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Selecting the rightsurrogacy agencyFor those planning to goSurrogacy in the United Statesof parents-to-be is crucial. ThisTop 10 US Surrogacy Agencies Recommendation Page, is trying to save you countless hours of looking and comparing.
🚀 The core of this article (30 second quick read)
📊 Marketplace:Mainstream budgets for formal U.S. surrogacy agencies in 2025 are at $150,000 – $200,000.. Be wary of offers below $130,000, usually hiding legal or insurance costs.
🏆 Preferred Recommendation:
HRC Fertility: Ideal for families seeking a high success rate, older age, or a complex medical history.
AmCan American-Canadian Surrogacy: Suitable for families who are looking for a cost-effective solution and need full Chinese management and in-country interviews.
Hatch Fertility: Suitable for families with sensitive budgets (fixed costs required) or with a need for egg donation.
⚠️ The Golden Rule of Selection:Be sure to check if the organization supports it before signing upPrenatal parentage order, which is the key to making sure baby birth papers don't come out with modern mom names.
This list not only presents the ten most recommended and reputable surrogacy agencies in the US in 2025, but also provides a comparison of their pricing models and answers to crucial questions about avoiding pitfalls when choosing an agency. Hopefully, this guide will help you successfully complete your surrogacy journey in the US.
I. 2025 US Surrogacy Agency Recommendation Form
If you don't have time to read the whole article from start to finish, you can start with the table below: at a glance, it helps you to compare the organizations'Date of establishment, region, service features and official website entranceIf you want to know more about these companies, you can use the key information in the above snapshot and roadmap to target 2-3 companies for in-depth understanding.
List
Name of organization
Estimated total cost (United States dollars)
Best for People
Chinese language support
Official website direct
🥇 1
HRC Fertility (own hospital)
$160k - $210k
Prioritization of medical success / Advanced Age / Troubleshooting
II. How did this list of US surrogacy agencies come about?
1. Who is this article for?
Just to be clear, this pieceRecommendation form for US surrogacy agencies, written primarily for the following categories of people:
It has been determined that I want to go through American surrogacy, but I'm still in theFamilies who compare which agency or clinic is more reliable.;
Prospective parents who already have a list of quotes from 3-5 organizations in their hands, looking at their heads and wondering how to choose;
Families who are advanced in age, have repeated IVF failures, have a family history of genetic disorders, and want to prioritize ensuring success rates and healthy babies;
LGBTQ+ Families, singles looking for truly friendly, non-discriminatory, process-skilled agency.
If you're just casually learning about what American surrogacy is all about, this may be a bit of an information overload; but if you're already doing serious homework and ready to make a decision, then consider this as aList of selected organizationsto use.
American Surrogacy Agency
2. Evaluation criteria for this list
The list wasn't compiled randomly; we mainly considered these dimensions:
To ensure fairness and reference value, we reject "preconceived notions" in our scoring. This list is based on the following... 6 core dimensionsA weighted assessment is made for a total of 100 points.
The design logic of this weighting system is:Legal Security > Medical Success Rates > Financial Security > Service ExperienceThe
weighting
core dimension
marking scheme
Why is this important?
25%
⚖️ Legal Compliance and Moats
✅ Agency is located in a surrogacy friendly state (California/Nevada, etc.)
✅ Having an in-house legal team or a reproductive lawyer with whom you have worked for a long time
✅ Pre-Birth Order must be supported.
This directly determines whether your names can be written on the baby's birth certificate and whether the documents for returning to China can be processed smoothly.
20%
👩🍼 Surrogate Mother Screening and Support System
✅ Follow ASRM (American Society for Reproductive Medicine) Screening Criteria
✅ Provision of surrogate motherhood counseling and support groups
✅ Compensation and benefits for surrogate mothers are competitive in the industry
Only well-treated, psychologically healthy surrogate moms can conceive healthy babies.
15%
💰 Transparency of costs and escrow of funds
✅ Provide a detailed cost breakdown
✅ Mandatory use of third-party trust accounts
✅ No hidden consumption or later malicious price increases
Third-party escrow means that the agency cannot use your funds at will unless the surrogate mother meets the milestones stipulated in the contract.
15%
⏱️ Matching Efficiency and Wait Times
✅ Has a database of real, contracted surrogate moms
✅ Average match time within 1-4 months
✅ Ability to respond quickly to reallocation needs
Reputable institutions have ample reserves and won't leave you waiting indefinitely after paying a deposit.
15%
📝 Full case management and communication skills
✅ With a dedicated coordinator
✅ ProvidedChinese language supportor translation services
✅ Assistance with insurance, newborn documentation and other miscellaneous tasks
Surrogacy involves a five-party collaboration (clinic/attorney/surrogate/insurance/trust). Strong project management can free you from the minutiae.
10%
🌈 Special populations service experience
✅ Familiarity with the legal process for LGBTQ+ families (e.g., dual paternity)
✅ Experience in sperm washing/fertilization operations in HIV+ populations
✅ Respect for multiculturalism and values
For specific groups, the experience of the organization directly determines the smoothness of the legal process.
Different organizations have different strengths in different dimensions, soThis list isn't about who's absolutely number one, but rather to help you see:Who's better for your current situationThe
3. Description of data and information sources
The information in this article is primarily from:
Program descriptions, fee descriptions, and successful case displays on each organization's official website and in the public domain;
Real feedback, pitfall experiences from Chinese families we have served or contacted over the past decade or so;
Transcripts of frontline communications with selected reproductive physicians, attorneys, and agency heads.
