Surrogacy in the USA – Comprehensive Guide for Intended Parents

Why the U.S. Is a Global Leader in Surrogacy

The U.S. offers one of the safest, most legally secure surrogacy environments worldwide. Every arrangement follows court-approved parentage orders, HIPAA privacy protections, and standardized fertility screening protocols.

Typical Journey Timeline

Stage	Duration	Key Activities
Surrogate screening	3-6 weeks	Medical, psychological, background checks
Matching	2-4 weeks	Intended parent + surrogate pairing
Legal contracts	2-3 weeks	State-specific parentage agreements
Embryo transfer	1-2 weeks	IVF & implantation
EPregnancy & delivery	9 months	Ongoing OB-GYN & agency support

Legal Considerations

USA Surrogacy Fees and Costs

Surrogacy4all: Highest Success Rates Worldwide, Lowest Costs Worldwide, Physician Managed Practice

Typical Surrogacy Budget (Estimated) following budget is an example of surrogacy costs in the USA through our agency for a surrogate mother to carry your embryo through baby delivery. Third-party fees are estimated only and are shown here for reference. These expenses would be paid directly to each provider as the services are performed.
Surrogacy4All does not “markup” any fees or expenses. You are billed for actual amounts incurred. The fees can be looked at as three separate categories:

Agency Fees – Application Fee Paid to our agency. This covers surrogate matching, the surrogate’s medical/legal/psych clearance, coordination of clinic procedures, complete management of the pregnancy and delivery.
Surrogate direct costs – Paid to surrogate and related expenses.
Medical Expenses – Paid by you to IVF and other clinics.

Agency Fees

At start

Application fee:	$2,500
At start	$18,000
On completion of surrogate match	$15,000
Total	$35,500

2025 Updates on Average Costs – USA Surrogacy

In 2025, the all-inclusive cost of a surrogacy journey in the U.S. typically starts at around $120,000, covering everything from agency services and surrogate compensation to medical care, legal work, insurance, and travel. Industry benchmarks show U.S. surrogacy costs ranging widely depending on location and complexity.

What this budget covers

Agency and coordination fees
Surrogate compensation and reimbursements
Medical and fertility clinic costs (IVF, monitoring, delivery)
Legal, contract and insurance expenses
Miscellaneous items (travel, maternity supplies, lost wages)
At Surrogacy4All, we work with you to provide a transparent cost breakdown and help ensure there are no hidden surprises.

Step-by-Step Surrogacy Process in the USA

Step 1

Initial Exploration

Begin with research and reflection. Intended parents and surrogates alike should ask: Is surrogacy the right path? What are our goals, expectations and commitments?

Step 2

Eligibility & Application

Surrogates complete an online application and preliminary screening. Intended parents identify whether they will work with a surrogacy agency or attorney.

Step 3

Matching Surrogate & Intended Parents

Once approved, matching begins. Surrogate and intended parents review profiles, meet virtually or in person, and decide if they’re a good fit.

Step 4

Legal & Medical Contracts

Both sides engage attorneys to draft and sign a legally binding agreement. Simultaneously, medical screening for the surrogate and intended parents is completed.

Step 5

Embryo Creation & Transfer

In gestational surrogacy, embryos are created via IVF and transferred into the surrogate’s uterus. Hormonal preparation, transfer procedure and early pregnancy testing follow.

Step 6

Pregnancy & Prenatal Care

During the pregnancy, the surrogate receives continued medical monitoring and prenatal care. The intended parents stay informed and supported throughout.

Step 7

Delivery & Parentage Legalization

At birth, the baby is delivered according to the agreed plan. Legal procedures finalize parental rights and documentation so the child can travel home.

Step 8

Post-Birth Support

After delivery, the surrogate and intended parents may receive follow-up support. The relationship, as defined in their agreement, can continue in a way that works for everyone.

Insurance and Legal Protections for Intended Parents

Surrogacy4All ensures complete safety and transparency for intended parents through the following:

Comprehensive Legal Agreements – Detailed surrogacy contracts protect your parental rights, medical decisions, compensation terms, and privacy.
State Law Compliance – All legal documents are drafted according to U.S. state laws, ensuring your rights are recognized before birth.
Insurance Guidance – Assistance in reviewing and arranging medical insurance for the surrogate and newborn, covering pregnancy, delivery, and postnatal care.
Parental Rights Establishment – Legal experts handle pre-birth or post-birth orders to secure your parental status smoothly.
Financial Transparency – Clear documentation ensures all expenses and reimbursements are outlined upfront to avoid disputes.
Ongoing Legal Support – Continuous assistance throughout the process to handle any updates or legal requirements that may arise.

