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Costs of IVF

IVF costs vary considerably worldwide, and in the USA, all investigations and treatments are paid by patients or their health insurance. Health insurance cover varies, but they usually include the costs of diagnosing infertility, but not treatments. The average cost for a complete IVF cycle in the US is about $12,400 (plus medication), with some clinics charging $15,000 or more for in-vitro cycles (without medication). With a wide range of different pricing structures and packages on offer, please ensure ALLcosts are explained if you’re thinking of IVF.

Cost doesn’t always reflect expertise, the quality of care or indicate outcomes. Success rates differ between clinics, sometimes due to different treatment approaches, particularly “patient screening” based on the likelihood of the outcome more than their labs and expertise. If clinics screen couples, expect their success rates to be high, while clinics that specialise in difficult cases (older, low ovarian reserve or immune conditions) may have lower success rates, but the individual chances of success may well be higher. IVF success varies with age, and in 2016 the UK success rates were:[i]

Under 35 29%
35-37 23%
38-39 15%
40-42 9%
43-44 3%
Over 44 2%

A rough guide to initial investigation costs in the USA:

Blood tests FSH, LH, estradiol (one of the estrogens), progesterone and testosterone, while AMH will indicate ovarian reserve $65 each
Ultrasound To check the structure of the ovaries, tubes and uterus and the number of developing antral follicles $150-200
Semen analysis $50+
Infectious-disease screening $100-220 per partner
Structural analysis hysterosonogram (HSG) or Hysterosalpingo-contrast-sonography (HyCoSy) $600–1,000

A rough guide to treatment costs in the USA:

IUI (Intra-uterine Insemination) $200–900 for each procedure
Clomiphene citrate (Clomid) $200–500 a cycle
IVF cycle $10,000-30,000
ICSI cycle $1,200–2,000 on top of IVF
Frozen embryo transfer $2,000 – $3,500
Medication The average cycle is about $3000, but can reach $7000 per cycle for “poor responders”. Variations are due to the unit price of medications, dosages, and the length of stimulation.

Alternative costings

The expected cost of pregnancy.

  • If a Clomid treatment has an 8% chance of achieving a pregnancy and costs $500, then 12 medicated cycles for pregnancy is about $6,000
  • IVF cycles have about a 30% chance of pregnancy, then three cycles for pregnancy is $45,000

What people actually pay (based on a 2011 study of 8 clinics over 18 months of treatment): ii

  • The average IVF cost was $24,373
  • The use of donor eggs increased costs to $38,015
  • The cost of pregnancy or delivery within 18 months with IVF was $61,377
  • There were no significant differences in spending between successful and unsuccessful outcomes

IVF is unavoidable for some couples to become parents, but the costs are high (66% of IVF cycles in 2010 used ICSI iii). For couples without a known problem, thoroughly investigating improving their natural fertility levels may be their best starting point before embarking on an expensive IVF journey. Most experts generally suggest a two-year time frame of trying while making lifestyle changes to maximise the chances of conceiving naturally. The PFP information at morefertile® comes into its own at this point, and if it doesn’t work, you’ll be in much better shape to succeed with IVF.