- Total Cost Overview: What CCC-A Actually Costs
- The Praxis Audiology (5343) Exam Fee
- ASHA Certification Application Fees
- Membership vs. Non-Membership: Doing the Math
- Ongoing Costs: Maintaining Your CCC-A
- The 2027 PSI Transition and What It Means for Your Fees
- Hidden Costs Candidates Forget to Budget
- Budgeting Study Time by Domain Weight
- Is the Cost Worth It?
- Frequently Asked Questions
- The Praxis Audiology (5343) exam itself costs $146, administered by ETS through 2026.
- Initial ASHA certification runs $490 with membership or $446 without membership.
- You need a passing score of 162 on the 100-200 scale to earn your CCC-A.
- Maintenance requires 30 professional-development hours every three years, including 1 ethics hour.
Total Cost Overview: What CCC-A Actually Costs
If you're planning your path toward the Certificate of Clinical Competence in Audiology, one of the first practical questions is simple: how much money do you actually need to set aside? Unlike vague estimates floating around online, the CCC-A cost structure is well-defined by ASHA's Council for Clinical Certification in Audiology and Speech-Language Pathology. There are two core financial components - the national examination fee and the ASHA certification application fee - plus recurring costs to maintain your credential once you've earned it.
This breakdown walks through every fee a candidate encounters in 2026, from the day you register for the Praxis Audiology (5343) exam through your first three-year certification maintenance cycle. If you haven't yet confirmed you meet the eligibility path, it's worth reviewing CCC-A Requirements 2026: Eligibility, Prerequisites & How to Qualify before locking in a testing date, since fees are non-refundable in most circumstances.
The Praxis Audiology (5343) Exam Fee
The required national examination for CCC-A candidates is Praxis Audiology, test code 5343, owned and administered by ETS through 2026. The exam fee is $146. That fee covers a single sitting of the 120-question, computer-delivered, selected-response test, which is completed in a 2-hour window. Some of those 120 items may be unscored field-test questions, so you won't know exactly which ones count toward your final result - a detail worth planning around rather than worrying about during the test.
Your target score is 162 on the 100-200 reporting scale, the passing point set by ASHA. For a full breakdown of how that number is derived and what it means for your raw performance, see CCC-A Passing Score 2026: Exactly What You Need to Pass.
Because the $146 fee only pays for the exam attempt - not study materials, not the ASHA application, not retake protection - candidates should treat it as the first of several line items rather than the total cost of certification.
What Your $146 Buys You
A single attempt at the 120-item Praxis Audiology exam, delivered by computer in a 2-hour session.
- Score report against the 100-200 scale
- One shot at reaching 162 or higher
- Coverage of all five domains, weighted from 10% to 35%
ASHA Certification Application Fees
Passing the Praxis Audiology exam is necessary but not sufficient - you still need to apply for the CCC-A itself through ASHA's Council for Clinical Certification. This is where the second major fee comes in. Initial ASHA certification costs:
- $490 if you hold ASHA membership
- $446 if you apply without membership
At first glance, paying without membership looks cheaper by $44. But that comparison only holds if you never plan to join ASHA or benefit from member resources over your career. Before assuming the non-member route saves money, run the numbers over a multi-year horizon, since membership dues typically recur annually alongside your certification maintenance fees.
| Fee Component | Cost | When Paid |
|---|---|---|
| Praxis Audiology (5343) exam | $146 | At registration, before testing |
| ASHA certification (with membership) | $490 | Upon application for CCC-A |
| ASHA certification (without membership) | $446 | Upon application for CCC-A |
Membership vs. Non-Membership: Doing the Math
The $44 gap between the membership and non-membership certification fees is only part of the story. ASHA membership carries its own annual dues, separate from the one-time certification application fee. Whether joining makes financial sense depends on how you value the professional resources, continuing education access, and networking that come with membership - factors that go beyond a single certification-year comparison.
What matters most for budgeting purposes is recognizing that $446 and $490 are the two possible entry points into holding the CCC-A, and neither figure includes the exam fee, study materials, or future renewal costs. Add those together and you get a realistic total for year one.
Key Takeaway
Budget for $146 (exam) plus $446-$490 (certification application) as your baseline first-year investment in earning the CCC-A, before factoring in study resources or membership dues.
Ongoing Costs: Maintaining Your CCC-A
Earning the CCC-A is not a one-time transaction. Certificate holders maintain their credential through annual dues or certification fees, paid on a recurring basis to ASHA. Beyond the financial component, maintenance also requires an active learning commitment: 30 professional-development hours every three years, which must include:
- 1 hour specifically in ethics
- 2 hours in designated person-centered, reflective, or collaborative practice topics - a requirement effective in 2026
These continuing education requirements mean the cost of holding a CCC-A extends well past your exam date. Course fees, conference registrations, or employer-sponsored trainings that satisfy the 30-hour requirement should be factored into your long-term professional budget, not just your initial exam-prep budget.
