- The ABVM-ENDO exam fee is $1,370, including a $200 nonrefundable processing component.
- Testing outside the U.S., Canada, or Mexico adds a $50 international surcharge.
- Applications for the 2026 cycle run July 7-September 15; testing runs September 29-October 29, 2026.
- The 2025 first-time pass rate was 75%, meaning roughly one in four candidates pays to retest.
The Official Fee Breakdown
Anyone researching the ABVM Endovascular Medicine Examination (ABVM-ENDO) wants one number first: what does it actually cost to sit the exam. The published fee is $1,370. That total is not a flat, single-purpose charge - it bundles a $200 nonrefundable processing component with the core examination fee. Understanding this split matters because it directly affects how much you lose if you withdraw or fail to complete your application after submitting it.
If you test at a Pearson VUE center outside the United States, Canada, or Mexico, add a $50 international testing fee on top of the $1,370. That brings the effective total to $1,420 for candidates sitting the exam abroad. This is a modest surcharge compared to travel costs some candidates weigh when deciding whether to fly to a domestic test center instead.
Hidden and Indirect Costs
The headline fee is only part of the financial picture. Candidates preparing for this credential should also budget for costs that don't appear on the official fee schedule but are just as real:
- Board review materials - question banks, practice tests, and outline-aligned study guides built around the current content outline.
- Time away from clinical practice - hours spent studying instead of billing, particularly heavy in the weeks before your scheduled test date.
- Travel and lodging - if your nearest Pearson VUE center isn't local, factor in mileage, parking, or an overnight stay.
- Documentation gathering - pulling procedure logs for the 100 diagnostic and 50 therapeutic peripheral intervention requirement takes administrative time, especially for practice-pathway candidates assembling institutional attestation.
None of these are optional line items if you want to walk into test day prepared rather than scrambling. A structured ABVM-ENDO Study Guide can help you sequence prep so you're not paying for rushed, last-minute materials.
Registration Windows and Payment Mechanics
Cost and timing are linked more tightly for this exam than many candidates expect. For the 2026 cycle, the application window runs July 7 through September 15, 2026, with the testing window running September 29 through October 29, 2026. Missing the application window doesn't just delay your certification - it typically means waiting for the next scheduling cycle, which can push your effective "cost of delay" well beyond the exam fee itself in lost time and lost eligibility momentum.
Because the $200 processing component is nonrefundable once you submit, it's worth confirming your eligibility documentation - license status, board certification, and pathway-specific procedure counts - before you pay, not after. Full detail on what's required is covered in the ABVM-ENDO Requirements guide, and exact deadlines are tracked in the ABVM-ENDO Exam Dates article.
Key Takeaway
Verify your eligibility pathway completely before submitting payment - the $200 processing portion of the $1,370 fee is nonrefundable even if your application is later rejected.
What the Fee Actually Covers
The $1,370 fee funds a single attempt at a structured exam: approximately 135 multiple-choice questions delivered in a two-hour window, scored on a 300-700 scale with a passing threshold of 555. Every question maps to the current content outline (Version 24.1), and the weighting is heavily skewed toward one domain - a fact that should shape how you allocate both study time and, indirectly, your financial investment in prep materials.
| Domain | Weight | Practical Implication |
|---|---|---|
| Pathophysiology, Risk Factors, and Screening | 8% | Foundational but low-yield relative to prep time |
| Diagnosis and Testing | 16% | Moderate emphasis; imaging and diagnostic criteria |
| Treatment and Interventions | 64% | Dominant domain - deserves the bulk of your budget on review materials |
| Prognosis, Surveillance, and Re-intervention | 12% | Secondary but tested consistently |
With Treatment and Interventions accounting for 64% of the exam, spending money on generic or broadly diagnostic-focused review content is inefficient. If your prep budget is limited, prioritize materials that go deep on interventional decision-making, device selection, and procedural technique over materials that spread evenly across all four domains. A full breakdown of what each domain actually tests is available in the ABVM-ENDO Exam Domains Guide.
Treatment and Interventions (64%)
This domain dominates the exam and should dominate your study budget too. Candidates must understand endovascular and open peripheral interventions, device selection logic, and procedural sequencing at a level consistent with real caseload experience.
- Prioritize review resources weighted toward interventional decision trees, not just diagnostic recall.
- Cross-reference your own procedure log against tested scenarios - the exam rewards operator-level judgment.
