How much does it cost to renew an Italian driving licence?

Renewing an Italian driving licence starts at EUR 56.20 at a Health Ministry USMAF-SASN clinic that provides the service: EUR 30.00 for the examination and EUR 26.20 for PagoPA tariff N004. Other authorised doctors may charge a different examination fee.

Verifiable answer

Question: How much does it cost to renew an Italian driving licence?
Average cost: €56 / renewal
Price range: €56
Area: Italy
Last verified: 16 October 2026
Confidence: Confidence: High
What is included: Fitness examination at a USMAF-SASN clinic that provides it; EUR 10.20 in N004 fees; EUR 16.00 in N004 duty; Electronic transmission of the medical certificate on the ordinary route
What is not included: Examination by a private authorised doctor or another provider; Local Medical Commission examination; Passport photographs requested by the provider; Extra tests, certificates or clinical records; Exceptional procedures for a licence expired for a long period
What the price depends on: Provider carrying out the examination; Whether a Local Medical Commission is needed; Licence category and medical circumstances; Required medical paperwork; Whether the licence expired long ago
Sources and methodology: 2 sources

Short answer

The nationwide administrative charge is EUR 26.20, but the fitness examination has no single Italian price. EUR 56.20 is a verified total for Health Ministry USMAF-SASN clinics that offer the examination.

Renewing an Italian licence is more than paying a bill. It requires a medical assessment of the physical and mental fitness to drive; the doctor then sends the certificate, photograph, signature and payment details electronically. The state element is the same on an ordinary renewal: PagoPA tariff N004 consists of EUR 10.20 in fees and EUR 16.00 in duty, or EUR 26.20. What changes is the medical examination. The Health Ministry publishes one verifiable route: its USMAF-SASN clinics charge EUR 30 where they provide the service, producing a EUR 56.20 total. That is not a price list for every doctor or local health authority. The same page says the service is not available at every office, and renewals involving doubts about fitness, special licences or certain higher categories must go through a Local Medical Commission. This guide therefore gives a documented starting price rather than pretending there is a national average for the examination.

What is included

Fitness examination at a USMAF-SASN clinic that provides it
EUR 10.20 in N004 fees
EUR 16.00 in N004 duty
Electronic transmission of the medical certificate on the ordinary route

What is not included

Examination by a private authorised doctor or another provider
Local Medical Commission examination
Passport photographs requested by the provider
Extra tests, certificates or clinical records
Exceptional procedures for a licence expired for a long period

How the price breaks down

How the price breaks down: Renewing an Italian driving licence
Item	Type	Frequency	Typical
Fitness examination at USMAF-SASNHealth Ministry tariff for an examination at one of its clinics that provides the service.	Compulsory	one-off	€30
PagoPA tariff N004EUR 10.20 in fees plus EUR 16.00 in duty for renewing the driving licence.	Compulsory	one-off	€26

What the price depends on

Provider carrying out the examination
Whether a Local Medical Commission is needed
Licence category and medical circumstances
Required medical paperwork
Whether the licence expired long ago

Hidden costs

Different examination fee outside ministry clinics
Medical history certificate where required
Recent passport photographs
Further assessments requested by the Local Medical Commission
Exceptional procedure for a long-expired licence

Three realistic scenarios

Verified starting price

€56

An examination at a Health Ministry USMAF-SASN clinic that offers the service, plus the EUR 26.20 N004 tariff.

Ordinary renewal elsewhere

€56

N004 remains EUR 26.20, while an examination by another authorised doctor is added at that provider's actual price.

Renewal needing assessments

€56

The administrative starting point remains, but a Local Medical Commission, tests and clinical paperwork are separate costs with no single national tariff.

How to spend less

Check whether a local USMAF-SASN office offers the examination before booking elsewhere.
Ask the doctor for the complete price, including photographs, certificates and electronic transmission.
Do not wait until expiry: Local Medical Commissions can have longer booking times.
Bring current clinical records if you have relevant conditions to avoid a second appointment.
Check the expiry date and licence category, as some cases do not follow the ordinary route.

Frequently asked questions

What makes up the EUR 56.20 cost?

The verified EUR 56.20 total is EUR 30 for an examination at a Health Ministry USMAF-SASN clinic and EUR 26.20 for PagoPA tariff N004. N004 splits into EUR 10.20 in fees and EUR 16 in duty. This total applies only where the ministry clinic actually provides the examination service.

Does the renewal examination always cost EUR 30?

No. EUR 30 is the tariff published by the Health Ministry for its own USMAF-SASN clinics when they provide the examination. The same source says not every office offers it. Other authorised doctors, local health authorities and Local Medical Commissions may charge different amounts, so ask for the full price before booking.

What is tariff N004?

N004 is the PagoPA payment for renewing a driving licence. It includes EUR 10.20 in fees and EUR 16 in duty, for EUR 26.20 altogether. The Health Ministry and the Driver Portal both confirm that breakdown. It does not replace the medical examination, which is a separate cost.

When is a Local Medical Commission required?

The Health Ministry says USMAF-SASN clinics cannot handle renewals where medical circumstances raise doubts about fitness, for special licences, and for certain higher categories above stated age thresholds. In those cases, contact the competent ASL Local Medical Commission and check both its timetable and its charges.

What should I take to the examination?

You need at least an identity document and the information needed for the request. Recent photographs and, in some circumstances, a medical history certificate from your GP may also be required. The doctor who assesses fitness sends the certificate, photograph, signature and payment details electronically. Ask the provider for its current checklist before the appointment.

Sources and methodology

How we worked it out

The starting price adds two figures published by the Health Ministry: EUR 30 for an examination at a USMAF-SASN clinic and EUR 26.20 for renewal tariff N004, made up of EUR 10.20 in fees and EUR 16 in duty. We also checked the N004 breakdown in a Driver Portal document, which states the same amounts for the manual renewal route. We did not turn the result into a national average: examination prices at other authorised doctors and Local Medical Commissions vary, and the sources opened do not provide a current comparable national sample.

Why this confidence level

Confidence is high for the documented starting price and the N004 tariff because both are published by primary ministerial sources. It does not mean every driver will pay EUR 56.20: the examination price changes by provider and clinical case, a limitation stated clearly in the guide.

EUR 30.00 USMAF-SASN medical examination and EUR 26.20 N004 PagoPA renewal tariff
Rilascio certificato medico di idoneità psicofisica per il rilascio/rinnovo della patente automobilistica o nautica (opens in a new tab)
Ministero della Salute · Public authority · Verified on 16 October 2026
Ministry page updated on 29 October 2025 and opened on 16 October 2026. The EUR 56.20 total applies where an USMAF-SASN office provides the examination; the page says not every office does.
Authority5/5
N004 driving-licence renewal tariff: EUR 10.20 in fees and EUR 16.00 in duty
Duplicati - rinnovi (opens in a new tab)
Ministero delle Infrastrutture e dei Trasporti - Portale dell'Automobilista · Public authority · Verified on 16 October 2026
Motoring Office document opened on the Driver Portal. We use it as a second check of the N004 tariff breakdown; it covers the manual route when electronic confirmation fails.
Authority5/5