Changed : New CFRN outline; passing score · BCEN
What the CFRN costs, first attempt to renewal
Cost · BCEN fees read Nov 11, 2026
The board charges the same for both transport exams. Three choices move the total: joining ASTNA, buying Test Assurance, and holding one credential or two.
BCEN charges for flight and ground exams
The board's cost and recertify pages and ASTNA's membership page, read November 11, 2026. Confirm in your account before paying.
- 01
Exam fee
$380 for either exam, or $285 for ASTNA membersService members on active duty or in the reserves, and veterans, pay the $195 military price. - 02
Discount through
Air & Surface Transport Nurses Association (ASTNA): $285 exam and $210 renewal instead of $380 and $280ASTNA lists active membership at $109 for one year, $287 for three and $455 for five.association dues (read Nov 11, 2026) - 03
Retest and add-ons
A retest booked within 12 months of the first attempt: $200. With BCEN Test Assurance the second attempt is included: $450, or $355 for ASTNA members ($265 military) - 04
After a fail
Wait 90 days between attempts and reapply each time; the $200 retest price applies for a year after the first exam - 05
Renewal fee
$280, or $210 for ASTNA members; $195 military[3] BCENchecked
- 06
How to renew
Every 4 years, by retesting or by attesting 100 contact hours (75 or more clinical); 50 or more of them from accredited providers now, and 75 for applications made from January 1, 2027[3] BCENchecked
- 07
Valid for
4 years[6] BCENchecked
Each charge in order
- Exam: $380, or $285 for ASTNA members, or the $195 military price (service members on active duty or in the reserves, and veterans).
- A second attempt, if needed: $200 retest within a year, counted from the first exam date, after the 90-day wait.
- Or the add-on, chosen at the first application: $450 with Test Assurance ($355 ASTNA, $265 military); the retest application is then free.
- Renewal after 4 years: $280, or $210 with ASTNA, or $195 military.
BCEN Learn sells review courses for CEN, CPEN and TCRN, not for the transport exams, so any review course or book comes from outside BCEN.
Is Test Assurance worth $70?
At every price level Test Assurance costs $70 more than the plain fee, and it replaces a $200 retest ($195 at the military price, where the break-even is about 36%). It pays off if the odds of a fail on the first try exceed 70 ÷ 200, which is 35%.
For scale, the board's 2025 counts put fails at about 42% of flight-exam results and 43% of ground-exam results (our arithmetic: fails over passes plus fails). Both figures sit above the break-even, but they mix first and repeat attempts and were scored against the old marks, which have since moved in opposite directions. Your own practice results and how recently you worked in transport are the better guide. Test Assurance also fixes the cost in advance, whatever happens on the first attempt.
What a pass costs on average, no membership
At most two attempts, the retest within a year, 2025 fail shares from the board's counts.
| Flight exam without Test Assurance: $380 plus 42% of $200 | ≈ $464 | |
|---|---|---|
| Ground exam without Test Assurance: $380 plus 43% of $200 | ≈ $466 | |
| Either exam with Test Assurance, pass or fail | $450 | |
| Test Assurance saves | ≈ $15 | |
Fees: the board's cost pages for both exams. Fail shares: its certification exam statistics for 2025, our arithmetic.
ASTNA dues against BCEN discounts
ASTNA lists active membership at $109 a year, as of November 11, 2026. The member prices save $95 on the exam and $70 on renewal, $165 over a cycle.
- Joining for the exam alone: $285 plus $109 is $394, more than the $380 fee.
- Joining for the exam year and the renewal year: $218 in dues at the one-year rate against $165 saved.
On the board's fees alone membership does not pay for itself; the case for it rests on what else ASTNA offers, which this page does not price. Multi-year rates are in the table.
Holding CFRN and CTRN together
The credentials are billed separately: two applications, two retest risks and two renewals. The board's cost pages list no combined price, as read on November 11, 2026; its voucher program is a volume discount for employers and groups. CAMTS asks for the one pertinent to the program's scope of care, so the credential to hold is the one that matches the program's vehicle and patients (which credential fits).
Other BCEN price lists
All six of the board's credentials are compared, one price row each, on BCEN certifications. The trauma exam's path, with its own association discount, is on TCRN cost.
Flight nurse practice before you book
Practice on your phone
CFRN pages beyond the fees
- CFRN and CTRNWhat CFRN means, the 2026 outline, the pass mark, and when CTRN fits better
- CFRN practice testA CFRN set across the five 2026 domains, every option explained
- CFRN exam factsEligibility, PSI testing, both formats, results, retakes and renewal
- CTRNGround transport credential: 150 scored items, the mark of 99, four domains
- CFRN passing scoreCFRN 108 to 102, CTRN 92 to 99, and four years of BCEN pass counts
- CFRN study guideWeek-by-week CFRN plan sized to the 2026 outline, plus a CTRN variant
Cost questions
How much is the CFRN exam?
$380 for either exam, or $285 for ASTNA members, as of November 2026. Military candidates pay less, and the CTRN costs the same.
Is renewal cheaper than the exam?
Yes: $280 against $380, whether you renew by exam or by continuing education.
Can I add Test Assurance after a fail?
No. It has to be chosen with the first application (first-time takers only).
Sources
all read Nov 11, 2026
- [1]BCEN: CFRN cost bcen.org
- [2]BCEN: CTRN cost bcen.org
- [3]BCEN: Recertify (requirements and pricing) bcen.org
- [4]ASTNA: membership levels astna.org
- [5]BCEN: CFRN FAQs bcen.org
- [6]BCEN: Candidate Handbook (PDF), pp. 5–7, 15 bcen.org
- [7]BCEN: CTRN FAQs bcen.org