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CTP Pass Rate 2026: What the Data Shows

TL;DR
  • ABTC's March 2025 report lists a historical 2024 CTP pass rate of 52% among 86 candidates.
  • That 52% is not a 2026 rate, a passing score, or a first-attempt-only rate.
  • ABTC publishes no fixed numeric passing mark; results reflect performance against an expert-established standard.
  • Each attempt costs $645 ($495 exam plus $150 application), nonrefundable and charged again on reapplication.

What the 52% Figure Actually Means

Search for a Certified Transplant Preservationist pass rate and you will find one number worth taking seriously: the American Board for Transplant Certification (ABTC) March 2025 statistical report records a 2024 CTP pass rate of 52% among 86 candidates. That is the entire public data point, and it deserves careful handling.

Here is what the figure is not. It is not a 2026 pass rate, because the report describes the prior calendar year. It is not a passing score, because a pass rate describes how many candidates succeeded, not what mark they needed. And it is not a documented first-attempt-only rate, so you cannot treat it as the odds a fresh candidate faces on a first sitting. Some of those 86 candidates may have been retaking the exam.

Source discipline: The 2024 figure comes from ABTC's own "Final Exam Results" statistical report published in March 2025. If you see a different CTP pass percentage quoted elsewhere, especially one attached to a 2026 date, check whether it traces back to that report or to a different credential that happens to share the "CTP" acronym. Several unrelated certifications use those letters, and their statistics do not apply here.

If you are still orienting yourself on what this credential covers, our overview of what CTP certification is explains the role and the certifying body before you dive into exam statistics.

Reading the Sample: 86 Candidates and What They Tell You

An 86-candidate cohort is small. That matters for interpretation. A pass rate calculated on a few dozen test-takers can swing noticeably from year to year without any change in exam difficulty, simply because a handful of additional passes or failures shifts the percentage. Treat 52% as a rough historical anchor, not a precise forecast.

A few sensible readings of the number:

  • It signals a real exam. A roughly even split between passing and not passing suggests the exam discriminates between prepared and underprepared candidates. It is not a formality.
  • It does not predict your outcome. Your result depends on your preparation, your hands-on exposure to recovery and preservation work, and how well you handle the question style.
  • It is a single year. Without multiple years of comparable data, you cannot call 52% a trend. Do not extrapolate it forward to 2026 as though it were a guaranteed baseline.

For a broader look at how this credential's difficulty is perceived, see How Hard Is the CTP Exam?, which pairs the available data with a domain-by-domain difficulty discussion.

Why There Is No Published Passing Percentage

Candidates often want a single threshold: "I need X out of 100." ABTC does not publish one. Passing is based on overall performance against an expert-established examination standard, not on separate domain passes and not on a fixed numeric mark that ABTC advertises. Anyone telling you the CTP requires, say, a specific percent correct is supplying a number that is not in the issuer's public materials.

Two practical consequences follow:

  1. You cannot study to a number. Instead of aiming for a magic percentage, aim for consistent competence across all five domains, since performance is judged overall.
  2. Domain-level compensation is plausible but unquantified. Because the standard is overall rather than per-domain, strength in a heavily weighted area can help offset weakness elsewhere, but ABTC does not provide a formula, so do not build a strategy around skipping a domain.

Our dedicated CTP passing score article goes deeper on how to think about scoring without inventing a threshold the issuer never published.

The Exam Behind the Numbers

To interpret any pass-rate figure, you need to know what candidates actually sat for. The CTP examination is computer-based and delivered at PSI test centers. It is closed book, calculators are prohibited, and you must present two forms of identification.

Exam FeatureCTP Detail
Certifying bodyAmerican Board for Transplant Certification (ABTC)
Testing providerPSI
Total questions110 multiple-choice
Scored / unscored100 scored, 10 unscored pretest items
Time limitTwo hours
Answer formatFour options, one best answer
Reference materialsClosed book; no calculators

Two details shape how you should read the data. First, "one best answer" means several options may be partially defensible, and you must choose the most correct one. That rewards applied judgment over rote recall. Second, the 10 unscored pretest items are indistinguishable from scored ones, so you must give every question full effort.