The 2027 PSI Transition and What It Means for Your Fees
A key date to watch: on January 11, 2027, administration of the required national exam transitions from ETS to PSI. The exam content and the passing point remain unchanged, which is reassuring for candidates concerned about a shift in difficulty or scoring. However, a change in test administrator can sometimes come with adjustments to registration logistics, testing center availability, or scheduling windows.
If your timeline puts you near that transition date, check CCC-A Exam Dates 2026: Testing Windows, Deadlines & Scheduling to confirm which administrator will be handling your specific test window and whether any registration steps differ from what's described here. Locking in your Praxis Audiology registration well before the changeover reduces the chance of last-minute confusion.
Hidden Costs Candidates Forget to Budget
Beyond the two headline fees, several smaller costs can add up if you don't plan for them:
- Retake fees: If you don't reach 162 on your first attempt, you'll pay the $146 exam fee again for each additional sitting.
- Study materials: Practice questions, domain-specific review guides, and structured prep courses are not included in ASHA or ETS fees.
- Continuing education courses: The 30-hour, three-year maintenance requirement often involves paid coursework, conferences, or webinars.
- Score reporting: Sending official scores to additional institutions or state licensing boards may carry separate fees depending on your situation.
Because a retake means paying the full $146 again, it's worth investing upfront in solid preparation. A structured resource like CCC-A Study Guide 2026: How to Pass on Your First Attempt can reduce the odds of an expensive second attempt, and reviewing How Hard Is the CCC-A Exam? Complete Difficulty Guide 2026 will help you calibrate how much prep time you actually need before committing to a test date.
Budgeting Study Time by Domain Weight
Money and time are both budgets, and the smartest way to spend your $146 exam fee is to align your preparation hours with how the Praxis Audiology exam actually weights its content. The five domains are not equally represented:
Domain 1: Foundations of Audiology - 20%
Core anatomy, physiology, and acoustic principles underlying clinical practice.
- Anatomy and physiology of the auditory and vestibular systems
- Acoustics and psychoacoustic principles
Domain 2: Prevention and Screening - 10%
Population-level and individual screening protocols.
- Hearing conservation programs
- Newborn and school-age screening procedures
Domain 3: Assessment - 35%
The largest single domain and the area demanding the most study time.
- Diagnostic test selection and interpretation
- Differential diagnosis across patient populations
Domain 4: Intervention - 25%
Treatment planning, amplification, and rehabilitative strategies.
- Hearing aid and cochlear implant candidacy
- Aural rehabilitation approaches
Domain 5: Professional and Ethical Responsibilities - 10%
Scope of practice, ethics, and professional conduct standards.
- ASHA Code of Ethics application
- Documentation and interprofessional collaboration
Since Assessment carries more weight than any other domain at 35%, it deserves a proportionally larger share of your study calendar. For a deeper walk-through of each content area and how questions are typically framed, see CCC-A Exam Domains 2026: Complete Guide to All 5 Content Areas.
Foundations of Audiology
- Review anatomy, physiology, and acoustic principles before layering on clinical application
Assessment
- Dedicate the most weeks here given its 35% domain weight; work through diagnostic scenarios
Intervention
- Connect assessment findings to treatment planning and amplification decisions
Prevention/Screening and Professional Ethics
- Combine these lighter-weighted domains and do full-length practice sessions under timed conditions
Practicing under realistic timed conditions matters because the exam gives you 2 hours for 120 items - roughly one minute per question, including any unscored items you can't identify in advance. Running full-length timed sets on our practice test platform before exam day helps you internalize that pacing so time pressure doesn't cost you points you've already earned through study.
Is the Cost Worth It?
Whether the combined cost of the Praxis Audiology exam and ASHA certification application is "worth it" depends on your career goals rather than the dollar figure alone. The CCC-A is the credential recognized by employers hiring clinical audiologists, and it signals that you've met ASHA's doctoral-degree, knowledge-and-skills, supervised-clinical-practicum, and examination standards. For a fuller look at how the credential factors into hiring and long-term career positioning, see Is the CCC-A Certification Worth It? Complete ROI Analysis 2026 and CCC-A Jobs.
If you're still early in exploring the credential itself, background pieces like What Is CCC-A? and CCC-A Certification can help you confirm this is the right certification path before you commit any fees at all. And once you're ready to start reviewing content seriously, practice questions modeled on the real exam format are one of the most direct ways to make sure your $146 registration fee results in a passing score the first time.
Frequently Asked Questions
The Praxis Audiology (5343) exam, required for CCC-A certification, costs $146. This fee is separate from the ASHA certification application fee.
Initial ASHA certification costs $490 for ASHA members or $446 for non-members. This is paid when you apply for the CCC-A itself, after passing the Praxis Audiology exam.
CERT FACTS confirm that exam content and the passing score remain unchanged when administration shifts from ETS to PSI on January 11, 2027. Candidates testing near that date should confirm current registration procedures directly with the administering body at the time.
Certificate holders pay annual dues or certification fees and must complete 30 professional-development hours every three years, including 1 ethics hour and, effective 2026, 2 hours in person-centered, reflective, or collaborative topics.
You would need to pay the $146 exam fee again to retake it. Thorough preparation using domain-weighted study plans and practice questions helps minimize the chance of needing a retake.