We evaluated and compared the top fertility centers to help you start a family, and Hatch emerged as the winner among these top reproductive clinics.
When attempting to conceive, you want to do all necessary to enhance your chances of success, but sometimes, conceiving or growing a family doesn’t follow the path you anticipated. According to the National Institutes of Health (NIH), approximately 15% of American couples have difficulty conceiving after one year of trying. Many can now expand their families using assisted reproductive technologies (ART), such as in vitro fertilization, thanks to breakthroughs in fertility treatments (IVF).
Even without ART, many fertility clinics offer assistance in overcoming typical obstacles to conception, such as detecting and treating underlying health issues and providing lifestyle counseling. Some offer services for third-party reproduction, such as egg and sperm donation and surrogacy. The best fertility clinics can provide you with the assistance you need to plan for your next great adventure through individualized care and cutting-edge treatment options.
To assist you in locating the perfect team of specialists, we have researched hundreds of fertility clinics around the United States and developed a list of the top clinics. Each was chosen due to its extensive reproduction services, board-certified specialists, cutting-edge technology, and other factors. Below are the recommended fertility clinics.
The 2023 Top Fertility Clinics
Hatch has assisted thousands of intended parents in expanding their families through third-party reproduction services, such as egg donation and surrogacy, using a thorough matching system that connects you with surrogates and donors.
Hatch, founded in 1991, is our top option overall and a pioneer in reproductive health. Hatch is one of the oldest and largest egg donor services in the United States, with 99 percent of its intended parents achieving success through one of its programs. The service has assisted hundreds of families around the world in having children, and its personnel is fluent in thirteen languages.
Its surrogacy program is one of the nation’s most extensive, offering intended parents a wide range of services, from locating a surrogate who has been rigorously screened and matched to providing emergency support 24 hours a day, seven days a week. After an initial consultation with the program’s director and coordinator, you can select an egg donor and surrogate from the organization’s online database prior to undergoing the screening procedure, embryo transfer, pregnancy, and delivery.
Hatch unites intended parents with donor eggs from the country’s top 5% of egg donors through their egg donation program. Each donor gets a comprehensive medical examination by an in-house physician specializing in reproductive endocrinology and fertility. All donors must meet stringent medical and psychological requirements. After a match has been made, Hatch provides extensive legal, financial, and emotional support to both intended parents and egg donors throughout the whole cycle.
Although the cost of surrogacy can range from approximately $150,000 to $225,000 or more, Hatch offers a number of financing options to make the process more affordable. Its lending program, Future Family, facilitates funding for fertility procedures within 48 hours.
Financing fertility therapy without insurance is expensive, with one IVF cycle in the United States costing approximately $12,400 without insurance. Numerous individuals undergo three or more cycles before conceiving, which can be financially burdensome if they lack insurance. Pacific Fertility Center, a California-based fertility center, offers several financing alternatives, including Bundl Fertility Packages, to make IVF more cost-effective.
The experts at Pacific Fertility Center offer a comprehensive range of fertility treatments, including IUI and IVF, egg donation and freezing, surrogacy, and more. Also, the institution features an on-site laboratory staffed by qualified embryologists with an expert understanding of the most advanced reproductive methods.
For people without health insurance, Pacific Fertility Clinic offers a variety of payment plans and flexible financing arrangements through numerous partner firms. The center’s Bundl Fertility program offers IVF and IUI bundles with risk protection and refunds for failure implantation.
In addition to financial aid, the center offers monthly seminars where you may meet expert personnel and get your questions addressed, as well as ongoing patient education, clinical support from physicians and nurses 24 hours a day, seven days a week, and counseling with a certified therapist. Mind-body workshops, consisting of group conversations and activities centered on the emotions of conception, are also available to enhance mental health and relaxation during the fertility journey. It is crucial to note that out-of-state patients may incur substantial travel fees.
The NYU Langone Fertility Center is an all-inclusive facility that specializes in IVF and egg preservation. With over 30 years of experience helping individuals conceive, the facility has a rich history of success. With its state-of-the-art facilities, NYU’s staff of board-certified reproductive endocrinologists, infertility specialists, nurses, and lab professionals offers specialized fertility care.
Regardless of the cause of infertility, the specialists at NYU construct a personalized fertility treatment strategy for each patient. IVF, egg freezing, embryo banking, preimplantation screenings and tests, fertility preservation for cancer patients, gestational surrogacy, and donor sperm and eggs are among the services provided.
In addition to diagnosing and treating infertility, NYU Langone provides patients with educational and emotional support services. On-site Fertility Wellness Program services include acupuncture, yoga, psychotherapy, one-on-one nutritional counseling, and classes in mind-body stress reduction. These programs are designed to help people relax and cope with the stress associated with reproductive therapy.
