- What the Published Numbers Say
- Two Denominators, Two Different Questions
- Why 2025 and 2026 Should Not Be Blended
- How Passing Is Decided
- Who Actually Sits the Exam
- Where Candidates Lose Points: Domain by Domain
- Format, Delivery, and Test-Day Risk
- Fees, Retake Windows, and the Cost of a Miss
- A Domain-Weighted Preparation Plan
- Planning for the May 2027 Window
- Frequently Asked Questions
- The Spring 2026 first-time pass rate was 82.6%, while 20 of 25 candidates passed overall.
- The 86.9% figure is the reported 2025 first-time rate and describes a different cohort.
- Passing uses modified Angoff standard setting on 100 scored items, not a fixed universal percentage.
- Assessment and Diagnosis (24%) and Case Management and Counseling (22%) carry the most weight.
What the Published Numbers Say
Pediatric Audiology Specialty Certification (PASC), offered by the American Board of Audiology (ABA), awards the designation Board Certified in Pediatric Audiology (BC-PA). Candidates naturally want to know how many people pass before committing to the application, the fees, and months of preparation. The issuer's August 6, 2026 report provides the most current answer, and it contains two numbers that are easy to confuse.
| Measure | Figure | What it describes |
|---|---|---|
| Spring 2026 first-time pass rate | 82.6% | Candidates sitting the exam for the first time in the Spring 2026 window |
| Spring 2026 overall result | 20 of 25 passed | All candidates in the window, using a different denominator |
| 2025 first-time pass rate (reported) | 86.9% | A different cohort; not a 2026 figure |
The honest summary is that PASC has a high published pass rate relative to many professional exams, but the candidate pool is small and heavily pre-screened. That context matters more than the headline percentage. For a broader look at difficulty, see How Hard Is the PASC Exam? Complete Difficulty Guide 2026.
Two Denominators, Two Different Questions
The 82.6% first-time rate and the "20 of 25" overall result do not conflict. They answer different questions.
- First-time pass rate (82.6%): Of the candidates attempting the exam for the first time, what share passed?
- Overall result (20 of 25): Of everyone who sat the exam in the window, including anyone retesting, how many passed?
Because the denominators differ, you cannot back-calculate one from the other with certainty, and you should not try to derive a retake success rate from them. The issuer did not publish a retake-specific rate in the material reviewed, so any figure claiming to describe how retakers perform would be invented.
Why 2025 and 2026 Should Not Be Blended
The issuer reported a 2025 first-time pass rate of 86.9%. It is tempting to average this with 82.6% and call PASC "about 85%." Resist that. Each figure describes a different cohort sitting a different administration, and with candidate pools this small, a shift of a few people moves a percentage noticeably.
The practical reading is that both years sit in the same general range, which suggests that candidates who meet the eligibility requirements and prepare against the published blueprint tend to do well. It does not mean the exam is easy, and it does not guarantee your result. If you want the current year's figures kept in one place, the dedicated page on the PASC pass rate tracks them.
How Passing Is Decided
PASC uses criterion-referenced scoring. Passing is established through modified Angoff standard setting, in which subject-matter experts judge how a minimally qualified candidate would perform on each item. Your result is based on the overall raw score on the 100 scored items, with difficulty adjustment.
Three consequences follow:
- No fixed universal percentage. There is no published "you need X% correct" that applies to every form of the exam. Be skeptical of any source that states one.
- Not graded on a curve. Your result does not depend on how other candidates in your window perform.
- No guessing penalty. Leaving an item blank offers no scoring advantage, so answer every question.
The exam contains 120 questions in 2 hours 30 minutes: 100 scored items plus 20 unscored beta items. You cannot tell which are which, so treat every question as if it counts. More detail is in PASC Passing Score 2026: Exactly What You Need to Pass.
