Affordable PANCE question bank: an honest 2026 comparison
Picking a PANCE prep tool comes down to price, how many quality questions you get, whether EOR rotations are included, and how you like to pay. Here is a fair, spec-level look at the main options — including where FirstPassPA is not the best fit.
PANCE question banks compared
| Provider | Lowest price | Billing | Questions | EOR | AI tutor | Free trial | Pass guarantee |
|---|---|---|---|---|---|---|---|
| FirstPassPA | $14.99/mo or $129.99/yr |
Monthly or annual | 5,500+ | All 8 rotations | ✓ Yes | 7-day, no card | ✓ Yes annual plan |
| UWorld PA | $279+ 90–360-day access |
Fixed-length access | ~1,850 | — | ✗ No | — | — |
| Rosh / Blueprint PA | $259+ EOR bundle $349; stacks to ~$699 |
Fixed-length access | ~3,800 | Yes (bundle) | ✗ No | — | ✓ Yes |
| BoardVitals | $79+ 1–6 months |
Fixed-length access | ~1,650 | No | ✗ No | — | ✓ Yes |
| SmartyPANCE | $55+ 2-wk to 1-yr; $79/yr |
Subscription | ~5,000 (beta) | — | ✗ No | — | — |
| The PA Platform | $199 lifetime course (~$169 w/ code) |
One-time (not a QBank) | Not a QBank | No native EOR | ✗ No | — | — |
Pricing and features as of June 2026, summarized from each provider's public pages; they change often — confirm current details with each provider. "—" means we could not confirm that detail publicly (not necessarily "no").
Where FirstPassPA fits
FirstPassPA is built to be the lowest-commitment, best-value way to practice: a true $14.99/month plan (or $129.99/year), a 7-day trial with no credit card, and one subscription that bundles the largest confirmed question bank (5,500+), all eight EOR rotations, a 514-diagnosis review library, flashcards, and an AI tutor that explains every answer. Its outlines and daily question are also public and crawlable, so you can evaluate the content before signing up.
Where it is not the best fit: FirstPassPA has no live or video course. If an instructor-led course is a must-have, a dedicated review course may suit you better — and we would rather tell you that up front. (The annual plan is backed by a pass guarantee.)
PANCE question bank FAQ
What is the most affordable PANCE question bank?
It depends on how you want to pay. FirstPassPA has the lowest-commitment option — a true $14.99/month plan with a 7-day no-card trial, so you can start and stop without a large upfront cost. For the cheapest annual sticker price, SmartyPANCE's $79/year plan is lower than FirstPassPA's $129.99/year, though it does not include an AI tutor and its question bank is still in beta. UWorld and Rosh/Blueprint are the most expensive, starting around $259–$309.
Which PANCE question bank has the most questions?
As of June 2026, FirstPassPA (5,500+) and SmartyPANCE (~5,000, beta) have the largest banks, followed by Rosh/Blueprint (~3,800), UWorld PA (~1,850), and BoardVitals (~1,650). More questions is not automatically better — explanation quality and blueprint coverage matter more — but FirstPassPA pairs the largest confirmed bank with all eight EOR rotations and a 514-diagnosis review library in one subscription.
Do these question banks include End of Rotation (EOR) exams?
Coverage varies. FirstPassPA includes all eight EOR rotations in its subscription. Rosh/Blueprint sells EOR content as an add-on bundle. BoardVitals and The PA Platform do not offer native EOR question banks. Always check the current plan details, since bundles change.
Does FirstPassPA offer a pass guarantee?
Yes — on the annual plan. If you don't pass your first PANCE taken while your annual membership is active, FirstPassPA will extend your access free until you retake, or refund you (proof of real preparation required; see the pass guarantee terms). The monthly plan and the no-credit-card trial remain the lowest-friction way to start.
Try the most affordable way to practice
Start a 7-day free trial — 5,500+ questions, all 8 EOR rotations, and an AI tutor on every answer. No credit card required.
Start free → See today's free questionHow we compare. Figures above are summarized from each provider's public pages as of June 2026 and are meant as a neutral, spec-level starting point — plans and features change, so verify current details with each company before buying. FirstPassPA is independent and not affiliated with, endorsed by, or sponsored by UWorld, Rosh Review, Blueprint, BoardVitals, SmartyPANCE, or The PA Platform; all product names and trademarks belong to their respective owners. FirstPassPA is also not affiliated with NCCPA; PANCE® and PANRE® are registered trademarks of the National Commission on Certification of Physician Assistants.