Surrogacy in the United States
Complete 2026 Guide for Intended Parents
The USA offers the gold standard in surrogacy—unmatched legal protections, world-class medical care, and full inclusivity for all family types.
Estimated Cost
$120,000 - $200,000
Timeline
18-24 months
LGBTQ+ Friendly
Fully Welcome
Single Parents
All Welcome
Why Choose United States for Surrogacy?
Strongest legal protections with pre-birth orders
Full LGBTQ+ inclusion in surrogacy-friendly states
World-class fertility clinics with highest success rates
Large, well-screened surrogate pool
Baby is US citizen by birthright
Eligibility Requirements
- 1
Open to all family types in surrogacy-friendly states
- 2
No medical indication required
- 3
No genetic link required
- 4
Must work within state-specific legal frameworks
The Surrogacy Process in United States
Research & Preparation
State selection, agency selection, fertility clinic (1-3 months)
Surrogate Matching
Profile review, interviews, screening, match confirmation (2-6 months)
Legal & Medical Prep
Contracts, escrow, insurance, IVF procedures (2-4 months)
Pregnancy
Prenatal care, pre-birth order, birth preparation (9 months)
Birth & Beyond
Delivery, birth certificate, newborn care, travel home (1-2 months)
United States Surrogacy Costs: Full Breakdown
| Cost Category | Range (USD) |
|---|---|
| Agency Fees | $20,000 - $35,000 |
| Surrogate Compensation | $35,000 - $60,000 |
| Medical/IVF | $25,000 - $50,000 |
| Legal Services | $10,000 - $20,000 |
| Insurance | $15,000 - $40,000 |
| Egg Donation (if needed) | $10,000 - $20,000 |
| Total Estimated Cost | $120,000 - $200,000 |
Frequently Asked Questions
Which US states are best for surrogacy?
California, Connecticut, Washington, Nevada, and Oregon are top choices—offering pre-birth orders, full LGBTQ+ inclusion, and established legal frameworks.
Why is US surrogacy so expensive?
High surrogate compensation (US cost of living), expensive medical care, comprehensive legal services, and insurance costs all contribute. However, you get maximum legal security.
What is a pre-birth order?
A court order obtained during pregnancy that establishes you as the legal parents before birth. Your names go directly on the birth certificate—the surrogate's name never appears.
Ready to Start Your Journey in United States?
Our team can connect you with vetted agencies and guide you through every step.