Fertility clinics are medical practices that assist people who want to become parents, but are unable to conceive or carry a pregnancy without medical intervention. The best fertility clinics help people create the family they desire through a range of services. These services may include testing and medication as well as procedures like intrauterine insemination (IUI) and in vitro fertilizations (IVF).
Infertilityis defined as an inability to get pregnant after a year of unprotected sex.Those experiencing infertility may turn to fertility clinics and assisted reproductive technology. Assisted reproductive technology (ART) includes any fertility treatment in which an egg or embryo is handled. In 2019, the most recent year for which data is available, 330,773 ART cycles resulted in 77,998 live births.
“Infertility is actually quite common,” says Chantae Sullivan-Pyke, MD, MTR, FACOG, a reproductive endocrinologist and infertility specialist atStony Brook Medicine's Advanced Specialty Carein Commack, NY. “And while there has historically been stigma attached to seeking fertility care, doing so sooner rather than later can increase your chances of success."
While each fertility clinic is unique, most offer services like fertility counseling, medical testing focused on fertility, pharmaceutical support for conception or early pregnancy, intrauterine insemination (IUI), in vitro fertilization (IVF), and other reproductive procedures. Some fertility clinics also focus on preserving fertility via egg or sperm freezing or embryo storage. To help you choose the best fit for your fertility needs, we’ve rounded up our top picks for the best fertility clinics.
Best Fertility Clinics of 2022
- Best Overall:CCRM Fertility
- Best for Egg Freezing:延长生育
- Best for Egg Donation and Surrogacy:Hatch Fertility
- Best IVF Success Rates:Pacific Fertility Center Los Angeles
- Best Patient Services:Columbia Fertility Associates
- Best Without Insurance:CNY Fertility
- Best Holistic Option:NYU Langone Fertility Center
Best Overall:CCRM Fertility
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CCRM Fertility
- Cost:200 - 500美元的咨询;对于一个试管婴儿cy 15130美元cle with fresh eggs; around $13,180 for a cycle with frozen eggs; around $1,045 - $2,999 for a natural IUI; around $2,425-$3,370 for a stimulated IUI; around $6,930 – $11,534 for a single egg freezing cycle; fees do not include consultation, anesthesia, and medications
- Insurance accepted?Yes
- Specialties:IVF, IUI, egg freezing
CCRM Fertility has a long history of IVF success, multiple centers across the U.S., and a very high patient satisfaction rate.
25 centers in 11 cities across North America
Clear pricing and multiple financing options
High patient satisfaction ratings
Focuses on higher-cost procedures
No option to have lab tests or other services outside the clinic to save money
CCRM Fertilitywas founded by William Schoolcraft, MD, in 1987 and since then has achieved international accolades for clinical excellence. With over 100,000 babies born to parents who sought support from CCRM and a higher-than-average success rate than most other clinics, CCRM tops our list as the best fertility clinic.
病人护理和结果是最高优先级for those who work at CCRM. Nine out of 10 patients said they would recommend CCRM to friends, and there are over 2,000 five-star reviews from satisfied patients on its website as well as other review platforms. Many patients said how well-cared for they felt at CCRM in their reviews and expressed delight about their growing family. CCRM credits its impressive success rate to its proprietary technology and scientific processes.
CCRM has multiple locations across the country. With 25 clinics in 11 major cities, CCRM is more accessible than many clinics that only have one or just a few locations.
CCRM lists prices for each procedure on its website, making it one of the more transparent fertility clinics. It also takes insurance and offers multiple financing options for those who will be paying out of pocket or need to finance a portion of the bill. CCRM does seem to focus on higher-cost procedures like IVF, though each person or couple that comes to CCRM will have an initial consultation to discuss their options.
Best for Egg Freezing:延长生育
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延长生育
- Cost:$7,200 for the first cycle plus medication and $800 per year storage fees, then $6,200 for additional cycles
- Insurance accepted?Yes
- Specialty:Fertility preservation through egg freezing
Egg freezing and storage is a top priority at Extend Fertility. The clinic focuses on supporting individuals and couples in all stages of their assisted-fertility journey.
Known as an industry leader in fertility preservation
Discounts for special populations
Classes to help you understand the process
Long-term storage is expensive
Only one location
延长生育is the largest egg freezing practice in the country. With a goal of making egg freezing more financially accessible, it began to offer the service at 40% below the national average in 2017. Since then, it has added IVF and other fertility services to its repertoire.