A special note is needed:Many organizations don't release full details of their success rates to the publicThe description of success rates in the text is therefore based on official external information and long-term word-of-mouth, and is moreLevel-grade judgments, not precise numerical comparisonsThe
You can use this list as a starting point for screening: target 2-3 of the best ones for you, then go for a one-on-one consultation and check the details.
III. Recommendations for the Best Surrogacy Agencies in the United States in 2025
1. HRC Fertility: assisted reproduction facility for over 30 years
A quick look at the key messages:
Type of organization:Reproductive clinic + in-house laboratory + specialized surrogacy partner agency
Location:California, USA, Multiple Campuses in Surrogacy Law Friendly States
Approximate cost range:The total cost of going through an American surrogacy program as a whole (with the HRC medical component) for most families will fall in the range of $150,000-$200,000 It depends on whether or not you use triple IVF, whether or not you have multiple fetuses, whether or not you have multiple transplants, etc.
Service Highlights:CAP/CLIA dual-accredited laboratory, large cycle volume, experienced in three-generation IVF, dedicated Chinese-speaking team, and experience in medication for Asian populations.
Good for the crowd:Families who are old enough to prepare for pregnancy, who have failed multiple domestic IVF attempts, who have a family history of genetic diseases, and who want to prioritize the success rate and the health of their babies; Chinese families who want to have a Chinese-speaking team and who don't want to fumble through the process on their own.
Not really:Families with very limited budgets who want to significantly cut costs by choosing low-cost countries (e.g., Eastern Europe, Central Asia).
HRC Reproductive Medicine Center, the "old school" of assisted reproduction since 1988, now has a history of more than 30 years, with 9 hospitals distributed in the most core cities in California, HRC is not only one of the largest reproductive healthcare networks on the West Coast of the U.S., but also one of the industry's " HRC is not only one of the largest reproductive healthcare networks on the West Coast of the United States, but also one of the industry's most recognized names in terms of technology, service, and reputation.
Many people are concerned about the success rate of IVF. Indeed, at the end of the day, this industry is all about technical prowess.
Number of cycles ranked #1 on the U.S. West Coast, with a success rate better than the industry average!
HRC's embryo lab is the "heart" of the entire IVF process.Its four laboratories, all of which are dual CAP and CLIA accreditedThe equipment inside is extremely well-controlled, clean, and shock-resistant. Even when a small embryo has just formed, there are 5-8 experienced embryologists monitoring it throughout the entire process.
You may have heard of "ICSI" and "PGS/PGD"? ICSI and PGS/PGD are second- and third-generation IVF techniques that HRC has been using since before many organizations were equipped with them. What do they do? One is to help sperm "accurately match" with eggs, and the other is to screen embryo genes in advance, so a higher success rate and healthier babies are the most direct rewards.
Currently.HRC Has Welcomed Over 50,000 Babies, and success rates are higher than the U.S. national average across multiple age groups.
HRC provides dedicated Chinese consultants for one-on-one service, so you don't need to worry about language barriers or figure out the process yourself. Whether it's finding a surrogate mother, selecting eggs, doing genetic testing, arranging egg retrieval/transfer, or even future paternity confirmation, legal documents, baby's passport, etc., there are mature solutions and fixed procedures. There is also a whole team familiar with both Chinese and American systems to help you with errands, answer questions, and provide support.
Many agencies on the market today are merely intermediaries; they don't own the technology or laboratories, making it difficult to maintain full control if problems arise. HRC is different. From doctors and laboratories to legal services and egg donor management, they handle everything themselves, with each step interconnected, greatly reducing the error rate.
HRC hosts nearly 5,000 treatment cycles in California each year.Nearly a third of them are from Chinese families. In order to truly serve Chinese customers, a special Chinese service department has been set up, with doctors, nurses, coordinators and consultants who are all bilingual and understand cultural differences. They will customize the program for you according to the Asian body type and reaction.
It is understood that some Chinese women respond strongly to ovulation-inducing drugs, so HRC doctors will make special adjustments to the dosage and frequency.
One final note: HRC is not a "process" organization, but a team of people who have their hearts in the "business of life".
So, if you are looking for a solid, reliable, sincere service and technically dependable US assisted reproduction agency, HRC would be a good choice.
2. AmCan U.S.-Canada Surrogacy Agency
A quick look at the key messages:
Type of organization:Surrogacy + Egg Donation Service Organization / Project Management Organization
Location:Los Angeles, California, USA, with offices in Shenzhen and Shanghai.
Approximate cost range:The overall cost of a U.S. route is usually in the range of $139,000 - $200,000 within the mainstream range; some families will lower their total budgets appropriately through the Canadian route where it is legal to do so.
Service Highlights:Many international clients, familiar with the needs of Chinese families, with teams in both China and the U.S., easy communication; able to flexibly switch programs between the U.S. and Canada.
Good for the crowd:wishOne-stop project managementThe Chinese families who don't want to have to deal with clinics, surrogacy agencies, and lawyers separately; and who want to have a domestic offline communication window.
Not really:Families who totally just want to pick their own separate clinic, find their own lawyer, and control their own program.
