program pricing.
- Join ACP as a resident for discounted MKSAP pricing.
- Apply for ABIM’s 50% fee credit if you have financial need; the 2027 window closes October 16, 2026 per ABIM’s announcement.
- Register by April 15 to avoid the $400 late fee.
- Use pass guarantees: Rosh Review and BoardVitals both offer them.
Official source & community discussion
ABIM: exam fees (official) →
See related questions on Quora →