Surrogate Near Me

Summary of services provided by Surrogacy4All to Intended Parents:

Surrogacy4All, established in 2008, is a physician-owned and operated surrogacy agency based in New York City, adjacent to Mount Sinai Hospital. Our team of experienced physicians and agency managers specializes in providing state-of-the-art IVF and surrogacy services to Intended Parents worldwide, regardless of age, sex, or ethnicity. We offer a variety of comprehensive surrogacy programs, including both domestic and international options.

Our services encompass matching Intended Parents with qualified surrogates and egg donors, coordinating medical procedures, and providing legal assistance and ongoing support throughout the surrogacy journey. We adhere to the strictest standards of practice and compliance, as we are FDA-certified, bonded, licensed, and insured, providing unmatched security and trust in the industry.

Our commitment to inclusivity ensures that we serve a diverse clientele, including married and unmarried couples, LGBTQ+ individuals, and single parents from various ethnic backgrounds. We believe that everyone deserves the chance to become a parent, and we are dedicated to making that dream a reality.

Surrogacy in the USA

Cost : $120,000+

Waiting time for surrogate: Two Weeks

Baby is born with American Citizenship.

Why Choose a Physician-Owned and Operated Agency?

The surrogacy industry in the United States is vast, with over 200 agencies offering services to Intended Parents and surrogates. However, only a small segment of these agencies, less than five agencies that we know of, are physician-owned, making them a unique and valuable choice. Here is why:

Medical Expertise: Physician-owned agencies are managed by in-house medical professionals who oversee critical aspects such as medical evaluations, treatment plans, and pregnancy monitoring. This ensures a higher standard of medical care compared to agencies owned by individuals from legal or business backgrounds.
Streamlined Processes: Direct access to medical expertise minimizes delays and complications, creating a smoother and more efficient surrogacy journey.
Holistic Approach: These agencies prioritize the health and well-being of all parties while also addressing logistical, financial, and legal needs, ensuring a balanced and comprehensive surrogacy experience.
Rarity and Specialized Care: Out of over 200 surrogacy agencies in the U.S., only a handful are physician-owned, such as Surrogacy4All. Their rarity often translates to more personalized attention and superior care.
Licensure and Certification: While many surrogacy agencies operate without licensing and lack uniform regulatory requirements, Surrogacy4All as well as FDA-certified, ensuring compliance with the highest standards of medical and ethical practices.

By choosing a physician-owned surrogacy agency, Intended Parents and surrogates gain access to a level of care and expertise that is unmatched by the majority of agencies, offering confidence and peace of mind throughout the surrogacy journey.

FAQ: How does Surrogacy4All have a 2-week wait time for surrogates when most agencies have a 12-month wait time? Are your surrogates the same quality as other agencies?

A: Great question—and one we’re proud to answer.

At Surrogacy4All, our 2-week average match time isn’t too good to be true—it’s the result of smart planning, physician leadership, and an unmatched network of pre-screened surrogates.

Here’s how we do it:

Are Our Surrogates the Same Quality as Other Agencies?

Absolutely—if not better.

In fact, Surrogacy4All is a Tier 1 agency and one of only four out of 300+ U.S. agencies that is:

Our surrogates are:

You’re not sacrificing quality for speed—you’re getting both.

Want proof? Schedule a free call with our team and we can show you active profiles of available surrogates—today.

FAQ: How does Surrogacy4All have a cost of only $120,000 for surrogacy, the lowest in the industry for a Tier 1 agency when most Tier 1 agencies like Circle and Conceivabilities are charging around $200,000? Are your surrogates the same quality, and can I expect similar success rates of 90%+ for pregnancy?

A: Yes, our surrogates are the same high quality—and yes, our clinical pregnancy success rates are comparable to (or better than) those of more expensive agencies. The difference isn’t in quality—it’s in efficiency.