Service Characteristics: AmCan International Surrogacy Agency is located in Los Angeles, California, USA. As an internationally recognized comprehensive egg donation and surrogacy service agency, it is composed of a group of experts who love babies and are passionate about assisted reproduction. Nearly 100 babies are born here every year to parents from many countries and regions around the world, including the United States, China, the United Kingdom, France, Italy, Australia, Portugal, Chile, Mexico, Colombia, Germany, Switzerland, Denmark, and the Netherlands.
We have offices in Shenzhen and Shanghai, China, making it easier to serve our Chinese customers.
Who we serve: We have solved fertility problems for many clients from all over the world, helping them realize the inheritance of love. Surrogacy services cover clients who are single, infertile, senior, second child, same-sex relationships, and other individualized needs, and we are committed to fulfilling every family's dream with the highest quality of service.
3. Hatch Fertility: Top Surrogacy and Egg Donation Agencies
A quick look at the key messages:
Type of organization:Surrogacy + Egg Donation Agency (in cooperation with several fertility clinics)
Location:California, USA, serving clients worldwide
Approximate cost range:Provide fixed fee peace of mind plans175,000-235,000dollars, the overall cost is usually in the range of U.S. surrogacy'sMedium-high range, but with greater budgetary certainty.
Service Highlights:Fixed fee model, strict screening of surrogate mothers, focus on surrogate support and compensation system, and many success stories.
Good for the crowd:most concernedControllable costs, don't want to be surprised by all the extra charges in the middle of the dayFamilies who wish to use the same organization for both surrogacy + egg donation planning.
Not really:Budget is tight, just looking for families who can do it legally but not too expensive program.
Read more about Hatch
Hatch Fertility
Founded in 1991, Hatch Fertility is dedicated to helping prospective parents find the most suitable surrogacy and egg donation partners. As one of the most established surrogacy and egg donation agencies in the United States, Hatch Fertility has successfully completed more than 8,000 surrogacy programs, and with its exceptional track record, tops the list in 2024.
Fixed surrogacy costs:
Hatch Fertility's "Peace of Mind Plan" is a fixed-fee service that covers everything from medical care to surrogacy costs until a successful live birth. This plan provides prospective parents with financial transparency and security, ensuring no unexpected expenses arise throughout the surrogacy process.
Preferences for Surrogate Mothers
Hatch Fertility is popular with surrogate mothers, not only because of the personalized help it offers, but also because of its competitive compensation system. Surrogate mothers receive comprehensive support and attention throughout the process, giving them peace of mind.
Highest surrogacy success rate in the industry
Hatch Fertility leads the industry with a 99.5% success rate. Working with the world's top fertility experts, the organization utilizes state-of-the-art technology and methods to provide prospective parents with the greatest chance of success in bringing their babies home.
Website: hatch.us
4. Circle Surrogacy Agency
A quick look at the organization's information:
Type of organization:Surrogacy + Egg Donation Organizations / Project Management Organizations
Location:Headquartered in the U.S. and serving parents-to-be throughout the U.S. and 70+ countries
Approximate cost range:Fixed costs fall mostly on$179,500This mainstream range is slightly higher for some fixed cost items.
Service Highlights:Fixed fee options are plentiful, international clients are experienced, multilingual support is available, and familiarity with the transnational family process is strong.
Good for the crowd:Families from different countries who want a proven template to fall back on for the entire process; thinking about doing it in the futureSecond Child / Sibling Programof the family.
Not really:Chinese families who prefer face-to-face communication with a Chinese-speaking local team, or who are on a very limited budget.
Read more about Circle Surrogacy
SERVICE FEATURES: Founded in 1995, Circle Surrogacy is an agency known for its comprehensive surrogacy services and highly specialized matching process. They are committed to providing a full range of support, including psychological evaluations, medical care, and legal support.
International Services: Supports international parents from over 70 countries.
Specialty Services: Offers a variety of fixed-fee options, including sibling journeys and international surrogacy.
Website: circlesurrogacy.com
5. Fertility Center of Las Vegas (FCLV)
A quick look at the key messages:
Type of organization:Reproductive Clinic / IVF Center (in cooperation with a surrogacy agency)
Location:Las Vegas, Nevada, USA, Surrogacy Laws Relatively Friendly
Approximate cost range:The total cost to go through the program as a whole with a surrogacy agency is usually in the range of$150,000-$250,000intervals; depending on the dosing regimen, the number of embryos, and whether multiple attempts were made.
Service Highlights:More than three decades of experience, team of physicians specializing in complex medical histories; in-depth study of populations with polycystic, hypogonadal, and thyroid problems; multilingual coordinator.
Good for the crowd:Relatively complex disease, repeated failures in China, hope to change theI'm willing to take my time and look into your situation.The family of the team; wanting a gentler, more humane atmosphere for physician communication.
Not really:Families who just want to do a simple cycle, are on an extremely tight budget, and have a strong attachment to the city's fame.
Read more about FCLV
Rooted in this land since 1988, FCLV was the first clinic in Southern Nevada to specialize in Reproductive Medicine, accompanying thousands of families through the complete journey of anxiety, waiting, hope, and joy. Founded by Bruce Shapiro, M.D., who is still in practice today, FCLV continues to help more families find their share of possibilities with more than three decades of clinical experience.
Las Vegas Reproductive Center
Let's be honest, the road to infertility is never easy. But luckily, at FCLV, you won't have to face it alone. In addition to Dr. Shapiro, FCLV has two very special female physicians on its team - Dr. Carrie Bedient and Dr. Leah Kaye.
