By Dr. Bilal Akil, MD — Emergency Medicine, Schulich School of Medicine & Dentistry, Western University · founder of mccQbank
Short answer: the MCCQE application fee is $1,500 CAD, according to the Medical Council of Canada’s examination and service fees page (checked 2 November 2026). You also need a physiciansapply.ca account, which costs a one-time $150, and international medical graduates pay $232 per medical credential for source verification. So a first attempt costs about $1,650 for a Canadian student and about $1,882 for an IMG verifying one degree, before any preparation.
Everything below comes from the MCC’s own pages, read on 2 November 2026. The MCC says all its fees “are subject to change without notice” and are reviewed every year, so check the fee page before you pay. All amounts are in Canadian dollars.
What the MCC charges for the MCCQE
| Item | Fee (CAD) | Refundable? |
|---|---|---|
| physiciansapply.ca account set-up | $150 (one time) | No |
| Source verification request (SVR) | $232 per medical credential | No |
| MCCQE application (formerly MCCQE Part I) | $1,500 | Partly, in some cases: the MCC keeps a $750 withdrawal fee |
| Eligibility window extension | $120, plus any increase in the application fee since you applied | No |
| Appeal fee | $1,200 | Not stated |
| Reschedule or cancel with Prometric, 31 or more days ahead | $35 + HST, paid to Prometric | n/a |
| Reschedule or cancel, less than 30 days ahead | $75 + HST, paid to Prometric | n/a |
| LMCC | $0 if you applied for the MCCQE after 26 January 2026; $50 if you applied before | No |
The MCC takes Visa, Mastercard, and prepaid or secured credit cards. It does not accept Interac, Visa debit or Mastercard debit.
Your first-attempt bill, by route
Which fees you pay depends on where you trained. The MCC lists separate application steps for Canadian students and graduates, international students, and international graduates on its MCCQE eligibility and application page. On a first application, only the steps for international (including U.S.) graduates ask you to submit and pay for an SVR for your medical degree before applying. International students instead upload a Student attestation form from their school.
| Your route | Fees on the first attempt | Total (CAD) |
|---|---|---|
| Canadian medical student or graduate, new physiciansapply.ca account | $150 account + $1,500 application | $1,650 |
| International medical student, new account | $150 account + $1,500 application | $1,650 |
| International medical graduate, new account, one degree verified | $150 account + $232 SVR + $1,500 application | $1,882 |
| Any route, already holding an account | $1,500 application (+ $232 per new credential, if needed) | $1,500 and up |
If you applied as a student and have since graduated, the MCC’s reapplication steps say you “must submit an SVR through your physiciansapply.ca account for your medical degree.” Budget the $232 for that point.
The charges that appear when plans change
Once your application is accepted you have a 12-month eligibility window to book and write the exam at a Prometric centre (for students, the window runs for the 12 months before your expected graduation date). Most of the extra charges depend on changes you make inside that window, and the price depends on how close you are to your appointment. The rules are on the MCC’s scheduling and withdrawing pages:
| Situation | What it costs |
|---|---|
| Move or cancel 31 or more days before your appointment | $35 + HST |
| Move or cancel less than 30 days before | $75 + HST |
| Cancel less than 120 hours before, or don’t show up | The full $1,500 is forfeited (with documented extenuating circumstances, you can request a partial refund no later than 15 days after your exam date) |
| Cancel more than 120 hours ahead and withdraw, or never book and withdraw | Partial refund: $1,500 minus the $750 withdrawal fee |
| Need more time than the window allows | $120 (plus any application-fee increase since you applied) to extend once by 12 months, only once you are within 60 days of expiry |
| Let the window expire without extending | Automatically withdrawn with a partial refund |
Our rule of thumb from those numbers: if a practice score tells you you’re not ready, decide at least 31 days out. The same decision costs $35 then, $75 a few weeks later, and $1,500 inside the last five days. We cover the steps in Prometric’s system in how to reschedule or cancel the MCCQE.
What a second attempt costs
The eligibility window closes when you write the exam, so another attempt means another application through physiciansapply.ca and another $1,500 application fee. Your account and any verified credentials carry over, so the account and SVR fees aren’t repeated. The MCC caps the MCCQE at four attempts (attempts before 2018 and a No Standing don’t count) and makes you wait one year after your third result before the fourth. A pass can’t be retaken.
That makes the first attempt the cheapest one you will sit. It’s worth knowing how first-attempt pass rates compare for IMGs and Canadian graduates before you pick a date.
Optional MCC practice exams
The MCC also sells its own preparatory products, each with answer rationales, timed or self-paced modes and six months of access:
- Preparatory Examination: $400 per form, 230 multiple-choice questions.
- A second full Preparatory Examination form at $1, also 230 questions. The MCC calls it “an ongoing price offer” that “is not time limited”.
- Preparatory Exam-Lite: $250 per form, 115 questions, with two forms available.
The $1 form is the cheapest full-length form the MCC sells, and the MCC says there is no difference between it and the full-priced form other than the questions. Our guide to the MCC preparatory exam covers when to sit it.
Claiming the tuition tax credit
Part of the bill can come back at tax time. The MCC’s tuition tax credit page says the credit applies to MCCQE examinations taken since 2011 and to NAC Examinations taken since 2014. For the MCCQE, eligible extra fees are the change fee, the eligibility extension fee and the scheduling fee. Your receipt shows the full examination fee and up to $250 of those extra fees.
The receipt appears in your physiciansapply.ca account by the end of February of the year after you write. The MCC doesn’t provide paper copies. How much the credit is worth to you depends on your own tax situation, and the MCC points questions about that to the Canada Revenue Agency.
How the MCCQE compares with the NAC and TDM fees
For IMGs planning both exams, the same fee page lists the NAC Examination at $3,320 (a $538 withdrawal fee if you withdraw before the deadline) and the TDM Examination at $2,850 (a $1,425 withdrawal fee). So the MCCQE costs less than the NAC. The LMCC is issued automatically at no extra fee if you applied for the MCCQE after 26 January 2026. Our LMCC guide explains what changed.
Frequently asked questions
How much does the MCCQE cost?
The application fee is $1,500 CAD. With a new physiciansapply.ca account ($150) and, for IMGs, one source verification ($232), a first attempt comes to $1,650 to $1,882 before preparation (MCC fees).
Is the MCCQE Part 1 fee the same as the MCCQE fee?
Yes. The MCC now calls the exam the MCCQE, and its fee schedule lists the application as “MCCQE (formerly MCCQE Part I)” at $1,500.
Is there an MCCQE Part 2 fee?
No. The MCC’s current fee schedule has no MCCQE Part II fee. Its exam fees are for the MCCQE, the NAC Examination and the TDM Examination.
Can I get my MCCQE fee back if I withdraw?
Partly, if you withdraw before booking or cancel more than 120 hours before your appointment: the MCC keeps a $750 withdrawal fee. A later cancellation or a no-show forfeits the full $1,500. If extenuating circumstances caused it, you can send documents to the MCC no later than 15 days after your exam date; if approved, you get the partial refund ($1,500 minus the $750 withdrawal fee).
Can I pay the MCC fees with a debit card?
No. The MCC accepts Visa, Mastercard, and prepaid or secured credit cards, and charges in Canadian dollars. Interac, Visa debit and Mastercard debit are not accepted.
Before you spend $1,500 on a date, find out where you stand. You can try 30 free questions in our question bank, in English or French.
