CNOR (perioperative nursing certification) guideEligibility, registration & costs
How Much Does the CNOR Cost? $475, Retakes, Discounts and the Fees You Can Forfeit
The CNOR application costs $475 and includes one exam attempt; each retake is $175. Here is the full CCI fee list as of October 27, 2026, the $40 discounts and facility vouchers, five-year recertification costs, and the rules that make you lose a fee.
Short answer
As of October 27, 2026, CCI charges $475 to apply for the CNOR, and that fee includes your first exam attempt, which must be taken within 90 days of approval. Each retake costs $175. Holders of another active CCI credential and DAISY Award recipients can get $40 off, and facilities buying at least three vouchers pay $425 each. All fees are non-refundable. Once certified, recertifying every 5 years costs $400. Passing on the first try costs $475; with one retake, $650.
The CNOR has one main price, $475, but what you actually spend depends on two things: whether you pass on the first attempt, and whether you follow CCI's timing rules, because several of them forfeit a fee. The figures below come from CCI's CNOR page and the CNOR handbook (version 5.2026), as checked on October 27, 2026.
CNOR exam fees as of October 27, 2026
| Fee | Amount | What it covers |
|---|---|---|
| Application | $475 | Eligibility review and your first exam attempt, which must be taken within 90 days of approval |
| Retake | $175 | One more attempt, bought in your CCI account, at least 30 days after the last one, within your 12-month eligibility period |
| Discount: another active CCI credential | −$40 | For nurses who hold an active CCI credential other than CNOR, such as CFPN |
| Discount: DAISY Award recipient | −$40 | Needs a copy of your official award letter |
| Facility voucher (Facility Purchasing Program) | $425 | Bought by an employer, minimum three initial exams per purchase |
| Facility retake | $150 | Bought and assigned by the facility, no minimum |
The two $40 discounts can't be combined, and only one discount applies per transaction. Under the facility program, individual nurses can't pay: the facility buys and assigns the vouchers. If you previously bought CCI's old "Take 2" option, CCI says it will honor the remaining second attempt.
CCI's pricing does change. Its updates page records CNOR price changes on January 1, 2025 and January 1, 2026, and the handbook says CCI can amend fees "at any time and without notice." Check the CNOR page on the day you apply.
CNOR budgets from first attempt to recertification
Passy's arithmetic from CCI's fees, without discounts:
| Your path | CCI fees |
|---|---|
| Pass on the first attempt | $475 |
| Pass on the second attempt (one retake) | $650 |
| Pass on the third attempt (two retakes) | $825 |
| First attempt, then recertify after 5 years | $875 |
CCI's statistics show that most first-time candidates pass and that roughly half of repeat candidates do, so a single-retake budget is a sensible contingency, not a prediction. The CNOR retake guide explains how retakes are scheduled.
Prep is a separate cost you choose. CCI sells its own study resources, including an on-demand prep course, practice exams and a study guide, but says it "does not require or endorse any specific study guides" and that no study resources are prerequisites. If you're weighing options, you can compare planned 30-, 90- and 180-day CNOR prep access, from $19.99; checkout isn't open yet.
Four CCI rules that make you lose a CNOR fee
These come straight from the handbook, and each one can cost you money:
- No refunds or withdrawals. "All required fees are non-refundable," and once an application is submitted, CCI does not permit withdrawal "for any reason."
- The 90-day first attempt. If you don't take your first exam within 90 days of approval, you forfeit that attempt and its fee. You stay eligible, but you need a $175 retake to test.
- Late, absent or unprepared on test day. At a test center, arriving more than 15 minutes late or missing the appointment forfeits that attempt's fee. Remotely, not starting within 15 minutes does the same. Not having acceptable ID counts as a missed appointment, and not returning from the test-center break in time forfeits the attempt.
- A failed or missed audit. If you're audited and miss the 30-day deadline or don't pass, CCI ends your application and keeps the fee.
You can reschedule through PSI if you do it at least two business days before your appointment, and the handbook lists no fee for that. Inside two business days, you must sit the exam or lose the fee. The CNOR eligibility and application guide explains how to time your application so the 90-day rule works for you.
Ways to lower the CNOR cost
- Ask your employer. If your employer pays for certification, the facility program prices vouchers at $425 instead of $475. CCI's news page links an article on asking an employer to help pay
- Use a discount you qualify for. $40 off if you already hold another active CCI credential, or if you have received a DAISY Award
- Check your 529 plan. CCI's CNOR page says tax-advantaged 529 plans can now pay for CCI certification, renewal fees and continuing education. Confirm the details with your plan administrator before you pay
- Avoid the forfeits. In practice, the biggest avoidable cost is a lost attempt under the rules above
The cost of keeping CNOR every 5 years
CNOR lasts five years. The CNOR recertification page and the handbook list these fees:
| Recertification item | Fee |
|---|---|
| Recertification by professional activity points | $400 |
| Extension year, available once every 10 years | $250 |
| Emeritus status, CNOR(E), for retiring nurses | $100 |
| Late reinstatement within 90 days of lapsing, one time only, if all requirements were met except payment | $125 plus the recertification fee |
The same $40 discounts apply to recertification. You can't recertify by retaking the exam, so if your credential becomes inactive, the route back is a new application and a new pass.
Optional CNOR specialty designations, such as CNOR-ORTHO or CNOR-PEDS, cost $150 each to add and $100 each to recertify; the handbook waives the recertification fee if you earn the designation within two years of your CNOR recertification date. The handbook says these fees are separate from, and in addition to, CNOR's own fees.
Will the 2027 CNOR exam cost more?
CCI's job analysis FAQ says "fees will not be adjusted based upon any JTA outcomes," so the move to the six-area exam in 2027 isn't itself a reason for a new price. Ordinary price changes, like the ones CCI made in January 2025 and January 2026, are a separate matter. If your test date may fall near the switch, check which CNOR outline planned full prep follows and when it will re-map.
Before you pay for the CNOR
Confirm your eligibility, then pick an application date you can follow with a first attempt inside 90 days, so the $475 covers a real attempt. To make that attempt count, use the free CNOR practice questions to find gaps early, and see planned CNOR practice by subject area for finding weak spots before your first attempt.
Trust the source
Official sources
Exam policies can change. Use these primary sources for the most current details.
- Certified Perioperative Nurse (CNOR) Handbook, version 5.2026Competency & Credentialing Institute↗
- Certified Perioperative NurseCompetency & Credentialing Institute↗
- CNOR RecertificationCompetency & Credentialing Institute↗
- CNOR Specialty DesignationsCompetency & Credentialing Institute↗
- Changes & Updates to CCI Credentials & PoliciesCompetency & Credentialing Institute↗
- CNOR & CFPN Job Task Analysis FAQCompetency & Credentialing Institute↗
- News & UpdatesCompetency & Credentialing Institute↗