Immigration Medical Exam Cost: the 2026 I-693 Medical Exam Price Index

Immigration medical exam cost by metro

Each median uses the adult, standard-speed price printed on the clinic’s website. Required labs means the TB blood test plus the syphilis and gonorrhea tests for the ages that need them. Austin, Nashville, North New Jersey, Denver and Las Vegas have fewer than 6 published prices. Those medians are shown and marked as a small sample.

Many civil surgeons do not publish a price. A metro median describes the clinics that post one, not every civil surgeon in that city.

What a quoted I-693 price usually includes

A quoted price often leaves something out. Of these 119 published prices, required labs are included in 53, partly included in 4, not included in 37, and not stated in 25. The TB blood test is included in 48, extra in 23, and not stated in 48. No published price includes a chest x-ray. 18 prices list it as extra, and 101 do not say. Vaccines are extra in 58 and not stated in 60. One published price includes a flu shot only, not the full age-appropriate vaccine list. No headline price includes the full set of required vaccines.

A chest x-ray is needed only after a positive TB blood test, which is why almost no headline price includes one. Vaccines depend on your age and on the records you bring. They are priced separately from these headline fees. Health insurance generally does not cover the exam, because it is required for an immigration benefit rather than for treatment.

Partial, for required labs, means the page covers only some of the TB, syphilis, and gonorrhea tests. For vaccines, the one partial price includes a flu shot only. Not stated means the page never says. The questions to ask before you book are in the immigration medical exam cost guide.

What clinic pages say about the sealed envelope

Of the 84 clinic pages in this index that mention the sealed envelope, only 2 explain it correctly for online Form I-485 filers, and 33 say never to open it. Saying never to open the envelope is not the instruction USCIS gives every applicant. The correct rule depends on how you file. The civil surgeon must give you the completed Form I-693 in a sealed envelope. Do not accept it if it is not sealed. If you file Form I-485 by mail, submit that original sealed envelope with your application. If you file Form I-485 online, USCIS instructs you to open the sealed envelope and upload the completed Form I-693. Keep the original form and the envelope until USCIS makes a final decision. USCIS may review them at an interview or ask you to submit them. Ask the clinic for a separate copy for your records.

These are totals only. This page does not name a clinic for what its price page says about the envelope. The grade uses that price page alone. Other pages on the same website were not reviewed. Of the 118 distinct clinic pages, 84 mention the envelope, 29 do not, and 5 could not be graded from the page text. Among the pages that mention it, 48 say the form is submitted sealed without explaining online filing, and 1 page mentions the filing method without stating the online rule.

Source: USCIS, Form I-693. USCIS last reviewed that page on July 24, 2026. We checked the instruction again on November 4, 2026.

Published clinic prices

Each row is a price printed on that clinic’s website, the page it came from, and the date we checked it. Listing a clinic here is not a partnership, a referral, or an endorsement. National Immigration Medical Exams is not in this list. One chain page covers clinics in two metros and appears in both.

Why $599, labs included

Your $599 covers the exam with a USCIS-designated civil surgeon, the required lab tests, and your completed, signed Form I-693. The testing is part of the price, so you know the cost before you book. Vaccines, if needed, are priced separately.

A complete form matters. USCIS lists what every Form I-693 must include, such as all required parts completed, signatures from the civil surgeon and the applicant, and the current edition of the form. When something is missing, USCIS generally issues a Request for Evidence, and the response deadline can't be extended. We review each form against those requirements before it is sealed.

How you submit it depends on how you file. If you file Form I-485 by mail, send the I-693 in its sealed envelope. If you file online, USCIS says to open the envelope, upload the form, and keep the original and envelope until your case is decided.

See where clinics are opening

How this index was built

Every price was read from a civil surgeon clinic's own website on November 3, 2026. Nothing was estimated, taken from a phone call, or copied from a directory. The headline price is the adult, standard-speed price the clinic publishes. Metros with fewer than 6 published prices are marked as a small sample.

When a page shows a range or a “from” price, the headline is the low end. When a page shows two conflicting adult prices, the headline is the higher one. A limited-time price is used when that is the fee the page is advertising. Child, expedited, insured, and refugee prices stay in the notes column of the CSV. They are not the headline.

Required labs included means the headline price covers the TB blood test and the syphilis and gonorrhea tests. The file has 119 price rows and 118 distinct clinic pages, across 20 metros. Directories and aggregator sites are not included. National Immigration Medical Exams is not included, so the index does not contain our own fee.

The downloadable file’s verified_via column records how each page was read: page_fetch (the page text was fetched directly), webfetch (a rendered fetch, used when the site blocked a direct request), or browser_2026-11-03 (checked in a browser on November 3, 2026).

Download the CSV

The visit itself, including tests by age and how to file, is in the I-693 medical exam guide.