Who Actually Sits the Exam
Pass rates are shaped by who is allowed to test. PASC is voluntary and independent of other certification, so general ABA certification, CCC-A, and professional membership are not prerequisites under the current handbook and program page. But the eligibility bar is still substantial:
- A graduate audiology degree from a regionally accredited institution
- An appropriate audiology license or work authorization (a permanent U.S. audiology license, or valid license/work authorization for international and U.S.-territory applicants)
- Paid post-degree professional experience
- 550 pediatric direct-patient hours and 50 pediatric case-management hours over two consecutive years within the preceding five years
- Two professional references, including a supervisor
- An official transcript, documented experience, and an ethics agreement
Externship hours do not qualify. The live application specifies a minimum of 2,000 professional hours within two years, while the handbook phrases the same idea as two years of post-degree, full-time (2,000) hours. Treat that as a wording discrepancy between sources, and confirm the exact language on the current application before you submit. Do not assume a larger threshold than either source states.
Older prerequisite language that referenced other certifications, including the January 2024 handbook introduction, is superseded. Use the current handbook (Edition 23, November 2025) as your authority.
Where Candidates Lose Points: Domain by Domain
The issuer does not publish domain-level pass or fail data, so no one can honestly tell you which domain candidates miss most. What is published is the scored-item allocation, which tells you where the points are. The handbook allocates 24, 21, 22, 16, 9, and 8 scored items out of 100, and the issuer's November 13, 2023 revised-blueprint announcement publishes the matching percentage weights.
| Domain | Weight | Why it matters |
|---|---|---|
| 1. Assessment and Diagnosis of Auditory and Vestibular Disorders | 24% | Largest single block of scored items |
| 2. Habilitation/Rehabilitation | 21% | Intervention and device-related decision making |
| 3. Case Management and Counseling | 22% | Second largest; family-centered practice |
| 4. Medical Audiology | 16% | Etiology, medical referral, and coordination |
| 5. Professional and Regulatory Issues | 9% | Smaller but often fast points |
| 6. Educational Audiology | 8% | Smallest weight, but distinct content |
One wording note: the 2023 announcement adds "patients with" to the Domain 1 heading, but the current handbook and live-page wording controls the heading used here. Also remember these six domains are formal exam content domains, not a preparation curriculum. They describe what is tested, not the order in which you should study.
Domain 1: Assessment and Diagnosis (24%)
The heaviest domain. Pediatric audiologists are expected to select and interpret age-appropriate test batteries and to reconcile conflicting results.
- Age-appropriate behavioral and objective measures across infancy to adolescence
- Interpreting auditory and vestibular findings in children, including when results disagree
- Recognizing when a result is unreliable and what to do next
Domain 3: Case Management and Counseling (22%)
Often underestimated by candidates who study mostly technical content. These items reward family-centered, ethically sound judgment.
- Communicating results and options to families
- Coordinating care across medical, educational, and early intervention providers
- Selecting the most appropriate next step in a realistic scenario
Domain 2: Habilitation/Rehabilitation (21%)
Close to Domain 3 in weight and tightly connected to daily clinical work.
- Hearing technology decisions and follow-up for children
- Habilitation planning and monitoring progress over time
- Supporting communication and developmental outcomes
For a full walk through of every content area, see PASC Exam Domains 2026: Complete Guide to All 6 Content Areas.
Format, Delivery, and Test-Day Risk
A pass rate reflects knowledge, but also logistics. Testing uses Prolydian with Proctor360 live remote proctoring. Older language referring to Examity delivery should not override the current Prolydian/Proctor360 instructions.
- All questions have four options.
- Single-answer items have one correct answer; multiple-response items have two or three correct answers.
- The exam is English-only and closed book: no calculators, notes, dual monitors, or ordinary breaks.
- You need a desktop or laptop, webcam, microphone, and a private room. Tablets, phones, and Chromebooks do not meet the device requirements.
- Expect identity and room checks, with current government photo/signature ID matching your registered name.
The multiple-response format deserves practice. Items asking for two or three correct options punish partial knowledge differently than single-answer items, and you should be comfortable evaluating each option independently rather than hunting for one "best" answer. Approved accommodations are governed separately, so request them through the issuer's process well ahead of your window.