At Surrogacy4All, our total cost of ~$120,000 reflects a more transparent, physician-led, and cost-controlled model that removes unnecessary markups and inefficiencies common in larger corporate agencies.

Here’s how we keep your costs low without compromising results:

Why Our Costs Are Lower (Without Cutting Corners)

Are Our Surrogates the Same Quality?

Absolutely. Every surrogate in our program is:

A U.S. citizen or permanent resident
Between ages 21–40 with a prior healthy pregnancy
Non-smoker, no drug/alcohol abuse, and BMI in acceptable range
Passed a multi-step screening process (OB/GYN review, background checks, mental health evaluation, home or online visit)
Fully compliant with ASRM, FDA, and state guidelines

We offer Standard and Elite tiers of surrogates, including repeat carriers and those with advanced qualifications—just like other top agencies.

Can I Expect the Same Pregnancy Success Rates?

Yes. We work with over 100 top fertility clinics in the U.S. and Canada, many of which report clinical pregnancy rates of 90%+ when using PGT-A tested embryos.

Our physician-led process ensures:

You don’t need to pay $200,000 to have a safe, ethical, and successful surrogacy journey. At Surrogacy4All, you’re getting equal quality at a fair, transparent price—and your family doesn’t have to wait.

For more details, please see the attachments Included by clicking on the links below:

Top Surrogate Profiles – Meet a few available surrogates ready to match Surrogate Profiles

Note: About 10 New Surrogates are arriving weekly. List is updated every week.

USA Surrogacy Overview – Cost breakdown, citizenship info, and legal steps Surrogacy Overview & Package
USA Surrogacy Success Stories – See how other families made it happen Surrogacy Success Stories
USA Surrogacy Agency Rankings – 2025 Edition Agency Rankings
Top 10 Questions to ask before choosing a surrogate Top 10 Questions
Are Surrogacy Expenses Tax Deductible? (USA — 2025)

What Happens Next:

Complete the Start-Up Forms and email to us at info@surrogacy4all.com – Takes less than 15 minutes to just fill out Forms #1, #2, #3 and #5. Also look at detailed cost information on Form 4.1.
To complete the forms, please click below to see the Forms. Then click once on the picture of the Forms, save in download, complete Form and email the forms to us. You can access all forms by clicking on the link here: US Surrogacy Forms

Meet Your Match – We’ll schedule a Zoom meeting with your selected surrogate(s).

Relax. We Handle the Rest – From legal to medical coordination through embryo transfer to baby delivery, we guide everything from start to finish.

Hear From Our Families

“We were overwhelmed before we found Surrogacy4All, but Dee and his team made everything feel manageable. We matched with our surrogate in just a few weeks—and now we’re parents to a beautiful baby girl.”

Megan & Brian, New York

“As a single dad in Texas, I never thought this was possible. But I was matched within weeks, and my son is now two years old and thriving. I’ll forever be grateful to Surrogacy4All.”

Allan, Dallas

Ready to talk? Call/text me directly at (212) 661-7177 or schedule zoom meeting use Calendly link:

USA Surrogacy Fees and Costs

Surrogacy4all: Highest Success Rates Worldwide, Lowest Costs Worldwide, Physician Managed Practice

Agency Fees – Paid to our agency. This covers surrogate matching, the surrogate’s medical/legal/psych clearance, coordination of clinic procedures, complete management of the pregnancy and delivery.
Surrogate direct costs – Paid to surrogate and related expenses.
Medical Expenses – paid by you to IVF and other clinics.

1. Agency Fees

2. Surrogate direct costs – Paid to surrogate and related expenses

Surrogate Legal Expenses

Surrogate Matching Expenses

Surrogate Compensation*

Surrogate Insurance*

Medical Expenses

Clinical Procedures**

Total Wellness Support: Physician-led care, weekly RN check-ins, and dedicated medical assistant coordination.

Mental & Doula Care: Licensed therapy, surrogate circles, empowerment coaching, and full birth-to-postpartum doula support.

Personal Case Manager: 7-day concierge-style support from intake to delivery for all logistics and emotional needs.

Premium Compensation: $45K–$85K+, bonuses, wellness stipends, maternity wear, childcare, and travel reimbursements.

Comfort & Education: Spa days, meal delivery, fitness, Surrogate Academy, and financial/legal empowerment.

