What fertility care actually costs
IVF, egg freezing, and at-home testing, with the real published figure and the source behind it. Most clinics do not post a standard price, so we show what they do publish and where the gaps are.
A single all-in IVF cycle typically runs $25,000 to $32,000 once medications and the common add-ons are added to the clinic's base fee (itemized below). Because the average patient needs 2.3 to 2.7 cycles, the realistic amount to budget is $40,000 to $60,000, not the base price on the brochure.
We found clinic-published IVF price references for 160 of the 452 US clinic locations checked. Locations may share a network's pricing source; this is a count of locations, not independent offers. Read the terms and source beside each amount. Estimate your own all-in cost or read the full breakdown of what IVF costs.
Not everyone starts with IVF. Many couples first try IUI (intrauterine insemination), which costs a fraction of an IVF cycle but succeeds less often per cycle.
At-home fertility tests run from $9.99 (25 strips). Most clinics do not publish a standard price, so ask each one for a written cost estimate for your plan.
What one all-in IVF cycle is made of
Every line is a cited national range, in the order a cycle incurs it. The base fee is the only piece a clinic's advertised price usually captures. The rest is what a normal course of IVF looks like, not optional extras.
- Base IVF cycle feebase
Monitoring, egg retrieval, lab fertilization, and one fresh transfer: the clinic's headline quote.
Typical$13,500Range$12,000–$15,000 - Stimulation medicationsnear-universal
The injectable hormones that grow multiple eggs, dosed to your body over the cycle.
Typical$5,000Range$3,000–$7,000 - Anesthesia or sedationnear-universal
Sedation for the egg retrieval procedure.
Typical$400Range$300–$500 - ICSI (sperm injection)
An embryologist injects a single sperm directly into each egg, rather than letting fertilization happen in a dish.
Typical$1,750Range$1,000–$2,500 - PGT-A genetic testing
Screening embryos for chromosomal abnormalities before transfer (biopsy plus genetic lab analysis).
Typical$4,500Range$3,000–$6,000 - Embryo freezing plus first-year storagenear-universal
Cryopreserving surplus embryos and one year of storage.
Typical$1,500Range$1,000–$2,000 - Frozen embryo transfer (later cycle)near-universal
The later cycle that thaws and transfers a frozen embryo to actually attempt pregnancy.
Typical$5,000Range$3,000–$6,900
Not every cycle includes every line (ICSI and PGT-A are common but genuinely debated), so the honest single-cycle range is about $25,000 to $32,000. Toggle the pieces of your own plan to see your number, next to your odds by age.
What decides how much of it you actually carry
The figures above are gross, before any coverage. Two things you may not control, your state and your employer, move the out-of-pocket number more than any discount code.
14 states plus DC require fully-insured plans to cover IVF. Where a strong mandate applies, per-cycle out-of-pocket can fall to $2,000–$7,000. Mandates reach fully-insured plans only, not the self-insured (ERISA) plans most large employers use, so confirm your plan type.
50% of employers with 500+ workers now cover IVF (up from 27% in 2020), but the median lifetime cap is about $20,000: roughly one all-in cycle, against an average need of two or more.
HSA and FSA pay with pre-tax dollars, and grants reduce the principal (RESOLVE program list). Shared-risk refund plans charge $20,000–$30,000 for up to 6 cycles, with a partial refund if there is no baby.
For the full picture, whether insurance covers IVF details every mandate state, the self-insured loophole, and how to check your own plan. If coverage leaves a gap, how to pay for IVF sets out the four routes families actually use (grants, pre-tax dollars, refund programs, lenders) with each program's published terms. The full cost guide walks through the state-and-employer lottery, the self-insured trap, and how to sequence financing.
What the fertility drugs actually cost
The injectable stimulation medications are the volatile part of an IVF bill and the part that matters for a cycle budget. Below the headline is the raw per-unit acquisition cost of the individual drugs, for context.
Stimulation medications for one IVF cycle typically run $3,000–$7,000 per cycle, about a fifth of the total. The injectable gonadotropins are biologics dosed to how your body responds, so this is the one line no clinic can quote precisely in advance.
For context, the raw pharmacy acquisition cost (CMS NADAC) of the individual drugs. The oral ovulation drugs are cheap per unit; the injectable gonadotropins that dominate an IVF stimulation are biologics, so most carry no published generic acquisition price.