Many major insurance policies are accepted, including UnitedHealthcare’s Empire Plan as a Center of Excellence for infertility treatment, UnitedHealthcare, Oxford (select plans), Empire Blue Cross Blue Shield, Cigna, Aetna, OptumHealth, and Progyny. It also provides flexible payment plans through Lending Club, a third-party online lender. Yet, the size of the center and the number of employees may make it impossible to develop personal ties.
Egg freezing is a rapidly expanding fertility treatment as an increasing number of individuals choose to delay motherhood. The CDC reports that from 2019 to 2020, more egg-freezing cycles were performed in the United States, with 123,304 egg or embryo cycles finished for frozen preservation in 2020. According to research done after the 2021 pandemic, the frequency of egg-freezing cycles increased by 39% from 2019 to 2020 to late 2020 to 2021. With the assistance of Extend Fertility, an egg-freezing center in New York City, your eggs can be cryopreserved and saved to help you conceive in the future.
Extend Fertility was founded in 2016 and is a new player in the egg-freezing market. Yet, the center’s staff of fertility specialists, including co-founder and chief clinical officer Joshua Klein, M.D., a board-certified reproductive endocrinologist and fertility expert, has decades of expertise assisting individuals in starting families.
Extend Fertility expanded rapidly to become one of the country’s largest egg-freezing institutions, aiming to make the process more accessible and inexpensive. This state-of-the-art facility provides an on-site lab and surgical room and complimentary consultations and exams for several of its packages. Offered procedures include embryo freezing, infertility testing, and in vitro fertilization (IVF).
Extend Fertility accepts various commercial insurance plans, including Cigna, UnitedHealthcare, Aetna, UMR, and others. Also accessible is financing through third-party lenders such as Walnut, Future Family, and Lending Club. Cancer patients, people with specified medical illnesses, transgender patients, active-duty military personnel, and veterans are eligible for discounts.
Being part of Columbia University’s healthcare system, the Columbia University Fertility Clinic has all the resources you would expect from a leading fertility clinic. The facility provides a variety of procedures, including IVF (with and without injections), third-party reproduction, IUI, egg freezing, embryo banking, and donor sperm, among others.
Perhaps most critically, the institute includes a comprehensive genetic testing program to assist you in understanding your risks for certain genetic disorders and making informed treatment options. The center’s groundbreaking egg and embryo storage tank tracking allows you and your doctor to track the weight and temperature of your eggs and embryos in real time, adding an extra layer of protection and peace of mind to the process.
If fetal issues are a concern, the center provides comprehensive prenatal care, high-risk obstetrics services, and cardiology, neurology, and diabetes programs. In addition, if male infertility is a concern, the facility includes a male reproduction program to meet those needs.
There are two locations in New York for the Columbia University Fertility Center: one in Manhattan and one in Brooklyn. The center accepts most major health insurance policies, although the website lacks pricing information. In addition, it is unclear whether payment plans or discounts are available. The lack of price transparency is a possible disadvantage, given that many other clinics publish their prices upfront. Most families rely on this information to make decisions regarding reproductive therapy.
Surrogacy provides a unique set of obstacles; thus, choosing an agency with the knowledge and resources to guide you through the procedure is essential. Expanding Generations has been a leader in fertility services for the past 25 years and was one of the first organizations to support HIV-positive, gay, and single men who are eager to build a family.
The firm offers three surrogacy package options with varying degrees of assistance and services: Concierge, VIP Concierge, and Executive VIP Concierge. Each plan includes a case manager, a client expense manager, insurance facilitation services, and more. The rigorous surrogate screening procedure selects just the top 2% of applicants, and the agency’s in-house legal staff ensures compliance with your state’s surrogacy standards. Regrettably, some jurisdictions restrict surrogacy. Therefore it is essential to research your state’s legislation prior to commencing the procedure.
Only the top 1% of candidates are allowed into Rising Generations’ egg donor database, which is searchable after establishing an online account. Via its egg donation program, the clinic provides all necessary support, including medical and psychiatric evaluation, legal representation, financial planning, IVF, and more.
Although packages are personalized to your specific needs, the average cost of surrogacy with Rising Generations ranges from $175,000 to $300,000 or more, depending on the level of services you choose. The majority of insurance companies do not cover surrogacy or egg donation charges. Expanding Generations will work with you to discover whether or not your insurance plan offers any advantages to offset the expense.
Intrauterine insemination (IUI) is an artificial insemination process in which a thin, flexible catheter is used to transfer fresh or frozen sperm into the uterus. The Wisconsin Fertility Institute also offers IVF, egg and embryo donation, fertility preservation, and IUI.
