Cost · 6 min read · Updated April 4, 2026
There is no separate USCIS filing fee for Form I-693 itself. The cost comes from the medical exam services set by the civil surgeon office.
That is why two offices can both offer immigration medical exams and still quote very different totals.
Many offices quote a base exam fee and then add charges for vaccines, lab work, or follow-up steps if you need them.
Someone with complete vaccine records and no follow-up testing may pay much less than someone who needs several vaccines or a chest x-ray.
That is why a single headline price rarely tells the whole story.
Ask for the base fee and also ask what the office usually charges when vaccines, x-rays, or extra follow-up are needed. A low starting price can be misleading if most of the work is billed separately.
No. The cost comes from the medical exam services provided by the civil surgeon office.
Because the total often depends on missing vaccines, imaging, or other steps that are known only after the office reviews your records and history.
Often yes. Bringing complete vaccine records, translated records when needed, and clear prior TB paperwork can help you avoid unnecessary repeat work.
Process · 5 min read
Bring your ID, vaccine records, and any medical paperwork that may help the office understand your history.
Records · 5 min read
Old vaccine records can help, but they need to be readable, dated, and believable enough for the civil surgeon to use.
Vaccines · 7 min read
The vaccines you need depend on your age, your records, and whether the civil surgeon can accept your documentation.