Testing Regions and International Test Delivery Surcharges for USMLE Step 1 and Step 2 CK

When you apply for Step 1 or Step 2 CK, you must select one of the testing regions from the list below where you will take the exam. Test centers offering Step 1/Step 2 CK were located in the countries listed below for each testing region. However, the availability of test centers is subject to change without notice. Before selecting your testing region, visit the Prometric website or contact Prometric for current information on the availability and location of test centers for Step 1 and Step 2 CK.

There is no international test delivery surcharge for the United States and Canada testing region. If you select any testing region other than the United States and Canada, you must pay the international test delivery surcharge of $180 for USMLE Step 1 and $200 for USMLE Step 2 CK. This surcharge is in addition to the examination fee.

(effective January 1, 2021)

Testing RegionsLocation of Prometric Testing Centers
United States and CanadaTest centers are located in every U.S. state, as well as Guam, Puerto Rico, and the Virgin Islands.

Test centers are located in the Canadian provinces of Alberta, British Columbia, Manitoba, Newfoundland and Labrador, Nova Scotia, Ontario, Quebec, and Saskatchewan.
AfricaGhana, Kenya, South Africa, and Uganda

(For centers in Egypt, select Middle East testing region.)
AsiaBangladesh, Malaysia, Nepal, Pakistan, People’s Republic of China (For Hong Kong, select Asia testing region. For centers in other available cities in the PRC, select China testing region.), Philippines, and Singapore

(For centers in India, select India testing region.)
AustraliaAustralia and New Zealand
ChinaPeople’s Republic of China

(For Hong Kong, select Asia testing region. For centers in other available cities in the PRC, select China testing region.)
EuropeArmenia, Croatia, Denmark, France, Germany, Greece, Ireland, Israel, Italy, Latvia, Netherlands, Portugal, Spain, Switzerland, Turkey, and the United Kingdom
IndiaIndia
IndonesiaIndonesia
JapanJapan
KoreaKorea
Latin AmericaArgentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Dominican Republic, Guatemala, Mexico, Peru, Trinidad and Tobago, and Venezuela
Middle EastEgypt, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, and United Arab Emirates

(For centers in Israel, select Europe testing region.)
TaiwanTaiwan
ThailandThailand