The 110-versus-120 question conflict: PSI's public store listing for the CTP self-assessment still describes a 120-question certification exam. The current ABTC Candidate Handbook, dated August 13, 2026, states 110 questions. When sources disagree, the handbook controls the live exam count, so plan around 110 items (100 scored plus 10 pretest) and confirm with ABTC or PSI if you need certainty before test day.

Where Candidates Likely Lose Points

ABTC does not publish a domain-by-domain breakdown of where candidates fail, so any claim that a specific domain has a specific failure rate would be invented. What we can do is use the official content outline to see where the scored items concentrate, then reason about risk.

Summing the outline's recall, application, and analysis columns gives these scored-item allocations. They are counts out of 100, not issuer-published percentage weights.

DomainScored Items (of 100)
Domain 1: Professional Practice15
Domain 2: Organ Recovery30
Domain 3: Organ Preservation25
Domain 4: Specimen Collection12
Domain 5: Organ Labeling and Packaging for Transport18

Organ Recovery (30 items) and Organ Preservation (25 items)

Together these two domains account for 55 of 100 scored items. A candidate who is shaky on either one carries real exposure.

  • Recovery and preservation questions tend to reward understanding of why a step is done, not only the order of steps.
  • Asepsis and contamination control thread through both domains, so weakness there can cost points in several places.
  • Candidates whose daily work touches only one slice of the process, such as perfusion but not recovery, should treat the unfamiliar half as a priority.

Specimen Collection (12 items) and Labeling/Packaging for Transport (18 items)

Smaller allocations, but they are often the most procedural and the easiest to tighten up with focused review.

  • Labeling, documentation, and transport questions reward precision with details that are easy to confuse under time pressure.
  • Specimen questions can feel peripheral if your role rarely handles them, which is exactly why they cause avoidable misses.

For a full walkthrough of what each area covers, read the complete guide to all five CTP exam domains.

The Cost of a Miss: Fees, Waiting Periods, and Retake Rules

A roughly even historical split between passing and not passing makes the retake rules worth understanding before you ever register. Each attempt carries a fixed price and a mandatory delay.

ItemDetail
Examination fee$495
Application fee$150
Total per attempt$645
International administration surcharge$225 additional, where applicable
Refund policyFees are nonrefundable
ReapplicationFees apply again
Retake interval90 days
After three unsuccessful attempts20 Category 1 CEPTCs required before reapplying

The arithmetic is straightforward: a candidate who needs a second attempt pays the $645 total a second time and waits at least 90 days. After three unsuccessful attempts, you must earn 20 Category 1 CEPTCs (continuing education points) before ABTC will accept a new application. That is a meaningful detour, which is the strongest argument for preparing thoroughly the first time.

Our CTP certification cost breakdown lays out every fee, including renewal, so you can budget the full lifecycle of the credential.

Key Takeaway

Treat the first attempt as the one you are paying to pass, not to "see what it is like." With $645 nonrefundable per attempt and a 90-day wait between tries, a diagnostic sitting is an expensive way to learn the format. Use a practice test to find your weak domains before you pay the application fee.

Timing Your Attempt Inside the Eligibility Window

To sit for the exam you need 12 months of organ-preservation work experience, which does not have to be your full-time responsibility, along with a supervisor employee attestation. Once you are approved, ABTC provides a 90-day examination-eligibility window.

A source caveat worth respecting: Public instructions differ on whether the 90-day window starts at payment, at application approval, or at eligibility confirmation. Do not assume those triggers are interchangeable. Follow the dates on your individual authorization and, if anything looks inconsistent, resolve it directly with ABTC or PSI before you schedule.