Not only are they the first professionally certified female reproductive endocrinologists in Southern Nevada, but more importantly, they really know how to understand every difficult situation you're going through from a woman's, a partner's, or even a mom's perspective.
Dr. Bedient specializes in helping those who are facing impaired fertility as a result of cancer treatments, or other specific medical conditions, while Dr. Kaye has studied "difficult bodies" such as polycystic, ovarian failure, and thyroid disorders. What's more, they're both very sensitive to the LGBTQ+ community, and offer genuinely friendly, non-judgmental pregnancy help.
In their eyes, there is no way of life in which one should not have the right to have "children".
More than three decades later, FCLV has welcomed patients from all over the world. People from not just the U.S. states, but more than 70 countries have traveled far and wide to find the place where they can truly understand themselves and also have the strength to help them achieve their dreams.
FCLV's IVF pregnancy and live birth rates are consistently higher than the national average, and it has been repeatedly recognized by the Society for Assisted Reproductive Technology (SART) as one of the nation's top-performing fertility centers.
FCLV specializes in multilingual coordinators for families with different language backgrounds, with English, Chinese, French, and Spanish all covered. No matter where you come from, what language you speak, or what faith you believe in, someone who understands you will be arranged to accompany you every step of the way.
FCLV's fees are never hidden. The pricing structure is transparent and clear, so everyone knows exactly where every dollar is being spent. If you're under financial pressure, FCLV also offers financial assistance programs, so that "wanting to be a parent" is no longer just a budget-constrained dream.
Type of organization:Surrogacy + Egg Donation Agencies / Case Management Agencies
Location:Multi-state coverage with local IVF clinics and attorneys
Approximate cost range: $197,500 fixed costThe
Service Highlights:Emphasis on personalized matching and full case management; fine control of legal details and processes.
Good for the crowd:Families who want someone to run the program from start to finish; prospective parents who are sensitive to the terms of the law and want someone to watch their back every step of the way.
Not really:Families who want to force-bind to a specific clinic and completely dictate the pace themselves.
Read more ConceiveAbilities Details
ConceiveAbilities
SERVICE FEATURES: Founded in 1996, ConceiveAbilities is a highly preferred surrogacy and egg donation agency for their clients. They focus on match personalization and comprehensive case management to provide exclusive support to each prospective parent.
Services: Includes matching and managing all aspects of the surrogacy process, providing highly personalized support to prospective parents.
Legal support: Ensuring the legality and transparency of the surrogacy process by working with local legal experts.
Website: conceiveabilities.com
7. Growing Generations
A quick look at the key messages:
Type of organization:Surrogacy + Eggs / Sperm Donor Organizations
Location:Headquartered in the U.S., serving clients throughout the U.S. and internationally
Approximate cost range:Overall project costs are typically in the range of$210,000-$510,000This common range is sometimes slightly upward due to special medical needs.
Service Highlights:Long-term service to gay and single men; proven programs for HIV-positive populations; focus on diverse families.
Good for the crowd:LGBTQ+ Family, single male, wants to be in aKnowledgeable, really understands your situationThe surrogacy is done in the agency of the
Not really:Families who have a rigid need to have a Chinese-speaking team and who are not at all comfortable communicating in English.
Read more about Growing Generations
Growing Generations
SERVICE FEATURES: Growing Generations has been dedicated to helping families of all types through advanced reproductive technology and comprehensive support services since 1996. They especially specialize in surrogacy services for gay and single men.
Technological Leadership: Utilizing the latest assisted reproductive technologies to help HIV-positive men realize their dream of biological fatherhood.
Service Focus: In addition to surrogacy, egg and sperm donation services are available.
Website: growinggenerations.com
8. Same Love Surrogacy Agency
A quick look at the key messages:
Type of organization:surrogacy agency
Location:U.S.-based with multi-state coverage
Approximate cost range:The overall cost is between $187,000 - $258,000.
Service Highlights:LGBTQ+ Friendly and clear; surrogate mother benefits and compensation systems are carefully designed to emphasize surrogate mothers' rights and psychological states.
Good for the crowd:Prospective parents of LGBTQ+ families who care deeply about institutional values and want surrogate moms to be treated well too.
Not really:Families who only focus on the lowest price and don't care much about values and the surrogate mom experience.
Read more about Same Love Surrogacy
Same Love Surrogacy
SERVICE FEATURES: Same Love Surrogacy is an agency that focuses on providing competitive compensation and benefit programs designed to ensure the financial independence and well-being of surrogate mothers.
Services: Provides comprehensive matching services and support programs to ensure a smooth surrogacy process.
Legal support: Comprehensive legal guidance and protection through partners.
Website: samelovesurrogacy.com
9. IARC Surrogacy Agency
A quick look at the key messages:
Type of organization:Surrogacy Agencies / Project Management Agencies
Location:U.S., longtime collaborator with multiple IVF clinics and legal teams
Approximate cost range:The total cost is usually in the range of$136,910 - $$200,310Between, depending on clinic choice and state.
Service Highlights:Longer industry experience with an emphasis on full legal protection and matching processes.
Good for the crowd:Families who want one agency to coordinate the clinic with their attorneys and who don't want to deal with too many details of communication themselves.
Not really:Prospective parents who only want to work with one specific clinic and want to make their own arrangements for the rest of the session.
Read more IARC Surrogacy Details
IARC Surrogacy
Service Characteristics: IARC Surrogacy offers a full range of surrogacy services, ensuring that each prospective parent's needs are met through a professional matching process and legal support.