While egg freezing may not be top-of-mind for many younger people, access to younger eggs can drastically improve IVF outcomes for would-be parents over 40. That means egg freezing is a good option for those who may not want children until later in life. Egg freezing can also be important for those who have a cancer diagnosis or who have concerns about medical procedures or environmental exposures impacting their ability to get pregnant. Extend Fertility does offer discounts to people who have been diagnosed with cancer, those who are in the armed services, and transgender patients who are interested in fertility preservation.
延长生育is also proud of the education it offers clients. The initial consultation provides patients with clear information about their options and the different fertility preservation processes that exist. Those who choose egg freezing will be enrolled in a logistics class to ensure they understand every step of the journey.
While long-term storage of eggs can get expensive (it costs $800 per year), there are discounts when you pay for five- or 10-year storage plans. Though Extend Fertility has only one location (in New York City), it serves people from many areas and welcomes patients from anywhere in the U.S.
Best for Egg Donation and Surrogacy:Hatch Fertility
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Hatch Fertility
- Cost:“Baby guarantee” package with donor eggs is $225,000
- Insurance accepted?No
- Specialties:Egg donation, surrogacy
Hatch Fertility has been a leader in egg donation and surrogacy for over three decades and has a very high success rate: 99.5% of intended parents who begin a journey with Hatch end with a baby.
Very high success rate
Highly satisfied parents, egg donors, and gestational carriers
Shorter-than-average wait times to be matched with a gestational carrier
Very expensive
Partners with other clinics for post egg-donation IVF
Hatch Fertilityis the leading surrogacy agency in the United States. Hatch has completed over 8,000 surrogacy journeys over the last 30 years and has an astonishingly high success rate.
Hatch aims to help couples and individuals connect with the right egg donor and/or gestational carrier for their family. All potential donors and gestational carriers go through a rigorous screening process that focuses not just on health and fertility, but also on accomplishments and humanitarian qualities.
Despite this meticulous screening process, intended parents are matched with gestational carriers more quickly, on average, than at other companies. Most Hatch patients wait just eight to nine months; at other agencies, they may wait 13 to 18 months.
Hatch is also an excellent choice for patients in need of donor eggs to carry a pregnancy themselves. With a highly selective egg-donor process and matching coordinator, patients can feel confident they will be able to find donor eggs that meet their needs. For patients who go this route, Hatch does not do IVF onsite but will arrange for clients to work with a partner IVF clinic to understand the costs and process associated with IVF after egg donation.
In general, becoming a parent through surrogacy is expensive. At Hatch, there are several payment plans offered. The lowest-cost surrogacy plan is $148,750, while the highest-cost plan—which guarantees a baby no matter what it takes—is $225,000.
Choosing to become a parent through Hatch is pricey, but its plans tend to be inclusive and the results are very favorable. Hatch also prides itself on taking good care of both egg donors and gestational carriers, which can streamline the experience on all sides.
Best IVF Success Rates:Pacific Fertility Center Los Angeles
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Pacific Fertility Center Los Angeles
- Cost:Unknown, varies by procedure
- Insurance accepted?Yes
- Specialty:IVF
With 30 years of experience and over 13,500 babies born with its assistance, Pacific Fertility Center is known as the best when it comes to IVF.
Higher success rate than many other fertility clinics
Takes many insurance options and provides financing
Supportive of all types of families
Prices not listed on the website
Located only in California
IVF success rates can be difficult to understand because overall rates don’t take into account things like the nature of patients’ infertility or whether or not donor eggs are used.Pacific Fertility Centerprioritizes being as clear as possible about its success rates and helping potential patients understand their specific treatment options and chances for successful conception.
Pacific Fertility Center’s IVFsuccess rateof 44% looks great when compared to the national average of 29%. To achieve this rate, the clinic uses proprietary technology and works closely with patients to do everything possible to help each cycle lead to a pregnancy.
Unlike some other clinics, Pacific Fertility Center doesn’t turn away difficult cases in order to inflate its rates. The clinic recommends that all potential patients schedule a consultation to talk about their specific case.
It’s unclear the exact cost of IVF with Pacific Fertility Center since prices are not listed on its page, but the IVF process isn’t known for being inexpensive. Fortunately, the clinic says some treatments are covered by insurance plans and it offers several options for financing.