Because the window is finite, the sequencing matters: complete most of your preparation before you apply, so the 90 days function as a testing window rather than a study window. If you apply first and study second, you risk running out of time and paying again. For the eligibility mechanics in full, see CTP requirements and how to qualify, and for scheduling logistics see CTP exam dates and testing windows.

Sequencing Your Prep by Domain

Given the scored-item counts above, a sensible plan front-loads the heavy domains and leaves the smaller procedural ones for reinforcement closer to test day. This is one way to do it, not an issuer-prescribed schedule.

Weeks 1-2

Organ Recovery

  • Largest allocation at 30 of 100 scored items, so build depth here first.
  • Pair every procedural step with its rationale, especially asepsis and contamination control.
Weeks 3-4

Organ Preservation

  • Second-largest at 25 items; connect preservation principles back to what you learned in recovery.
  • Practice distinguishing between plausible options when only one answer is best.
Week 5

Labeling, Packaging, and Specimens

  • Combined 30 scored items across two procedural domains.
  • Drill the details that are easy to confuse: documentation, handling, and transport requirements.
Week 6

Professional Practice and Full Review

  • Cover the 15 Professional Practice items, then take timed mixed-domain practice tests under two-hour conditions.
  • Revisit any domain where practice results lag.

You can pressure-test this plan against real question formats with our CTP practice test, which uses original questions rather than protected exam items. For a fuller preparation framework, the CTP study guide covers resources and first-attempt strategy, and the CTP cheat sheet gives you a compact must-know review for the final days.

One optional tool worth knowing about: PSI's public store lists an official $60, 30-question Self-Assessment Examination with 60-day access and one scored attempt. Only that public listing was reviewed, not the paid question bank itself, so weigh it as a short calibration check rather than a full substitute for broader practice.

What the Data Cannot Tell You About Value

A pass rate says nothing about whether the credential pays off. This article makes no assumption that certification carries a pay premium, and no salary figure should be read into the 52% statistic. If you are weighing the investment, the analysis of whether CTP certification is worth it and the CTP salary guide treat the question qualitatively, and our overview of CTP jobs looks at the kinds of roles where the credential is relevant.

Passing is also not the end of the cost curve. Certification is valid for three years, and renewal requires 60 CEPTCs, including at least 20 Category 1 and 10 Category 2 points, or successful re-examination. The single-certification renewal fee is $395. Plan for that when you assess the long-run commitment.

Finally, remember that this is exam-preparation content. Educational review of recovery, preservation, and transport topics is distinct from clinical instruction, and any clinical policy should be verified against your organization's current protocols rather than taken from a study article.

Frequently Asked Questions

What is the CTP pass rate for 2026?

There is no published 2026 CTP pass rate in the sources reviewed. The most recent figure ABTC reports is a historical 2024 pass rate of 52% among 86 candidates, from its March 2025 statistical report. That number should not be presented as a 2026 rate.

Is the 52% pass rate a first-attempt rate?

No. ABTC's report does not document it as a first-attempt-only rate, so it may include candidates who were retaking the exam. Do not read it as the odds of passing on your first try.

What score do I need to pass the CTP exam?

ABTC does not publish a fixed numeric passing mark. Passing is based on overall performance against an expert-established examination standard, not on separate domain passes. Be skeptical of any source that states an exact percentage required.

How many questions are on the CTP exam, 110 or 120?

The current ABTC Candidate Handbook (dated August 13, 2026) states 110 multiple-choice questions: 100 scored and 10 unscored pretest items, in a two-hour limit. A PSI store listing still references 120 questions, but the handbook controls the live count.

What happens if I fail the CTP exam?

You must wait 90 days before retaking and pay the fees again ($495 exam plus $150 application, $645 total, nonrefundable). After three unsuccessful attempts, you need 20 Category 1 CEPTCs before you can reapply.

If you are new to the credential itself, start with what CTP is, then use the pass-rate context above to decide how much preparation time to build in. The data points to an exam worth respecting, not one to fear.

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