The Wisconsin Fertility Institute attempts to provide comprehensive and tailored care by utilizing a group of board-certified reproductive endocrinologists, lab technologists, and care workers. Since 2007, the clinic’s fertility treatments have resulted in the birth of over 5,000 infants; daily IUI procedures are performed in the clinic’s tranquil Middleton location.
The Wisconsin Fertility Institute provides various fertility therapies and addresses gynecological illnesses that may impair fertility and hormone balance, such as thyroid issues, irregular periods, and pituitary disorders. In addition, surgical treatment is possible for endometriosis, irregular bleeding, and other uterine diseases.
The Wisconsin Fertility Institute’s IUI expenses start at $375 per insemination with frozen sperm and go up to $450 with fresh sperm. IUI is one of the least expensive fertility procedures available. Among the accepted insurance providers are Aetna, Blue Cross Blue Shield, Cigna, UMR, and others. Moreover, financing is available through CapexMD, a third-party reproductive financing organization with loan options created exclusively for fertility treatments.
Main Line Fertility provides individualized treatment alternatives and clinical trial programs that other reproductive clinics may not offer.
Main Line Fertility delivers world-class fertility care by utilizing the most advanced fertility technology, such as its state-of-the-art embryology laboratory with an on-site laboratory director. Also, the facility has an on-site, no-wait egg donor bank with over 2,000 accessible donor eggs. The team also collaborates with third-party sperm banks and can help you identify the ideal sperm donor for your needs.
Because of its customizable IVF packages based on individual goals and spending limits, fertility preservation for cancer patients, and care for recurrent pregnancy loss from a nationally recognized specialist, Main Line Fertility is one of the best fertility clinics. Its team is also educated in INVOcell (IVC) technology, an FDA-approved device put within the vagina to incubate eggs and sperm for fertilization, which may be more cost-effective and minimally invasive than other treatment alternatives.
Main Line Fertility has six convenient Philly sites and an international patient program to assist people traveling from abroad. Future Family, a third-party fertility lender, provides discounts, prescription assistance programs, and financing options for the facility. Certain insurance plans are accepted, however, you must verify carriers and coverage with the billing department.
Individualized fertility care should be tailored to your life and objectives, which is why we recommended Hatch as the top reproductive clinic overall. With the biggest fresh egg database in the country and an unrivaled surrogacy program, Hatch offers comprehensive and compassionate treatment to anybody seeking to create or expand a family. The Pacific Fertility Center offers money-back guarantees on a few of its operations if you don’t have insurance and are looking for a more affordable choice with payment options, financing, and discounts.
Selecting a Fertility Clinic: A Guide
What Does a Fertility Clinic Entail?
A fertility clinic is a setting where reproductive professionals work with couples or people who are having trouble getting pregnant. Others specialize in artificial reproductive technology (ART), such as in vitro fertilization, instead of third-party reproduction clinics (IVF). Some, like Main Line Fertility, provide both services.
What Aspects of Infertility Can Fertility Clinics Address?
Fertility clinics can assist with a variety of difficulties that may hinder you from becoming pregnant, such as:
- It can be difficult to conceive if you do not ovulate or if you ovulate sporadically due to ovulation problems.
- Damage to or obstruction of the fallopian tubes. The fallopian tubes deliver eggs from the ovaries to the uterus. If they are injured or clogged, pregnancy can be prevented.
- Uterine abnormalities such as fibroids, polyps, and scar tissue can make pregnancy difficult to maintain.
- Endometriosis is a condition in which tissue that normally lines the uterus develops outside of it, resulting in pain and/or infertility.
- Male factor infertility refers to sperm-related reproductive difficulties. Sperm with a low number, poor motility, or abnormalities might make conception problematic.
- If you have experienced numerous miscarriages, a fertility clinic can help you determine why this is occurring and how to maximize your chances of achieving a successful pregnancy.
Experts in infertility and reproductive endocrinology receive significant training. These specialists are qualified to help you identify and solve your reproductive issues.
How to Compare Fertility Centers and Choose the Best One
Choosing the reproductive clinic that best suits your needs may take study. Consider the following factors as you compare them:
- Cost: Since fertility treatments can be costly, it is essential to compare the prices of various clinics. Be sure to inquire about financing alternatives, payment plans, money-back guarantees, and insurance coverage before making a final purchase.
- Each clinic provides a different collection of services, so selecting one that offers the treatments you’re interested in is essential. For instance, if you wish to use donor eggs or sperm, ensure that the clinic you select offers this service and has a solid reputation in this field.