Paid directly by Intended Parent to Medical Support Practice

Surrogacy Prenatal Care and Delivery**

Summary Total Estimated Budget:

Note: Actual costs may vary depending on surrogate picked, and specific state requirements and laws covering the surrogacy

Surrogacy Cost: Paid to agency or deposited in Escrow account for payments.

Medical Cost: Medical costs may be covered by your insurance These are paid directly by the Intended Parent to the IVF Center and for medical support during pregnancy as needed.

Note: The above costs are estimates. Actual costs may be different depending on specific cost of services provided by various parties and contracts with the surrogate.

NEXT STEPS:

Complete the surrogacy Forms #1, #2 and #3 and return them to us at the address below.
Do not send any funds with paperwork. We will invoice you after reviewing your documents.
The initial payment will be $18,000, which you will be invoiced to start the journey.
We will then send you profiles of surrogates for your approval.
In parallel we will arrange for you to set up an Escrow Account at Seed Trust for future payments for medical, surrogacy and other expenses. We recommend you fund this with an initial wire transfer of $50,000. Then add extra funds as needed. You can monitor and control disbursements from the Escrow account online at home.
Once you have decided on a surrogate, we will set up a Zoom match call for you with the surrogate.
If you like surrogate, then the match is complete.
The surrogate is then referred to your IVF Clinic for medical screening and approval.
Once the medical screening is complete, the lawyers start their contract work preparation and give the contracts to the Intended Parent and the surrogate to review and sign.
At that point we will bill you $15,000 balance of the agency fees. This ca be paid from the Escrow account.
The surrogate is now ready to start the surrogacy and will go to the IVF Clinic to start the journey to transfer in the embryos.
Our agency will then continue to collaborate with your surrogate and provide support and monitoring until your surrogacy journey is complete.

Feel free to call us on 1-212-661-7177. Learn more about our surrogacy program, financing options, health insurance coverage and finalize which option is best for you. Discover how we can help you achieve your dream of parenthood

How To Maximize Surrogacy Success Rates Using a Surrogate Mother:

Option 1: Using the Parents Own Sperm and Eggs, Having a Surrogate carry Embryo.

The most comprehensive data on USA nationwide surrogacy success rates comes from the Society for Assisted Reproductive Technology (SART), which collects data from over 90% of the fertility clinics in the United States.

According to SART, the average live birth rate for gestational surrogacy in the United States is 58.9% per transfer. This means that for every 100 embryos transferred, an average of 58.9 babies will be born.

The live birth rate for gestational surrogacy can vary depending on several factors, including the age of the intended mother, the quality of the embryos, and the experience of the surrogacy clinic.

It is important to note that success rates for surrogacy are not guaranteed. There is always a risk of miscarriage or other complications. If you are considering surrogacy, it is important to speak with our fertility specialist to discuss your individual chances of success.

Here are the success rates for surrogacy nationwide in the USA based on the age of the intended mother using her own eggs and a surrogate mother:

It is important to note that these are just averages, and the actual success rate for any individual may vary.
At our agency we do not recommend using your own eggs if you are over 39 years of age. Instead use an egg donor under 30 years of age to maximize success rates.

Option 2: Using the Parents Sperm and an Egg donor. Having Surrogate Carry Embryo

According to SART, the average live birth rate for gestational surrogacy using an egg donor in the United States is 64.7% per transfer. This means that for every 100 embryos transferred, an average of 64.7 babies will be born.

The live birth rate for gestational surrogacy using an egg donor can vary depending on several factors, including the age of the intended mother, the quality of the embryos, the experience of the surrogacy clinic, and the age of the egg donor.

It is important to note that success rates for surrogacy using an egg donor are not guaranteed. There is always a risk of miscarriage or other complications. If you are considering surrogacy using an egg donor, it is important to speak with a fertility specialist to discuss your individual chances of success.

Here are the success rates for surrogacy using an egg donor based on the donor age:

It is important to note that these are just averages, and the actual success rate for any individual may vary.

At our agency we recommend using an egg donor under 29 years of age to maximize success rates.