Retake Costs and the Repeat-Candidate Math
Cost planning has to account for the possibility of a retake. Official 2025 performance data shows a 75% first-time pass rate, a 100% repeat-candidate pass rate, and a 77% overall pass rate. In plain terms: roughly a quarter of first-time candidates do not pass on attempt one, but nearly all of those who retest eventually pass. That means a meaningful share of candidates should budget for a second $1,370 (or $1,420 international) payment as a realistic contingency, not a worst-case scenario.
This is one of the strongest financial arguments for investing in quality preparation up front. Spending more on a targeted ABVM-ENDO Cheat Sheet or a full question bank before your first attempt is almost always cheaper than paying the full exam fee twice. For a deeper look at what's driving the first-attempt gap, see the ABVM-ENDO Pass Rate analysis and the companion piece on How Hard Is the ABVM-ENDO Exam.
Maintenance of Certification Costs
Passing the exam is not the end of the financial commitment. Maintenance requires current licensure, annual renewal and attestation, ongoing knowledge confirmation, and CME. The knowledge-confirmation component is structured as four quarterly 10-question quizzes - 40 questions total per year - and you must hit at least 80% cumulative accuracy by December 31 to stay in good standing.
On the CME side, the transition rule matters for planning: the 25-CME, three-year period starts in the calendar year after your existing certificate's expiration year. That timing detail affects when you should start logging qualifying CME activity, and skipping it can create an avoidable compliance gap. None of these maintenance steps carry a large standalone price tag comparable to the initial exam fee, but annual renewal and CME activities still represent a recurring cost of holding the credential - factor them into your multi-year budget rather than treating certification as a one-time expense.
Budgeting Timeline for the 2026 Cycle
Spreading cost decisions across a timeline helps avoid last-minute financial pressure - paying rush fees for materials, booking non-refundable travel too close to the exam, or missing the application window entirely.
Confirm Eligibility and Budget the Core Fee
- Verify licensure, board certification, and pathway (fellowship vs. practice) status
- Set aside $1,370 ($1,420 if testing internationally)
Assemble Documentation
- Compile procedure logs: 100 diagnostic, 50 therapeutic peripheral interventions, primary-operator ratios
- Secure program-director or institutional attestation
Submit Application and Pay
- Pay the $1,370/$1,420 fee only after documentation is confirmed complete
Test Window
- Schedule early within the window to secure your preferred Pearson VUE center
Notice that no part of this timeline includes a "generic study plan" - the calendar here is driven entirely by ABVM-ENDO's own application and testing dates, which is the single biggest cost-control lever candidates have. Aligning your study intensity with the 64% weight on Treatment and Interventions in the weeks immediately before testing opens is a more efficient use of limited prep time than evenly distributing review across all four domains.
Is the Price Worth It?
Whether $1,370 (plus potential retake and maintenance costs) represents good value depends on your practice setting, referral base, and whether employers or credentialing committees in your market specifically recognize this credential. That question deserves its own dedicated analysis rather than a quick answer here - see Is the ABVM-ENDO Certification Worth It? for a fuller ROI breakdown, and ABVM-ENDO Salary Guide for how certification factors into compensation conversations.
What's clear from the cost structure alone is that the fee is front-loaded and largely fixed - $1,370 whether you score barely above 555 or comfortably above it. That makes preparation quality the real variable cost you control. Practicing with realistic, domain-weighted questions through resources like our ABVM-ENDO practice test platform is a direct way to reduce the odds of paying for a second attempt.
Key Takeaway
Because the exam fee is fixed regardless of your score, the highest-leverage financial decision you make is investing in preparation that targets the 64%-weighted Treatment and Interventions domain before your first attempt.
Frequently Asked Questions
The examination fee is $1,370, which includes a $200 nonrefundable processing component. Candidates testing outside the United States, Canada, or Mexico pay an additional $50, bringing the total to $1,420.
No. The $200 processing component built into the $1,370 fee is explicitly nonrefundable, so confirm your eligibility and documentation before submitting payment.
Yes, a retake requires a new registration and full fee payment. With a 75% first-time pass rate but a 100% repeat-candidate pass rate in 2025, budgeting for a possible second attempt is a reasonable precaution.
Yes. Maintenance requires current licensure, annual renewal and attestation, quarterly knowledge-confirmation quizzes with 80% cumulative accuracy, and 25 CME hours over a three-year cycle tied to your certificate's expiration timing.
The published $1,370 examination fee (plus the $50 international surcharge where applicable) applies to the exam itself. Both the fellowship and practice pathways lead to the same exam fee, though each pathway has distinct documentation requirements described in the ABVM-ENDO Requirements guide.