The final cost of the exam depends on several factors, including the applicant’s age, any required testing, and whether additional follow-up assessments are required. With this in mind, most immigration medical exams in Canada range between $200 and $500 per person. This guide breaks down everything you will need to know about pricing in 2026, what’s included, what can increase costs, and how to avoid unexpected expenses.
Average Cost of an Immigration Medical Exam in Canada
You have to take into consideration that the cost will vary by province and clinic; however, the average range is:
- Adults (15+): $250 - $500
- Children (Under 15): $150 - $300
While adults typically pay more, the reason is simply that they require additional tests, particularly a chest X-ray and blood work, which are not always required for younger applicants.
You also have to remember that these are base estimates. Your final costs depend on what tests are required for your particular application.
IRCC does not cover or refund the cost of the medical exam. Regardless of whether your application is refused, your visa is denied, or you withdraw your application, IRCC is not liable to cover the costs.
What’s Included in the Medical Exam Fee?
An immigration medical exam is a structured assessment required by Immigration, Refugees and Citizenship Canada (IRCC)
In most cases, clinics include the following in their base fee:
- Physical Examination by an IRCC-approved panel physician.
- Medical history review
- Blood tests (for certain age groups)
- Urinalysis
- Chest X-rays (typically required for adults)
- Submission of results through eMedical (IRCC system)
- Official documentation/proof of exam completion
Please note: some clinics offer bundled pricing that includes all required tests, while others charge separately for services like X-rays or lab work. Confirm what is outlined in the price before booking. If you would like to know exactly what to bring and expect at your appointment, our complete pre-exam checklist walks you through the process step by step.
Factors That Can Affect the Total Cost
As mentioned throughout, not every applicant will pay the same amount, as numerous factors can influence the final cost beyond the base fee.
Additional testing is the most common cause. You may be asked to complete extra lab work or see a specialist if the physician needs further evaluation. These are not typically included in the initial price. A repeat chest X-ray may be required if the original image is unclear or outdated, adding to the total cost.
Medical history can impact costs. Pre-existing conditions may require additional reports or diagnostics, increasing the overall cost. Additionally, clinic location can play a minor role, as prices may be higher in larger cities due to operating costs.
Why You Must Use an IRCC-Authorized Panel Physician
Panel physicians are specifically trained and certified to:
- Conduct exams according to IRCC standards
- Submit results directly through the eMedical system
- Ensure compliance with immigration requirements
IRCC-approved panel physicians, like those here at Immigration Physician Ottawa, are authorized to perform immigration medical exams; this is a non-negotiable. You cannot visit your family doctor or a walk-in clinic for this requirement. Once your exam is submitted through eMedical, you can track your exam report status at any time to stay updated on your application.
Please note: IRCC will not accept the results if you complete your exam with a non-authorized physician. This will result in additional costs for redoing the exam.
Upfront vs Requested Medical Exams: Cost Implications
Upfront Medical Exams
Completing your medical exam before you submit your application can work in your favor financially, since it lowers the chance of paying for a second exam due to processing delays. This approach is especially common among applicants entering healthcare, childcare, or other occupations that require early medical clearance.
You need to consider that you risk having to repeat the medical exam if processing takes too long (medical results are only valid for 12 months).
Requested Medical Exam
A requested exam happens when IRCC reaches out during the review of your application and asks you to complete one, rather than you submitting results ahead of time. Some applicants prefer to wait for this request simply to avoid paying for an exam they may not end up needing. The tradeoff is that your application can sit on hold longer while IRCC waits on your results, which can end up costing more time than it saves in money.
If your job involves frequent contact with the public, or you plan to stay in Canada long term, paying for the exam upfront is usually the more cost effective choice in the long run. For a more detailed look at the differences between the two options, read our full guide on upfront versus requested medical exams.
An immigration medical exam is a compulsory step for many Canadian visa and residency applications, and while the cost can vary, most applicants should expect to pay between $200 - 500. Understanding what’s included makes a big difference, not just to ensure a smoother process in your application but also financially.
Book your immigration medical exam with Immigration Physician Ottawa. Our experienced panel of physicians ensures your assessment is completed accurately and in full compliance with IRCC requirements, helping to prevent unnecessary delays.