- LetrozoleOral
Ovulation induction (commonly first-line for PCOS)
FDA labelas Femara (generic letrozole)$0.14/ unitLETROZOLE 2.5 MG TABLET - $4.21/ unitCLOMIPHENE CITRATE 50 MG TAB
- No generic acquisition price published
- No generic acquisition price published
- Ganirelix acetateInjectable
GnRH antagonist that blocks a premature LH surge
FDA labelas Fyremadel, Ganirelix Acetate Injection$62.35/ mLGANIRELIX ACET 250 MCG/0.5 ML - No generic acquisition price published
- Leuprolide acetateInjectable
GnRH agonist used to down-regulate, or as an alternative trigger
FDA labelas Lupron, Lupron Depot$197.61/ unitLEUPROLIDE 2WK 14 MG/2.8 ML KT - Chorionic gonadotropin (hCG trigger)Injectable
The trigger shot that finishes egg maturation before retrieval
FDA labelas Ovidrel, PregnylNo generic acquisition price published - ProgesteroneVaginal / injectable
Luteal-phase support after IUI, retrieval, or embryo transfer
FDA labelas Endometrin, Crinone$0.40/ unitPROGESTERONE 200 MG CAPSULE - EstradiolOral
Builds the uterine lining before a frozen embryo transfer
FDA labelas Estrace, estradiol tablets$8.11/ unitESTRADIOL 0.075 MG PATCH(2/WK)
What at-home fertility testing costs
Hormone panels, ovulation monitors, and sperm-analysis kits you can order at home, cheapest first. A useful first look, not a full clinical workup.
- Premom / Easy@Home LH ovulation stripsLowest pricePremom (Easy@Home)At-home testLH ovulation test strips + the free Premom tracking app25-count pack $9.99 (on sale from $10.99); 50-count $17.99, 100-count $27.99.
- Natural CyclesAt-home testFDA-cleared fertility and birth-control app subscriptionAnnual plan $149.99/yr (about $12.49/mo); monthly plan $21.99. Natural Cycles states its US prices only inside its sign-up flow (where the annual plan with the thermometer option includes a Bluetooth thermometer), so this is a reported figure.
- Winx HealthAt-home testtwo early-detection hCG pregnancy test strips2-pack $13 one-time, or about $11.05 per order on subscription.
- SpermCheckAt-home testsingle-use at-home sperm-concentration testIndicates normal vs low count near the 20M/mL threshold, not a full semen analysis.
- FullWellAt-home testat-home finger-prick hormone panel (AMH, FSH, estradiol, TSH, vitamin D) with lab reportFive markers from one finger-prick sample, tested in a CLIA/CAP-certified lab, with results within three business days of the lab receiving it; HSA/FSA eligible. US only and cannot ship to New York. Not refundable or returnable after purchase. AMH estimates egg supply, not egg quality or the odds of natural conception. Price read 2026-09-29.
- YO Home Sperm TestAt-home testreusable smartphone-based device plus 3 single-use sperm testsFDA-cleared at-home sperm test reporting concentration, motility, progressive motility and motile sperm concentration; reusable device with 3 single-use tests.
- ProovAt-home testat-home ovulation and PdG confirmation kit$99.99 covers the first cycle; later cycles use a $39.99 refill pack ordered in the app, and extra strips for a long cycle are $39.99.
- InitoAt-home testreusable monitor tracking multiple hormonesInSight reader + 15 test strips, no subscription.
- LetsGetCheckedAt-home testat-home hormone test kit
- MiraAt-home testreusable hormone monitor plus test wandsMonitor plus 10 Plus Wands (LH, E3G). Regular price $199, current sale price $139.
- LegacyAt-home testat-home mail-in semen analysis (freezing extra)Basic semen analysis $145 (volume, count and concentration, motility); not eligible for discounts, insurance or payment plans. Freezing and storage plans are priced separately.
- EverlywellAt-home testat-home hormone test kitOut of stock on everlywell.com when last checked (September 27, 2026).
- OovaAt-home testone cycle of urine test strips measuring LH, E3G and PdG, read by the free Oova phone appOr $129/mo on the subscription the product page selects by default. There is no reader to buy, so each cycle uses a new kit. Measures ovulation hormones, not AMH or FSH, so it says nothing about egg supply. Price read on Oova's US store 2026-09-29.
- myLAB BoxAt-home testat-home finger-prick hormone panel (Estradiol, AMH, LH, Testosterone) with lab reportCovers 4 markers; a broader 11-hormone panel is a separate $259 product. FSA/HSA cards accepted, results in 2-5 days. Temporarily unavailable in New York State.
- TempdropAt-home testreusable wearable basal-body-temperature sensor + armband + free charting appDevice only; premium charting is a paid add-on after a free trial. Optional VIP care and insurance offered at checkout.
- AvaAt-home testovernight fertility-tracking bracelet + cycle/fertility appBasic bundle; the page's current sale price. A Plus bundle at $309 adds a pregnancy guarantee.
- keggAt-home testreusable cervical-fluid and fertility monitor with the kegg appOne-time device, no refills; currently discounted from $477, with a get-pregnant-or-money-back guarantee.
