Exam fee and lab tests
| Item | Who needs it | Price |
|---|---|---|
| I-693 exam, form and sealed envelope | Everyone | $350 |
| TB blood test (IGRA) | Age 2 and older | $85 |
| Syphilis blood test (RPR) | Ages 18–44 | $25 |
| Gonorrhea urine test (NAAT) | Ages 18–24 | $90 |
| Vaccines, titers, chest X-ray | Only if needed | Quoted before we do them |
Lab tests follow the CDC Technical Instructions for civil surgeons and are processed by Quest Diagnostics. Prices can change; we confirm your total before testing.
Example totals
| Who | Exam | Labs | Total |
|---|---|---|---|
| Adult, age 30 | $350 | IGRA + syphilis = $110 | $460 |
| Adult, age 22 | $350 | IGRA + syphilis + gonorrhea = $200 | $550 |
| Adult, age 50 | $350 | IGRA = $85 | $435 |
| Child, age 8 | $350 | IGRA = $85 | $435 |
| Baby, age 1 | $350 | None | $350 |
Totals assume your vaccination record is complete. Missing vaccines are extra.
No extra exam fee for follow-ups, RFEs or a redone I-693
The $350 is for the physical examination by Dr. Manghnani. For the same application, we don't charge it again — not for follow-up visits, not if USCIS sends a Request for Evidence (RFE) for your medical exam, and not if your Form I-693 needs to be redone. If new lab tests or vaccines are needed, we tell you the cost first.
Family discount
Families of more than 2 people having their exams together receive $50 off the exam fee for each family member after the first two. Labs are not discounted.
Example: two adults (ages 36 and 34) and two children (ages 8 and 4): exam fees $1,400 + labs $390 − family discount $100 = $1,690.
Insurance and payment
The I-693 exam is an immigration requirement, so health insurance usually does not cover it. We accept cash, credit/debit cards, Zelle and HSA cards.
Common questions
The exam fee is $350 per person. Lab tests depend on age: TB blood test $85 (age 2+), syphilis test $25 (ages 18–44) and gonorrhea test $90 (ages 18–24).
Yes. For families of more than 2, each family member after the first two gets $50 off the exam fee.
No. For the same application there is no extra exam fee for follow-up visits, RFE responses or a redone I-693. New lab tests or vaccines, if needed, are quoted first.
Usually not, because it is an immigration requirement rather than medical treatment. We accept cash, card, Zelle and HSA.
Medically reviewed by Dr. Rekha Manghnani, MD, USCIS-designated civil surgeon · Last updated October 2026. This page is general information, not legal advice.