Key Takeaway
Do a full technical rehearsal before exam day: confirm your device, webcam, microphone, room, and ID name match. A preventable check-in problem can cost more than a weak domain.
Fees, Retake Windows, and the Cost of a Miss
Because a failed attempt carries real cost, it helps to know the fee structure. Figures below exclude membership.
| Item | Academy member | Non-member |
|---|---|---|
| Exam registration fee | USD 395 | USD 440 |
| Application fee | USD 125 | USD 160 |
| Combined first application and exam | USD 520 | USD 600 |
A second-certification application receives a USD 50 application-fee reduction. For the full breakdown, see PASC Certification Cost 2026: Complete Pricing Breakdown.
On retakes, the current handbook permits testing and retakes for five years beginning on the first day of the next testing window after application approval. An older FAQ counts the five years from the first test date. These sources conflict, so follow the current handbook and verify your own eligibility dates with the issuer. Once eligibility expires, a new application, documentation, and fees are required. Results arrive approximately eight weeks after the administration, so a retake decision cannot be made quickly.
A Domain-Weighted Preparation Plan
Since your readiness is judged by raw score on scored items, preparation should follow where the points are. A sensible sequence front-loads the heavy domains and uses the small domains as confidence builders later.
Domain 1 and Domain 3 first
- Together these account for 46% of scored items
- Drill age-appropriate test selection and result reconciliation
- Practice scenario items on counseling and care coordination
Domain 2 and Domain 4
- Hearing technology and habilitation planning (21%)
- Medical audiology, referral, and etiology (16%)
Domains 5 and 6, then mixed review
- Professional/regulatory (9%) and educational audiology (8%)
- Timed mixed sets including multiple-response items
Adjust this to your own practice. A clinician who works in a school setting may already be strong in educational audiology and weaker in medical audiology, and vice versa. A diagnostic baseline quiz will show you where to shift time; you can take one on the main practice test site. For a fuller study framework, read the PASC Study Guide 2026: How to Pass on Your First Attempt, and keep the PASC Cheat Sheet 2026 handy for final review.
Planning for the May 2027 Window
The next exam window is May 3-17, 2027. Work backward from the dates below.
| Milestone | Date |
|---|---|
| Exam registration opens | January 12, 2027 |
| Application deadline | March 9, 2027 |
| Exam registration closes | April 13, 2027 |
| Exam window | May 3-17, 2027 |
Approval of your application must precede registration, and your documentation (transcript, references, hour logs, ethics agreement) takes time to assemble, so start well before the March deadline. Sources were checked October 14, 2026; confirm the dates on the issuer's upcoming-exams page before you commit. More scheduling detail is in PASC Exam Dates 2026: Testing Windows, Deadlines & Scheduling.
If you are weighing whether the credential justifies the effort, the ROI analysis and salary guide cover the career side. Once certified, renewal is every three years with 60 CE hours total (including 30 pediatric hours, 15 Tier 1 hours, and 3 professional-ethics hours, all as subsets of the same 60), continued ethics and licensure compliance, and a USD 360 fee for either membership group. Excess hours do not carry forward.
To test your readiness against realistic items before you apply, try the practice questions at PASC Exam Prep.
Frequently Asked Questions
The issuer's August 6, 2026 report gives a Spring 2026 first-time pass rate of 82.6%, and 20 of 25 candidates passed overall. These use different denominators and should not be treated as the same statistic.
No. The 86.9% figure is the reported 2025 first-time rate and describes a different cohort. It should not be averaged with or substituted for the 2026 numbers.
There is no fixed universal passing percentage. Passing is criterion-referenced, set through modified Angoff standard setting, and based on your overall raw score on the 100 scored items with difficulty adjustment.
No. There is no guessing penalty, so leaving an item unanswered offers no scoring advantage. Answer every question, including multiple-response items.
Results arrive approximately eight weeks after the administration. Plan your retake timeline with that delay in mind, and note that the next window is May 3-17, 2027.