- Knowing your chances of achieving a successful pregnancy is essential when evaluating treatment alternatives. The majority of clinics will provide you with success rates, but it is necessary to conduct your own research to ensure the accuracy of the statistics.
- Take the time to study evaluations of fertility clinics in order to compare their respective reputations. You can also ask your physician for referrals to reputable clinics in your region.
- Several people travel across the country for fertility treatments, although this is not always required. If significant travel is prohibitive for you, choose a clinic as close to you as feasible. There are great clinics available throughout the United States.
What are Some IVF Risks?
IVF is one of the most frequent reproductive treatments, however, it is not risk-free. Before commencing any fertility treatment, it is essential to understand the associated risks and adverse effects. Among the hazards connected with IVF are the following:
- OHSS occurs when fertility medicines overstimulate the ovaries. Abdominal pain, vomiting, bloating, nausea, and shortness of breath are among the symptoms. In extreme circumstances, OHSS can result in life-threatening consequences such as kidney failure, blood clots, and stroke.
- Complications associated with egg retrieval are conducted under anesthesia and carry a slight risk of infection, hemorrhage, and damage to the colon, bladder, or blood vessels.
- IVF increases the likelihood of multiple births (twins, triplets, etc.), which can result in early labor and delivery, low birth weight, and other issues.
- An ectopic pregnancy occurs when a fertilized egg implants outside the uterus, typically in the fallopian tubes. This disorder is potentially fatal and requires prompt medical attention. The pregnancy cannot continue.
- Torsion of the ovary is a disorder in which the ovary twists inward, cutting off its blood supply.
Frequently Asked Questions
Why Should Someone Visit a Fertility Clinic?
There are various reasons why a fertility clinic might be considered. Having problems conceiving a child is one of the most common causes. Fertility clinics have the means and knowledge to identify and treat infertility issues in order to increase your chances of becoming pregnant. For instance, if you have been diagnosed with the polycystic ovarian syndrome (PCOS), a fertility clinic can assist you in becoming pregnant through the use of specialized procedures such as IVF. Also, some individuals visit reproductive clinics to have their eggs or sperm frozen. Such treatments are performed for a variety of reasons, including to preserve fertility before receiving cancer treatment or just to delay parenting. Moreover, fertility clinics can assist individuals or couples who wish to conceive with a sperm or egg donor.
When Should I Seek Treatment at a Fertility Clinic?
If you are battling infertility, defined as the failure to conceive after one year of unprotected penis-in-vagina sex, you may wish to attend. If you have been trying unsuccessfully to conceive for a year, it may be time to contact a fertility specialist. Individuals with a known fertility-impairing medical condition, such as endometriosis or PCOS, or those who are 35 or older may also benefit from consulting a fertility doctor sooner.
Are Fertility Clinics Covered by Insurance?
It is essential to verify with your insurance provider to determine if your plan covers reproductive treatments. Some states require insurers to cover fertility diagnosis and treatment, however coverage for certain procedures varies by state and insurance provider.
When insurance does not cover reproductive treatments, numerous clinics provide financing solutions to make care more accessible. Certain banks and financial institutions offer loans expressly for reproductive therapy, and many fertility clinics offer flexible in-house financing. Occasionally, you may be eligible for tax deductions for reproductive treatments, as certain procedures qualify as medical expenses.
What Questions Should I Ask a Fertility Clinic When I Visit?
When meeting with a fertility doctor for the first time, it is essential to have questions prepared. Here are several examples:
- What recommendations do you have for my treatment?
- What are these treatments’ success rates?
- What are the potential dangers and side effects of the prescribed treatment?
- What is the cost of this procedure, and does insurance cover it?
- How long does the procedure last?
- How does the clinic handle egg and embryo freezing?
- What is the clinic’s policy on the use of donor sperm or eggs?
- Do you offer methods for fertility preservation?
- Do you have an in-house legal department to assist with donor contracts and surrogacy agreements?
- What policies does the clinic have regarding single parents and LGBTQIA+ couples?
These questions will assist you in gaining a better understanding of the clinic’s procedures, success rates, fees, and policies, as well as their suitability for your needs.
To identify the best fertility clinics, we surveyed 32 facilities offering a comprehensive spectrum of services. Initially, we evaluated each company’s offerings and whether or not they offer comprehensive care or specialize in a certain treatment. We also considered the experience and credentials of each clinic’s employees. New fertility therapies and cutting-edge technology also significantly influenced our decision-making.
In addition, we evaluated the clinic’s treatment fees, insurance acceptance, and the availability of alternative payment methods. In addition, we analyzed the clinic’s success rates and any honors or distinctions they’ve received. Next, we evaluated the reputation of each reproductive clinic by analyzing client feedback, accreditations, and accolades.