Casper Test Cost Fees, Add-Ons, and How to Save

The Casper test is a unique, computer-based assessment used by many medical schools to evaluate personal characteristics such as critical thinking, ethics, and professionalism. Because many medical schools require Casper, it’s essential to understand its structure, fees, and strategy before you take the Casper test. From registration fees and international pricing to optional video response and value alignment assessments, the total cost can vary depending on your location and school list. In this guide, we’ll break down the cost of the Casper test, what’s included, and how to keep expenses low. For more resources on preparing effectively, visit our Casper preparation hub.

I. How Much Does the Casper Test Cost in 2025?

For the 2025 application cycle, the Casper test cost is $85 USD. This includes the core computer-based assessment, access to the optional Duet value alignment assessment, and automatic delivery of your Casper test results to as many as seven participating medical schools. Any programs added beyond that limit will incur extra charges. Since Casper test fees are non-refundable, it’s smart to review your school list before deciding preferred test dates. To better understand what the Casper test assesses and how this exam fits into the broader medical school admissions process, check out our What is the Casper Test? resource.

Cost to Send Casper Results to Multiple Schools

While the initial fee allows you to send results to seven schools, each extra school adds $18 USD to the total. Most test takers pay more than just the base to accommodate their full admissions cycle.

II. What's Included in the Casper Fee?

The Casper test cost covers more than just the exam itself. When you pay the $85 USD fee, you’re not only registering for the core Casper exam, but also gaining access to the Duet value alignment assessment, which some medical schools require as part of the admissions process. Additionally, the fee includes delivery of your Casper test results to up to seven schools.

This bundled pricing helps reduce separate charges for each component, especially since most test takers complete both assessments in the same session. It’s also worth noting that this computer-based assessment must be taken on your desired test date, and you’ll need a government-issued photo to verify your identity when creating your Acuity Insights account. 

III. Are Casper Test Fees Refundable?

The Casper test cost is a one-time, non-refundable fee, meaning you won’t receive any reimbursement if you cancel your registration or decide not to apply to certain medical schools after payment. This applies to all test takers, regardless of location, program type, or Casper test dates. Unlike some other standardized exams, there are no partial refunds for unused services or missed components, such as the Duet value alignment assessment.

Because the Casper test is a key part of the medical school admissions process, it’s essential to finalize your school list, ensure your Acuity Insights account is complete, and double-check your availability before registering. If you’re still preparing, using free or affordable Casper prep resources can help ensure you’re ready the first time, reducing the need to retake the exam and incur additional Casper test fees.

IV. Casper Test Cost by Country

Understanding the Casper test cost for your specific country is a key step in financial planning during the admissions cycle, since regional pricing and currency variations can affect your budget for the computer-based assessment, Casper prep, and Casper score delivery.

United States

In the U.S., the total cost of the Casper test is $85 USD. This amount covers the Casper exam, the Duet value alignment assessment, and distribution of Casper test results to up to eight programs; you’ll incur an $18 fee for each additional school beyond the included package.

Canada

Canadian test takers pay CAD $50 for the Casper exam itself. After taking the test, there's a CAD $18 fee for each program you choose to send your Casper scores to, making the total Casper test cost dependent on how many medical schools you apply to.

Other Countries

For candidates outside North America, the Casper test cost is generally aligned with the U.S. pricing in equivalent local currency, and distribution fees are similar. You’ll still complete the real Casper test in a computer-based assessment format, use the video response section, Duet value alignment, and receive Casper test results for selected programs. Since the assessment for sampling personal characteristics is central to this test, all international applicants must also verify their identity with a government-issued photo and follow the same guidelines outlined on the Casper website.

V. How to Keep Your Casper Costs Low

While the Casper test cost can add up, especially for test takers applying to multiple medical schools, there are smart ways to manage your expenses. First, finalize your school list before registering, so you avoid unnecessary Casper score delivery fees. Since each additional school adds to the total cost of Casper test, being strategic about where you apply is essential during the admissions cycle. Compared to other test takers, you can save significantly by applying to fewer programs or confirming which medical schools require Casper before registering.

Next, take advantage of affordable or no-cost Casper prep tools to avoid paying for expensive courses. Practicing with the official Casper test format, reviewing sample video response prompts, taking practice tests, and becoming familiar with the value alignment assessment can help you perform confidently without overspending. For more support, check out our Free Casper Test Resources to start preparing effectively at no cost.

VI. Conclusion

Navigating the Casper test cost is an important part of preparing for the medical school admissions process. Beyond the base fee, additional expenses—such as sending Casper exam results to extra schools or completing optional components like the value alignment assessment and video response section—can significantly impact your budget. For many test takers, careful planning is key. As the admissions cycle becomes increasingly competitive, understanding the full scope of this computer-based assessment ensures you're academically ready and financially prepared to succeed.