PARTNERSHIPS: Partnering with IVF clinics across the United States and an experienced legal team to provide complete support and guidance to prospective parents.
Successful Experience: Long history of success and good reputation in the surrogacy industry.
Website: iarcsurrogacy.com
10. Roots Surrogacy Agency
A quick look at the key messages:
Type of organization:surrogacy agency
Location:Lincoln, California, USA, in a state with relatively friendly surrogacy laws
Approximate cost range: $200,000+The
Service Highlights:Founded by reproductive attorneys with a strong awareness of contracts and legal processes; emphasizes the personal connection and long-term relationship between prospective parents and surrogate mothers.
Good for the crowd:Families who place a high value on legal security and want a deeper interaction with their surrogate mother than a purely project-based relationship.
Not really:Prospective parents who just want the whole process to be extremely standardized, industrialized, and with as little communication as possible.
Read more Rootssurrogacy Details
Roots Surrogacy
SERVICE FEATURES: Roots is a professional mid-sized surrogacy agency dedicated to connecting and supporting individuals, couples and surrogate mothers as they build their families.
Founded by: Fertility attorney Cassie Wright founded on the belief that everyone should have the opportunity to share in the gift of parenthood.
SERVICE PHILOSOPHY: Adherence to high standards and prioritization of the personal connection between the prospective parents and the surrogate mother.
INDUSTRY POSITIONING: Dedicated to being a beacon in the industry, providing a pathway to parenthood for all, regardless of geographic location or sexual orientation.
Website: www.rootssurrogacy.com
Location: Lincoln, California
How to choose a surrogacy agency for different groups of people?3 types of people recommended
So that you don't drown in a sea of information, we'll start by giving aQuick Filter by PopulationThe little roadmap that you can put in place before scrolling down to read the details.
1. Population Group I: Prioritization of technology and success rates (advanced age / multiple failures / risk of genetic diseases)
If you fall into one of the following categories:
Female age ≥ 38 years, advanced pregnancy preparation;
Domestic / Overseas IVF has failed many times;
Have a family history of genetic disease and want to screen out as much risk as possible with PGT, etc;
Priority attention:
HRC Fertility: Dual CAP/CLIA accredited laboratory, large cycle times, and experience with Asian populations;
Las Vegas Fertility Center FCLV: Specializes in complex medical histories, difficult bodies (polycystic, decreased ovarian function, etc.);
Hatch Fertility: Experienced in surrogacy + egg donation combo programs for those who want a one-time overall plan.
Will the budget get all the way out of control and more expensive?
have they everFixed total cost as much as possible from signing up to holding the babyThe program?
You can focus on watching:
AmCan American-Canadian Surrogacy: The total cost of surrogacy is around $130,000-$200,000, a fixed total, and cost-effective among U.S. agencies.
Hatch Fertility: A peace of mind plan with a fixed fee for families who want to control total cost and risk;
Circle Surrogacy: A variety of fixed-fee options are available, as well as programs for sibling plans;
3. Crowd 3: LGBTQ+, Single Families & Value Match Priority
If you're an LGBTQ+ family, single, or particularly concerned about the agency's values and respect for surrogate moms, it's a priority to see:
HRC, FCLV, Circle and other surrogacy organizations: It's also relatively friendly on both the legal and medical levels, making it suitable for families who want both technology + values.
Growing Generations: Long serving gay & single men with proven experience with HIV positive men;
Same Love Surrogacy Agency: LGBTQ+ Friendly is very clear and the surrogate mom benefits system is more finely tuned;
Roots Surrogacy Agency: Founded by reproductive lawyers, emphasizing personal contact and equal respect;
If you areChinese familyIf you are concerned about smooth communication and the process of returning your documents to your home country, then remember to check out a few companies with Chinese speaking teams (for example HRC,AmCan, some FCLV channels) to put on your priority list.
V. Criteria for selecting an American surrogacy agency
If you are considering going down the path of American surrogacy, or are thinking about picking a surrogacy agency, then I really want to start by saying this:This is not a simple matter, and it certainly cannot be solved by simply spending money.You need to be as careful as if you were looking for a life partner. Whether someone is reliable or not can affect every step you take next, and even whether you can successfully bring your baby home.
Today I want to tell you all about the "under the table" aspects of selecting a surrogacy agency. I hope that you can read it and take fewer detours and suffer less unseen pains.
1. Look at the reputation and experience of the surrogacy agency
The websites of many organizations seem to be very high profile, and they are always saying that they are the "international leader" and "serve the world". However, I would like to say that just saying so does not count.
How can I find out?
look back at the historical accounts: Check how many years the agency has been open first. It's not that new agencies are necessarily bad, but in the matter of surrogacy, experience is king. The longer it has been running, the more it knows how to handle all kinds of emergencies.
See real casesDon't just look at the photos on the website of the smiling surrogate holding the baby. It's best to ask for detailed data, such as how many surrogacy programs have been completed in the past few years and what the success rate is.
Listen to the man who's been there.: Join some surrogacy-related weibo groups and forums, and go ask people who have already traveled this path. Their personal experiences are often more valuable than advertisements. Some people are even willing to privately share the whole process of cooperation and what pitfalls they encountered, which are super valuable.
