Skip to content
USA Exam PrepUSA Exam Preparation

๐Ÿฉป USA USMLE Exam

Is USMLE Step 1 pass/fail?

Short answer

Yes. Since January 26, 2022, Step 1 results are reported as pass/fail.

USMLE Steps Explained

StepFocusLengthScoring
Step 1Basic sciences applied to medicine1 day (~8 hours)Pass/fail
Step 2 CKClinical knowledge, diagnosis and management1 day (~9 hours)3-digit score; 218 passes
Step 3Independent practice, including case simulations2 days3-digit score; 200 passes

Osteopathic (DO) students take COMLEX-USA, and many also take the USMLE.

USA USMLE Exam: Quick Facts

Sponsors
FSMB and NBME
Step 1
About 8 hours; pass/fail
Step 2 CK
About 9 hours; 218 to pass
Step 3
2 days; 200 to pass
Fees (2026)
Step 1/2 CK $695 ยท Step 3 $955
Test centers
Prometric (Step 3 in the U.S. only)

Free practice test

Test what you know

Random questions, instant scoring and an explanation for every answer.

Start the USA USMLE Exam practice test โ†’

More USA USMLE Exam questions

Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.