How we maximize surrogacy success rates at Surrogacy4All

As documented in the above CDC analysis, using an egg donor, particularly a younger egg donor, can significantly increase the chances of success compared to using the intended mother’s eggs, especially if the intended mother is older. This is because egg quality and quantity decrease as women age, which can make it harder to conceive and carry a pregnancy to term.

The surrogate’s age can also affect the success rates. Younger surrogates, particularly those in their late 20s to early 30s, tend to have higher success rates. This is because they are often in optimal reproductive health, which can increase the chances of a successful pregnancy.

However, it is important to note that there is no guarantee of success, even with a young egg donor and a young surrogate mother. Success rates for surrogacy using an egg donor are not guaranteed. There is always a risk of miscarriage or other complications.

This is why, when Intended Parents ask for “Guaranteed Success,” no IVF clinic or agency can honestly offer that due to the number of unknowns discussed above. But what we can do is help you maximize success by following the steps below.

Recommendations to maximize success.

To maximize success:

Pick an egg donor 20 to 29 years of age that has been screened properly
Suggest using frozen eggs that are prescreened to be M2 quality, FDA screening passed, and genetically screened.
Use top quality sperm from a donor bank that has been prescreened
If you use your own sperm, use ICSI. Then have the embryos that are created genetically screened using PGD.
Ensure you create at least four, 5-day old blastocyst embryos .so you have enough for a second try. IVF doctors typically place two embryos at each try. We recommend you start with twelve frozen eggs. These should give you enough embryos to work with.
Use only the two best quality day 5-day old blastocyst embryos created for the first try.
Select a surrogate mother that is under 35 years of age.
Ensure the surrogate is properly screened by the gynecologist
Ensure the surrogate is properly prepared with the right medications at the time and date of transfer of the embryos.
Then say a prayer for success!

Following this protocol will maximize your likelihood of having a beautiful healthy baby!

Who We Are

We are a leading Physician Owned and Managed global surrogacy and egg donation agency, offering personalized, physician-guided, affordable services since 2008.

We offer American standard IVF services overseas for only $49,000, the lowest worldwide cost, as well as similar services in the USA for $120,000+. Our practice was set up in 2008 and is FDA registered, fully insured, and licensed by the State of New York.

Our medical practice www.PatientsMedical.com in New York, near Mt. Sinai Hospital in NYC, provides Reproductive Medicine support to Intended Parents looking for non-donor options for medical issues.
We provide surrogacy services under www.surrogacy4all.com and egg donation services under www.IndianEggDonors.com.

For further assistance, please contact us at 1-212-661-7177 or email us at info@Surrogacy4all.com .

Typical Surrogates

By choosing a physician-owned surrogacy agency, …..offering confidence and peace of mind throughout the surrogacy journey.

Donor	ED10404
Age	29 years old
Height	5′ 8″
Hair color	Blonde
Eye color	Blue
Education	Associate in science

Donor	ED01381
Age	27 years old
Height	5′ 3″
Hair color	Brown
Eye color	Brown
Education	Arts Bachelor’s Degree

Donor	ED10188
Age	21 years old
Height	6′ 0″
Hair color	Brown
Eye color	Brown
Education	Associate-level Graduate

Donor	ED10199
Age	23 years old
Height	5′ 3″
Hair color	Brown
Eye color	Brown
Education	Bachelor-level Graduate

Why Choose Surrogacy4All for Your U.S. Surrogacy Journey?

At Surrogacy4All, we guide you through every step of your surrogacy journey with compassion, transparency, and unmatched medical oversight. Based in New York and licensed across the U.S. and Canada, our agency is physician-owned and FDA-certified, offering you a safe, legal, and successful pathway to parenthood.

Our Promise to You

100% legal compliance with U.S. and New York State laws including the CPSA
Inclusive for all family types – LGBTQ+, single parents, and international Intended Parents
Top-tier surrogate screening, matched medically and emotionally
Fixed, transparent pricing with no hidden fees
Proximity to Mount Sinai Hospital and partnerships with top fertility clinics

What Makes Surrogacy in the USA Different?

Surrogacy in the U.S. offers the most legally secure, medically advanced framework for Intended Parents. With legal parentage rights established before birth and comprehensive insurance coverage for surrogates, the U.S. remains the global gold standard.