⚠️ Pit avoidance reminder:
Don't just look at the official websiteThe official website will always have "success stories". You have to ask: What do they do in case of miscarriage/premature labor/NICU/withdrawal of surrogate mother? There is no "mechanism for closing failure cases".
Don't be taken in by the "package talk".: With the same phrase "high success rate," you have to ask: is it the clinic success rate, or the agency program completion rate? Unclear caliber = high risk signal.
My advice is simple:Don't be shy, ask! Ask more! Compare more!After all, you are making a choice for your future home.
2、Ask the surrogacy agency exactly what they can do for you.
You may think that a surrogacy agency is just helping you find a surrogate mom, but there is actually a lot more going on. A reliable agency should be there to help you from start to finish.
A few examples:
Click here to view the detailed services of the surrogacy agency
Substitute Matching
A surrogate mom is not just any person. A reliable agency will take the trouble to make a match: for example, the physical condition of the surrogate mother, her family background, her personality, and even her habits will all be taken into consideration. Because you'll be working together for more than ten months in the future, it's important to get along.
Legal safeguards: can a child's parental rights be stabilized?
One of the most attractive aspects of surrogacy in the United States is the clear legal framework.Once the child is born, the name of the commissioning parent can be written directly on the birth certificate.The
But here's an easy detail to overlook: ⚠️ Not all states are the same.TheCalifornianSome states, such as Nevada, are particularly surrogacy-friendly and have a smooth legal process, while others are still in the gray area, with complicated procedures and even hidden risks.
A reliable surrogacy agency must have its own team of lawyers who are involved throughout the entire process to ensure that you stay on track every step of the way, from the time you get pregnant to the time you return home.
Surrogacy cost management
Surrogacy is not a cheap endeavor, and it's important to ask where and how the money is spent, and if there are any hidden fees. Reliable organizations will usually give you a detailed breakdown of surrogate compensation, medical expenses, legal fees, and other itemized bills.
Psychological support
Don't underestimate this link. During surrogacy, both the prospective parents and the surrogate mother have quite a lot of psychological fluctuations. A good agency will arrange counseling or support groups so that you have someone to talk to and someone to open up to.
⚠️ Pit avoidance reminder:
Rejection of "contracting without management": You need to make sure that there is a dedicated coordinator to follow up on a long-term basis, slow response/frequent change of personnel, it is easy to lose contact behind the scenes to pull the plug.
Don't let the word "all-inclusive" fool you!: Ask for a list of "what's included and what's not included in the all-inclusive package" (especially insurance, legal, and emergency reserves).
In other words, a surrogacy agency is not simply an agent, but more like a "butler" and "bodyguard" for you along the way. Anything you can think of, they better think of for you first.
3. American surrogacy agency screening surrogate mothers and matching process
Choosing a surrogate mom is not just about picking someone, it is an interlocking safety mechanism. A reliable organization will do a very strict screening of substitute moms. For example:
Physical examination and medical historyA full physical examination is required, including testing for infectious diseases, chronic diseases, and genetic diseases.
Psychological assessment: Surrogate mothers must not only be physically healthy, but also psychologically mature. The organization will ask a psychiatrist to assess their motivation, stress tolerance, emotional stability, etc. Because carrying a baby to term is not only a physical job, but also a psychological one.
Life background checks: The agency will check her family status, financial status, and circle of life. For example: Is there a criminal record? Is it a chaotic life, changing partners often? Any drug or alcohol problems? These are all critical.
economic situation: It sounds a little realistic, but it's important. A surrogate mom shouldn't be doing this solely because she's short of money. Surrogate moms who are relatively financially stable are usually less psychologically stressed and more cooperative.
⚠️ Pit avoidance reminder:
Don't just listen to "screening is rigorous.": Go after the screening criteria (whether it is benchmarked against ASRM), the screening process (sign up or medical exam first), and roughly what the elimination rate is.
Don't overlook the "surrogate mom support system.": Is there psychological support/social worker support for surrogate mothers during pregnancy? The weaker the support, the higher the risk of disputes and mood swings later in life.
My advice:It is better to sift rigorously than to skip this step.After all, you are putting a new life into each other's hands.
4. Quality and efficiency of resources for surrogate mothers
Many organizations will tell you, "We have thousands of surrogate moms in our pool here!" But I have to be honest: just because there are a lot of surrogate moms doesn't mean they're all right for you.
You have to focus on asking:
Have all these surrogate moms completed background checks?
Have the medical records, the psych evaluations been cleared?
Is the file initially registered, or is it ready to enter the matching process?
Reliable agencies usually do a much more careful job: they will only recommend a surrogate to you when all the information has been reviewed and there are no major problems. Instead of just grabbing a few people out of the database.
One more thing: when a surrogate mom is eliminated because she fails a medical exam, a good agency can replace you immediately, saving you months of waiting there on empty.
⚠️ Pit avoidance reminder:
Beware of "fake queues."Some organizations take a deposit before they start looking outside, and you're left with an "indefinite wait". You need to ask: How long is the average match? Is there a pool of "real and available" substitute moms?
The rewiring mechanism must be asked: How long does it take to reassign a substitute mom if she fails her physical/quits midway? Is there an extra charge? Is it written in the contract?
In a nutshell.Quality is much more important than quantity in the field of surrogate motherhood.. Just like buying a house, it's not about having more houses, it's about having the right one for you.