- OvuSenseAt-home testreusable vaginal core-temperature ovulation sensor + app; the one-time purchase includes 12 months of app insightsOne-time purchase $299 with 12 months of OvuSense app insights and a 12-month-battery sensor. Also sold as a $129 starter pack (first 30 days, then $35/month, cancel any time) or a $199 six-month pack. The app needs an active subscription. FSA/HSA eligible.
- Oura RingAt-home testsmart ring hardware ($349-$499) plus a required Oura membership to unlock cycle/temperature insightsRing $349-$499 by finish; Oura membership $5.99/mo or $69.99/yr required to see cycle and temperature data, first month free.
Each price is the clinic's or brand's own published figure, linked to the page that states it.
Compare the tests themselves, and what each one measures, on the at-home tests page.
Common questions about IVF cost
How much does IVF cost in 2026?
A single all-in IVF cycle typically runs $25,000 to $32,000 once medications and the common add-ons are added to the clinic's base fee. Because the average patient needs 2.3 to 2.7 cycles, a realistic amount to budget is $40,000 to $60,000, not the base price on the brochure.
Why is the advertised IVF price lower than the final bill?
A clinic's advertised "base" cycle price usually excludes medications (frequently several thousand dollars), anesthesia, genetic testing (PGT), and storage. Those pieces are a normal part of a cycle, not optional extras, so the all-in cost is typically well above the posted base fee.
How many clinic locations have published IVF price references?
We found clinic-published IVF price references for 160 of the 452 US clinic locations checked. Locations may share a network's pricing source; this is a count of locations, not independent offers. Read the terms and source beside each amount.
Do published IVF prices cover the same services?
Published IVF amounts cover different services. Some are retrieval-only fees, some include a transfer or medications, and others are the lower end of a range. Eligibility, payment method and location can also change the price. Compare the recorded terms, then request an itemized quote for the same treatment plan from each clinic.
How much do IVF medications cost per cycle?
Stimulation medications for one IVF cycle typically run $3,000 to $7,000, about a fifth of the total. The injectable gonadotropins are biologics dosed to how your body responds, so this is the one line no clinic can quote precisely in advance.
Does insurance cover IVF?
14 states plus DC require fully-insured plans to cover IVF, and where a strong mandate applies, per-cycle out-of-pocket can fall to $2,000 to $7,000. Mandates reach fully-insured plans only, not the self-insured (ERISA) plans most large employers use. Separately, about 50% of employers with 500 or more workers now cover IVF, though the median lifetime cap is around $20,000, roughly one all-in cycle.
How many IVF cycles does it usually take?
The average patient needs 2.3 to 2.7 cycles, so planning around a single cycle understates the real cost. Success is cumulative across cycles, which is why the amount to budget for is the multi-cycle total, not one cycle.
How much does at-home fertility testing cost?
At-home fertility tests run from $9.99 (25 strips). Hormone panels, ovulation monitors, and sperm-analysis kits you can order at home are a useful first look, not a full clinical workup.
RMA (Reproductive Medicine Associates): published prices and terms
Published IVF amounts cover different services. Some are retrieval-only fees, some include a transfer or medications, and others are the lower end of a range. Eligibility, payment method and location can also change the price. Compare the recorded terms, then request an itemized quote for the same treatment plan from each clinic.
Showing source records associated with this network. Location and package terms vary. View all clinic price references
Each listed amount belongs to a specific program or estimate. Source-check dates record when we retrieved the page, not when a clinic issued its fees. Older schedules can remain online, and network pricing may not apply to every location. Confirm current terms with the clinic.
Clinic-published price references (1 locations)
Grouped by state, clinics A to Z within each. Read each amount together with its terms, including any range, eligibility limits, source date and location restrictions. These different packages do not support a like-for-like median or a cheapest-clinic ranking.
The whole check, every CDC-reporting location including those that post no price, is free to download and reuse as open data (CSV, with a citable DOI). About one in three US fertility clinic websites posts a self-pay IVF price, up from about one in five in 2019. Read the report.
New Jersey 1 location
Compare New Jersey clinics- Reproductive Medicine Associates of New Jersey
Basking Ridge, NJ
Amount in source
$14,750Recorded terms and exclusions
RMA's official IVF guide states that, in general, an IVF cycle at RMA costs approximately $14,750 and defines the cycle as retrieval and transfer. The page does not specify whether medications, monitoring, anesthesia, ICSI, PGT, embryo storage, or other ancillary services are included or excluded, and it is not a dated fee schedule. RMA's Basking Ridge page separately lists a general 2024 U.S. single-cycle range of $14,000–$20,000 for patients without insurance; that range is explicitly a general U.S. estimate, not confirmed as a Basking Ridge-specific quote. Exact costs depend on treatment center, bundled services, and insurance; RMA directs Basking Ridge patients to a financial coordinator for individualized pricing.
Read clinic pricing sourceSource checked