Only 10% of US fertility clinics publish IVF prices. Here’s every one that does.

TreatCompare attempted automated price extraction from every US fertility clinic that reported to the Centers for Disease Control and Prevention’s National ART Surveillance System in 2022 — 452 clinics, 433,836 treatment cycles. Only 45 (10%) publish a base IVF cycle price on their own website. The rest require patients to request a consultation to learn what treatment will cost. The disclosing minority ranges from $3,999 (CNY Fertility, NY) to $20,900 (CCRM Colorado) — a 5× spread that would be newsworthy in almost any other healthcare market.

The full index combines clinic outcomes with state-by-state insurance mandate analysis, exposing how patient out-of-pocket costs vary not just by ZIP code but by federal preemption rules most patients have never heard of.

Four findings worth covering

1. The pricing transparency problem

Of 452 CDC-reporting US fertility clinics, only 45 publish a base IVF cycle price publicly. Median disclosed base cycle: $12,779. Full range: $3,999–$20,900.

Non-disclosing clinics — including almost every major network chain (Shady Grove, RMA, CCRM locations outside Colorado, Inception clinics, Pinnacle clinics, Kindbody in most markets) — gate pricing behind “request a consultation” forms. This is not standard practice in any other high-cost elective healthcare category: LASIK, cosmetic surgery, dental implants, orthodontics, and concierge medicine all routinely publish starting prices. The fertility sector is a structural outlier.

2. Live birth rates collapse with age — the gap is sharper than most patient summaries describe

National cycle-weighted live birth rates per intended egg retrieval (patients using their own eggs):

• Under 35: 48.3%
• 35–37: 35.0%
• 38–40: 22.7%
• Over 40: 8.3%

The single largest age-band drop is not under-35 → 35–37 (commonly quoted as the watershed age). It is 38–40 → over 40 — over half the remaining success rate disappears in those two years.

3. Only 8 states have a “full” IVF mandate. Even those don’t cover most workers.

21 of 51 jurisdictions (50 states + DC) have any form of IVF insurance mandate; just 8 have what we classify as a “full” mandate (covering oocyte retrievals + transfers without a low cycle cap or condition narrowing).

Critically, all 21 mandate states exempt self-insured employer plans. Federal ERISA preemption excludes self-insured plans from any state insurance mandate — and roughly 60% of US workers with employer health coverage are in self-insured plans. A New York mandate that covers 3 IVF cycles only applies to fully-insured plans; the same employee at the same New York address working for a Fortune 500 company on a self-insured plan gets no state protection at all.

4. Embryo-banking + PGT-led protocols now dominate

245 of 452 clinics now use frozen embryos for >90% of transfers, and 266 clinics use preimplantation genetic testing on the majority of embryos transferred. That has implications for cost (extra lab fees), cycles to take-home baby (often more retrievals before any transfer), and timing (banking phase pushes treatment timelines later).

Top 10 states by reported IVF cycle volume

Suggested attribution

For journalists

Free interactive resources and underlying data:

• National + state success rates
• Out-of-pocket cost calculator (state × age × plan type)
• State insurance mandate explainers (one per state, with statute citations)
• Fertility clinic networks

For data requests or comment, contact press@treatcompare.com.