5. Transparency of surrogacy companies
This step is particularly problematic. Surrogacy is not buying cabbage at the grocery store, and a low price is not always a good thing.Don't fall into the "low price trap" to save money.The
A reliable surrogacy agency will:
Write down every penny clearly:How much compensation for surrogate motherhood, how much for medical expenses, how much for attorney's fees, and even a contingency budget for unforeseen circumstances should be specified in the contract.
The contract should include ways to handle various emergencies, such as what happens if the surrogate mom has a miscarriage? Who pays for the costs of pregnancy complications? These are all critical.
Provide smooth communication channels. You can always find someone if you have a question, and you won't be left in the dark.
⚠️ Pit avoidance reminder:
Funds escrow must be confirmedIs the use of a third-party trust account mandatory? Who manages it? What milestones govern the allocation of funds? These questions relate to the safety of the money.
Ask for the "worst-case scenario bill".: Miscarriage, c-section, twin births, preterm labor in the NICU, second transplant, reassignment to a surrogate mom - how much might be added to each? Is there a cap?
Many prospective parents feel that "the lower the cost, the better," but I'm going to throw cold water on that:Surrogacy is a high-risk, high-cost affair, and services come at a cost. If an agency quotes a price that is well below the average market price, you really need to keep an eye out.
6. Local legal background of the surrogacy agency
Surrogacy is a matter that is tied to the law in every way, especially in the United States, where the laws vary greatly from state to state.
for exampleCalifornia is relatively surrogate-friendly, while New York did not liberalize commercial surrogacy until recent years. When picking an agency, look to see if the person is familiar with the laws in your state and the surrogate's state.
Surrogacy laws
It's in the contract.
Surrogacy agreements should be clear:Parental Rights, Financial Distribution, and What to Do in the Event of an EmergencyIf it is not written clearly, the child may be stuck in the future. If it is not written clearly, in the future, when the child is born, it may be stuck in the transfer of household registration, household registration, or even brought back to the country.
Recognition of parenthood
How quickly can parents be legally identified, especially in the case of interstate or transnational surrogacy? Agencies would be well advised to provide experience and legal services in this area.
Surrogacy Insurance
There is always the possibility of accidents during pregnancy. It's important to find out what is covered by the surrogate mom's health insurance and what needs to be paid out of pocket.
⚠️ Pit avoidance reminder:
Pre-Birth Order must be asked: Can it be done? What week of pregnancy does it usually kick in? In which state is it done? This directly affects whether or not the birth certificate is in the name of the commissioning parent only.
Independent counsel is a must.: Don't use a reliable organization, but don't use a "one-stop-shop" organization. You need an independent lawyer who is not affiliated with the organization to review the terms for you.
States change, so do risks.: Even if the agency is in a friendly state, the process and difficulty can change if the surrogate mom is in a different state/delivery state - be sure to lock in your options ahead of time.
My advice: just because it's a more reliable organization doesn't mean you can just hand them all the contracts to read and sign. Always get an independent lawyer to go through the contract again. Money is a small thing, legal risk is a real hassle.
7. LGBTQ friendliness
If you're an LGBTQ+ family, it's even more important to pick the right surrogacy agency. Not every agency is LGBTQ+ friendly.
Choose an experienced organization that understands the legal, social, and cultural pressures you face.
There should be a friendly, inclusive environment within the organization so that you don't have to worry about being discriminated against.
Preferably, agencies would also consider the acceptance and support of LGBTQ+ families when matching surrogate moms.
⚠️ Pit avoidance reminder:
Don't just look at the "friendly attitude."You should ask if you have any real experience with the same type of family, e.g., experience with dual-parenting process, birth certificate signing, PBO processing.
Matching sessions should be screened in advance: Is the surrogate mom explicitly supportive of LGBTQ+ families? If not supportive, the emotional and communication risks later in the process can be significant.
Surrogate's House Advice:
When you pick a surrogacy agency, you are really picking whether or not you will be able to sleep well in the months, or even years to come. This choice is about more than money, it's about your emotions and your home. My attitude is firm: surrogacy is a big job and there is no room for sloppiness. Any more comparisons and time spent will be far more cost-effective than filling in the holes after the fact.
Add another phrase, "hands-on approach":Don't just talk about one, compare at least 2-3 agencies. Ask with the same set of questions (when is the PBO, how long does it take to match a surrogate mom, who hosts Escrow, what is the worst case scenario fee cap). You'll understand who's being flaky and who's being sincere after a few rounds of chatting.
VI. Comparison of Cost Structures of Various Surrogacy Agencies:
Many prospective parents only look at the total number of quotes, but ignore the differences in fee models. In fact, different charging modes determine the "value" of your money.
fee model
representative organization
dominance
inferior
People who are suitable for
fixed-cost package
Hatch, ConceiveAbilities
Locked-in total price. Regardless of the number of transplants and whether the surrogate mother miscarries, the risk is borne by the agency at no additional cost to you.
Starting price is usually $2-$30K above average market price (equivalent to having insurance).
Budget-sensitive, extremely risk-averse families who want a "bite-sized" price.
itemized charge
HRC, AmCan, Circle
reimbursement on an actual basis. If the body is in good shape, it is the least expensive and most cost-effective in total for a single success.
If multiple transplants are required or if the surrogate mother is admitted to the NICU after a premature birth, the cost will increase, so please consult with the person in charge.
Families who are looking for a cost-effective solution, who are confident in the quality of their embryos, and who believe in probability.