While you’ll have to travel to California for treatment, Pacific Fertility Center’s impressive IVF success rates might make it worth the trip.
Best Patient Services:Columbia Fertility Associates
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Columbia Fertility Associates
- Cost:Unknown, varies by procedure
- Insurance accepted?Yes
- Specialties:Diagnosis, IUI, IVF, sperm and egg donation
With flexible scheduling, a focus on developing practitioner/patient relationships, and highly personalized care plans, Columbia Fertility Associates is the best fertility clinic for patient services.
Takes insurance
You will see the same provider regularly
Prides itself on providing patient education
No transparent pricing
Single location
People living in the Washington D.C. area who want a personalized fertility care experience will find just that atColumbia Fertility Associates. With flexible scheduling, an onsite lab and IVF clinic, and a stated focus on patient care, this clinic works hard to make you feel comfortable and confident.
At your initial consultation, you will talk with a provider about your specific challenges and determine a course of action that works for you. Patients see a single doctor of their choosing for most, if not all, appointments.
Patients can also count on really learning about infertility, their specific situation, and how the process works. With e-books available on the website and patient counseling throughout the process, you won’t have to wonder “what’s next?” or be left confused about how a particular procedure works.
While prices aren’t stated on the website, Columbia Fertility Associates reports its pricing is competitive with other fertility clinics in the area and that it works hard to keep fertility treatment as affordable as possible. The clinic takes insurance and has a team that can help patients understand their insurance coverage.
Best Without Insurance:CNY Fertility
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CNY Fertility
- Cost:1,645 for IUI; $4,990 for IVF; $100 for sperm storage; $1,995 frozen embryo transfer; $3,990 egg freezing; $4,990 embryo storage
- Insurance accepted?Yes
- Specialty:Affordable fertility care
CNY Fertility offers fertility consultation and treatment at prices far lower than most other clinics, meeting its mission to make fertility care more accessible.
More affordable than similar clinics
Works with Insurance
Five locations
Remote monitoring can increase costs
Long online intake form
CNY Fertilityhas it all: affordable treatment, a priority to accept everyone, and valuable support while you’re in the process of undergoing fertility treatment. CNY fertility was founded with the mission to make fertility treatment accessible to more people and, true to its commitment, now offers a wide range of fertility treatment options at around a third the national average cost. The clinic also takes insurance, provides financing to anyone who needs it, and works to be as transparent as possible about the cost of different treatment options. Prospective patients can find accurate prices for different procedures on the company’s website.
With five clinics across the U.S., many people are within reach of a CNY location. But because most fertility cycles take several weeks at least, CNY partners with medical specialists wherever you live to conduct remote monitoring. This means you won’t have to travel extensively for treatment and generally only need to be on-site at CNY for the two to three days around your actual IUI or IVF transfer. Local monitoring does increase costs slightly, because you’ll be working with other providers, but it still comes in at a much lower cost than other options.
CNY is committed to taking on all patients who seek care, even when other clinics deny them because their case may be difficult.
The clinic also strives to provide professional and peer support to every one of its patients. Not only are there peer Facebook and Meetup fertility support groups, but all patients are automatically enrolled in the Fertile Spirit Membership club when they begin treatment. This gives you access to daily support messages as well as facilitated support groups. You’ll also have access to travel support and on-on-one counseling as needed.
Best Holistic Option:NYU Langone Fertility Center
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NYU Langone Health
- Cost:$500 consultation; IVF with fresh eggs from $12,650; IVF with frozen eggs from $16,300; cycle fees for using donor eggs from $9,650; egg freezing from $9,200
- Insurance accepted?Yes
- Specialty:Fertility wellness
医生在纽约大学Langone kn生育中心ow that wellness during fertility treatment matters, and the clinic’s holistic services reflect this. Patients can access complementary services like acupuncture, yoga, nutrition, mind-body classes, and more.
Offers all major fertility treatment options
Pioneered several impressive fertility techniques
Offers wellness-focused services to improve the infertility journey
Serves primarily local residents
Pricing not stated on the website
Infertility can be stressful. So can everyday life when you’re undergoing fertility treatment. TheNYU LangoneFertility Centeris committed to improving your chances of conceiving by offering several wellness treatment options that can help you de-stress. All patients have the opportunity to participate in complementary services like acupuncture, nutrition counseling, mind-body classes, and psychological services. You can schedule these services online or by reaching out to the affiliated practitioners directly.