Why Intended Parents Choose Us

Feature	Surrogacy4All	Other Agencies
Physician-owned?
Licensed in USA + Canada?
Offers induced lactation & postpartum concierge?
In-house emotional support & counseling?
Transparent pricing with escrow security?

Working With International Clients

We proudly serve Intended Parents from around the globe. With 24/7 international case management, multi-lingual staff, and visa/legal assistance, we ensure a smooth U.S. birth experience no matter where you live.

FAQ’s

Is surrogacy legal in all U.S. states?

Surrogacy laws vary by state. While most U.S. states recognize and support gestational surrogacy, a few have restrictions or require specific legal procedures. Surrogacy4All ensures all arrangements are made in surrogate-friendly states for a smooth and legally secure process.

How much does surrogacy cost in 2025?

In 2025, the total surrogacy cost in the U.S. typically ranges between $120,000 and $180,000, including surrogate compensation, legal fees, medical procedures, and insurance. The cost may vary depending on location, agency services, and individual circumstances.

Can LGBTQ+ parents pursue surrogacy?

Absolutely. U.S. surrogacy law recognizes LGBTQ+ intended parents. Surrogacy4All proudly supports and guides LGBTQ+ individuals and couples through every stage—from finding a surrogate to securing parental rights—ensuring equality and inclusivity throughout the journey.

Education

Community

Our Company

Others

Surrogacy in the USA – Comprehensive Guide for Intended Parents

Why the U.S. Is a Global Leader in Surrogacy

Typical Journey Timeline

Legal Considerations

USA Surrogacy Fees and Costs

Cost of Surrogacy in the USA

Legal Guide to U.S. Surrogacy Contracts

2025 Updates on Average Costs – USA Surrogacy

What this budget covers

Step-by-Step Surrogacy Process in the USA

Step 1

Step 2

Step 3

Step 4

Step 5

Step 6

Step 7

Step 8

Insurance and Legal Protections for Intended Parents

Surrogate Near Me

Summary of services provided by Surrogacy4All to Intended Parents:

Surrogacy in the USA

Why Choose a Physician-Owned and Operated Agency?

FAQ: How does Surrogacy4All have a 2-week wait time for surrogates when most agencies have a 12-month wait time? Are your surrogates the same quality as other agencies?

Are Our Surrogates the Same Quality as Other Agencies?

Why Our Costs Are Lower (Without Cutting Corners)

Are Our Surrogates the Same Quality?

Can I Expect the Same Pregnancy Success Rates?

What Happens Next:

Hear From Our Families

USA Surrogacy Fees and Costs

Surrogacy4all: Highest Success Rates Worldwide, Lowest Costs Worldwide, Physician Managed Practice

1. Agency Fees

2. Surrogate direct costs – Paid to surrogate and related expenses

Surrogate Legal Expenses

Surrogate Matching Expenses

Surrogate Compensation*

Surrogate Insurance*

Medical Expenses

Clinical Procedures**

Surrogacy Prenatal Care and Delivery**

Summary Total Estimated Budget:

Note: Actual costs may vary depending on surrogate picked, and specific state requirements and laws covering the surrogacy

Surrogacy Cost: Paid to agency or deposited in Escrow account for payments.

Medical Cost: Medical costs may be covered by your insurance These are paid directly by the Intended Parent to the IVF Center and for medical support during pregnancy as needed.

Note: The above costs are estimates. Actual costs may be different depending on specific cost of services provided by various parties and contracts with the surrogate.

NEXT STEPS:

How To Maximize Surrogacy Success Rates Using a Surrogate Mother:

Option 1: Using the Parents Own Sperm and Eggs, Having a Surrogate carry Embryo.

Option 2: Using the Parents Sperm and an Egg donor. Having Surrogate Carry Embryo

How we maximize surrogacy success rates at Surrogacy4All

Recommendations to maximize success.

Who We Are

Typical Surrogates

Why Choose Surrogacy4All for Your U.S. Surrogacy Journey?

Our Promise to You

What Makes Surrogacy in the USA Different?

Why Intended Parents Choose Us

Working With International Clients

FAQ’s

Reviewed by: Dr. .Kulsoom, MBBS, MPH – Reproductive Law Specialist

Surrogacy Near Me

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Canada

USA

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Begin Your Journey to Having a Baby with Us and Our Affiliated Physicians at Surrogacy4All

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