💡 Extended Read: Want to know exactly where that $150,000-$200,000 was spent? Check out our in-depth teardown article:
👉 2025 U.S. Surrogacy Cost Breakdown
VII. What can organizations do to help in the "baby repatriation" process?
After the birth of your baby, documentation is the last hurdle. There is a huge difference in the services offered by different echelons of organizations, which directly affects the smoothness of bringing your child back to your home country.
Service Description: They are very familiar with the needs of Chinese families. There will be people to assist with birth papers, U.S. passports, guide you on how to do a DNA paternity test in the U.S. (which is a must for returning to your home country to get a travel permit), and even help you make an appointment for a spot at the Chinese Embassy to apply for a permit.
Evaluation: It's the friendliest for new parents and saves the panic of fumbling around in a foreign country.
Echelon II (facilitative)
Representative bodies: Circle, IARC
Service Description: They will prepare the legal documents perfectly and hand them over to you. But the specifics of going to the post office to get a passport and going to the embassy to fill out forms usually require you to DIY or pay a local lawyer separately.
Evaluation: Ideal for families with good English and hands-on skills.
Legal support (familiarity with local laws, ability to provide independent attorney review)
Cost transparency
Degree of personalized service
Availability of a rich pool of surrogate mothers and rigorous screening
Q2. Which states in the U.S. have legalized surrogacy?
The most surrogacy friendly states in the US are California, Nevada, Illinois, etc. States like New York did not open up commercial surrogacy until recent years. When picking an agency be sure to check if it is familiar with the laws of the state you plan to surrogate in.
Q3. What is the approximate cost of a surrogacy agency?
Typically the total cost ranges from $130,000 - $200,000 USD is involved:
Compensation for surrogate mothers
Medical and pharmaceutical costs
attorney's fees
emergency reserve
Surrogacy agency service fees
Q4. I am an LGBTQ+ family, will I be restricted?
No, but it is important to choose the right agency. Not all organizations are LGBTQ+ friendly; organizations such as HRC, Growing Generations, and Same Love Surrogacy are particularly open and experienced with LGBTQ+ families.
Q5. What is the most overlooked aspect of the surrogacy process?
Contractual details: especially abortion, complications, legal identification clauses
Psychological support: important for both parents-to-be and surrogate mothers
Rigor of screening for surrogate mothers: not only physical examination, but also psychological assessment and background check
IX. Conclusion
Who are we, and why are we writing this list of recommended surrogacy agencies?
Briefly.
I am Surrogacy Home, and I have been working in the field of assisted reproduction and cross-border childbirth for more than ten years.
During these years, we have accompaniedHundreds of Chinese familiesfinish walkingSurrogacy in the United States, IVF, donor eggs, and other different routes;
Field trips have been made to fertility centers and surrogacy agencies in a number of surrogacy-friendly states, including California, Nevada, and Illinois;
Long-term communication with several fertility doctors, genetics specialists, fertility attorneys, and agency heads at HRC and FSAC;
I've also seen many cases of people stepping into the trap: some people have been trapped by low-priced packages, some people have chosen the wrong state and gotten stuck in the legal process, and some people have gone back and forth on their baby's return papers.
So, this article is a list of organizations that we have sifted through and compared over and over again over a long period of time in the field.
Important Notes:Each organization on the list has its suitable and unsuitable target groups, which we will explain in the introduction of each organization.
Picking a surrogacy agency is, quite frankly, picking a future home for "associate". It's not just about money, it's about emotions, health, and even your ability to carry your baby home. A little more time and homework will go a long way toward giving you peace of mind and a lot fewer unnecessary detours.
The Surrogate's House wishes you the best of luck on this not-so-easy, but hopeful road to finally reap the fulfillment that belongs to your family.
classifier for sums of money: This article was originally published in 2024, updated in December 2025, and updated over time!
Founder of Surrogacy Home
I am Nelson, the founder of Surrogacy Home, and I have a clinical background in assisted reproduction. Over the past decade, I have worked extensively with surrogate mothers, prospective parents, and related medical teams. I am also well aware that the real difficulty in a cross-border childbirth path often lies not just in "whether it can be done," but in ensuring a smooth transition through legal, medical, cost, contractual, and postnatal documentation processes.
As a father of two, I founded Surrogacy Home not only to provide information, but also to clarify the most easily overlooked risks and key points in advance. Our team has accumulated 15 years of experience in assisted reproduction, continuously tracking policy changes and practical differences in different countries to help Chinese families avoid detours in complex choices.
What is the price of American surrogacy now? Do I get American citizenship at birth?
Yes, U.S. citizenship is automatically granted by birth in the U.S., as required by U.S. law, at prices ranging from $180,000 and up.
I'm looking for a white girl with an advanced degree and good looks to donate eggs, is she any good?
Yes, there are quite a few egg donor organizations in the U.S. You can check out AMCAN recommended in this article, they are their own egg organization and have Chinese matchmaking
Is there a company in the country? Would like to go to the field to learn more
What is the price of American surrogacy now? Do I get American citizenship at birth?
Yes, U.S. citizenship is automatically granted by birth in the U.S., as required by U.S. law, at prices ranging from $180,000 and up.
I'm looking for a white girl with an advanced degree and good looks to donate eggs, is she any good?
Yes, there are quite a few egg donor organizations in the U.S. You can check out AMCAN recommended in this article, they are their own egg organization and have Chinese matchmaking
Is there a company in the country? Would like to go to the field to learn more
Yes, you can add me.