While wellness is important, so too are more traditional metrics like cost, treatment options available, and success rates. The cost of treatment is not available on the website, but many insurance carriers are accepted and details about pricing are offered at consultation.
NYU Langone Fertility Center offers all standard treatment options, including egg freezing, IUI, IVF, genetic testing of embryos, and more. And its success rates are on par with many of the top clinics in the country.
If you want to keep wellness a focus of your fertility treatments, consider the NYU Langone Fertility Center, since it offers the most comprehensive suite of fertility wellness options.
Final Verdict
CCRMis the best overall fertility clinic. When people are looking for a fertility clinic, they often care most about whether they can get to the clinic without extensive travel, how successful the clinic is in helping patients achieve pregnancy, and how supported they will feel throughout the process. CCRM has multiple locations, high success rates, and excellent reviews from previous patients and so is both well-established and well-regarded as a top fertility clinic option.
Those looking for a budget-friendly option might considerCNY Fertility. The clinic offers fertility treatment at around one-third the national average cost and has great success rates and reviews. It also offers local monitoring options, peer-to-peer and professional mental health support, and lots of opportunity to build community with others experiencing infertility.
For those seeking a holistic fertility journey, theNYU LangoneFertility Centeris a great option since it partners with acupuncturists, yoga teachers, nutritionists, and mental health practitioners to provide an impressive suite of wellness services.
Compare the Best Fertility Clinics
Company | Cost | Specialties | Insurance? |
---|---|---|---|
CCRMBest Overall | 对于一个试管婴儿cy 15130美元cle with fresh eggs; around $13,180 for a cycle with frozen eggs; around $1,045 - $2,999 for a natural IUI; around $2,425-$3,370 for a stimulated IUI; around $6,930 – $11,534 for a single egg freezing cycle; fees do not include consultation, anesthesia, and medications. | IVF, IUI, egg freezing | Yes |
延长生育Best for Egg Freezing | $7,200 for the first cycle plus medication and $800 per year storage fees, then $6,200 for additional cycles | Fertility preservation through egg freezing | Yes |
HatchBest for Surrogacy | “Baby guarantee” with donor eggs for $225,000 | Egg donation, surrogacy | No |
Pacific Fertility Center Los AngelesBest IVF Success Rate | Unknown, varies by procedure | IVF | Yes |
Columbia Fertility AssociatesBest Patient Services | Unknown, varies by procedure | Diagnosis, IUI, IVF, sperm and egg donation | Yes |
CNY FertilityBest Without Insurance | 1,645 for IUI; $4,990 for IVF; $100 for sperm storage; $1,995 frozen embryo transfer; $3,990 egg freezing; $4,990 embryo storage | Affordable fertility care | Yes |
NYU Langone Fertility CenterBest for Fertility Wellness | $500 consultation; IVF with fresh eggs from $12,650; IVF with frozen eggs from $16,300; cycle fees for using donor eggs from $9,650; egg freezing from $9,200. | Fertility wellness | Yes |
Guide to Choosing a Fertility Clinic
什么是生育诊所?
A fertility clinic is a medical office that provides medical support and treatment options for individuals who need assistance conceiving or carrying a pregnancy. This might include testing to determine the problem, medication to help regulate a menstrual cycle or induce ovulation, intrauterine insemination, or more intensive procedures like IVF.
“There are many reasons that an individual or couple may seek out a fertility clinic,” says Dr. Sullivan-Pyke. “The most common situation is that a couple has been trying to conceive for a year or more and has been unable to do so on their own, though there are many other reasons fertility clinics see patients, such as same-sex couples who wish to grow their family, single people who want to have a baby, or those who want to preserve their fertility through egg or sperm freezing.”
How to Compare Fertility Clinics to Pick the Right One for You
When choosing a fertility clinic there are several factors that you'll want to consider.
- Location:Where you are and your ability to travel will impact the clinic choices you have. Most fertility treatments require several weeks of monitoring, so you’ll want to choose a clinic that is near to you or one that offers local/remote monitoring to minimize travel costs and the disruption to your everyday life.
- Cost:Before you get started, it’s important to review your insurance plan to determine which fertility treatments may be covered. For some people, the process of addressing infertility can cost tens of thousands of dollars. If your insurance does not cover any fertility treatments, you may want to look for a clinic with a self-pay price that is within your budget, or one with payment plan or financing options. If your insurance does cover fertility treatments, you’ll likely want to find a clinic that accepts your insurance. Whether or not you have some insurance coverage, you will likely have at least some out-of-pocket expenses. Choosing a clinic with financing options can help make treatment more affordable. For many without insurance coverage, fertility treatments may be cost-prohibitive.
- Treatment options available:When you begin searching for a fertility clinic, you may or may not know what treatment options you’ll be seeking. For example, you may be looking specifically for a clinic that has offers IVF, or you may be unsure what treatment route you will take. If you already know what you need, you can search for clinics that specialize in those treatments. For example, while most clinics offer IUI and egg freezing, not all do, and not all specialize in each type of procedure.
- Success rates:The success rate of any given fertility procedure refers to the number of live births per round of treatment. “SART[The Society for Reproductive Technology] is an excellent resource for people who want to know the success rates of different fertility clinics,” says Dr. Sullivan-Pyke. While the overall success rates reported to SART are helpful, it can be more meaningful to look at the success rates that clinics have for people who are like you and who are receiving the treatment you’ll be receiving.
Frequently Asked Questions
When Should I Go to a Fertility Clinic?
If you’re under 35 and have been trying to get pregnant for a year without success, or over 35 and have been trying for six months without success, you should visit your OB/GYN for a referral to a fertility clinic. Afertility cliniccan conduct diagnostic testing to understand why you may not be getting pregnant and develop a plan to help you build your family.
What Infertility Issues Can Fertility Clinics Address?
Fertility clinics can address arange of issuesthat impact your ability to become pregnant or carry a pregnancy to term. Fertility clinics can prescribe medication to help regulate menstrual cycles and promote ovulation, test sperm to determine if male factor infertility is an issue, and offer more complex procedures such as IUI, IVF, and egg or sperm freezing.
These procedures are meant to address a wide range of fertility issues that may be related to an individual's anatomy, genes, hormone levels, or life situation.
Do Fertility Clinics Offer Financial Aid?
Most fertility clinics offerfinancing optionsthat allow you to pay for your treatment over time. Some clinics offer discounts for those who wish to preserve their fertility through cancer treatment, or those with other special life circumstances.
The cost of fertility treatment can vary widely, so it’s important to seek pricing information from more than one clinic as you research the options available to you.
What Are Some Legal Protections I Should Consider When Using a Fertility Clinic?
If you’ll be working with an egg donor, sperm donor, orgestational carrier, you’ll want to talk with the fertility clinic about what sort of legal protection you should be seeking. A family lawyer can help you understand your rights and can ensure that your interests are protected. In general, you’ll be asked to sign a contract before entering into any fertility treatment or arraignment that involves another person’s egg, sperm, or body as a gestational carrier. In the case of egg and sperm donation, the donating party will have already signed a contract with the sperm bank or egg donation center forfeiting their parental rights and obligations.
If you will be using a gestational carrier, all parties (the intended parents and the gestational carrier) will sign a contract and enter into an agreement that establishes the intended parents' parental rights and terminates the gestational carrier's parental rights. Surrogacy contracts also address how many embryos can be transferred, what will happen and who will make decisions in the case of complications, restrictions on the surrogate’s activities, and arrangements around medical expenses, compensation, and reimbursements.
What Questions Should I Ask When Going to a Fertility Clinic?
当寻找一个生育诊所,你会希望to be prepared with a list of questions. These might include:
- What is the typical timeline for the treatment I am seeking?
- What is the overall cost of the treatment I am seeking?
- What is the success rate for people like me who receive the treatment I plan to undergo?
- What financing options are available?
- Are your doctors reproductive endocrinologists who specialize in infertility?
- How and where are eggs/embryos stored, and how much does that storage cost?
- What’s the process of the procedure I’m planning to undergo?
- How and when will I know if my eggs/embryos/sperm are viable?
Methodology
We researched 230 fertility clinics located in the United States to find the best options available. Our research focused on several factors: pricing, success rates, and treatment specialties. We also looked for clinics that offer special services, like wellness or peer-support options. Choosing a fertility clinic can be a challenge, and having the information you need about your options will help you make a decision you feel good about.