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Egg Donor and Surrogate Agency Fees in the USA 
All egg donor and surrogacy agencies charge a variety of fees to provide you with an egg donor or surrogate, and to ensure that all legal and psychological needs and certain insurance needs are covered. The following is a general range of egg donor and surrogacy agency fees. Note that fees may vary quite a bit from one agency to the next.

Generally speaking, egg donor agency administrative fees tend to be in the $4,000–$8,000 range. This does not include the egg donor’s fee, medical fees, or egg donor expenses. Some agencies give you a bundled fee that includes legal fees, psychological fees, insurance fees, and agency administrative fees. Others charge a separate fee for each service or ask you to pay each fee directly to the service provider. These fees are usually nonnegotiable. Most egg donor and surrogacy agencies spend a lot of money to recruit donors and don’t have a high profit margin. The other fees for legal, psychological, and other services are fairly standard and, again, have no wiggle room.

A new trend with a few egg donor agencies is to break fees down to include matching and coordination fees. Some agencies are starting to contract out the cycle coordination fee to independent agencies who will handle the details of the cycle. These cycle coordinating or management agencies often handle and the donor’s fee, booking travel arrangements and distribution of expense reimbursement.

Egg donor fees are the greatest variable. An egg donor’s fee can range from $4,000 to $10,000, if the agency is abiding by American Society for Reproductive Medicine (ASRM) guidelines. The donor’s fee could be as high as $30,000. Generally, you need not pay that much to get what you want in an egg donor.

With surrogacy, the fees are higher because you’re dealing with a longer, more complicated process. It is a little harder to compare administrative fees, but it is pretty safe to assume that you get what you pay for. If the surrogacy agency has an extremely low administrative fee, the agency may be just a matching service. That is, they have surrogates to match, but you will need to handle the details on your own.
Full service surrogacy agencies charge an administrative fee of $16,000–$21,000. You want a program that will support you from match to birth and beyond. Some agencies are more hands-on when handling cases than others.

Surrogate fees can vary from $18,000 to $35,000 and up. Surrogates do so much for what breaks down to a few dollars a day. These wonderful women more than earn their compensation for the wear and tear on their bodies and the strain on their families. Expect most surrogates to receive compensation for expenses plus incentive for attending monthly support group meetings.

Basic Egg Donor Agency Cost

The following fees do not include medical costs for services or medications required:
• Administrative fee for the egg donor program: $4,000–$8,000.*
• International fee: $500–$2,000.
• Egg donor fees: $5,000–$20,000.
• Egg donor expenses: $600–$6,000 (if travel is required).
• Legal fees: $750–$950.
• Egg donor insurance: $400–$500.
• Egg donor psychological screening: $400–$1,000. Depends on the level of testing. Expect the Minnesota Multiphasic Personality Inventory (MMPI) at a minimum. Usually intelligence testing will cost you more.

Basic Surrogacy Agency Cost

The following fees do not include medical costs for services or medications required:
• Administrative fee for the surrogacy program: $5,000–$23,000.
• International fee: $2,000.
• Surrogate fee: $18,000–$35,000.
• Allowance for surrogate: $200 per month.
• Surrogate support group meetings: $100 per month.
• Legal fees: $2,000–$8,000. Depends on the extent of the attorney’s duties. If they manage the trust/escrow account, expect the fee to be on the higher end.
• Psychological fees for surrogate evaluation and support: $1,000–$4,000 (depending on how involved the psychologist is).
• Maternity clothing allowance for the surrogate: $600–$1,000.
• Embryo transfer fees: $750.
• Fees for multiples: Expect to pay more for a twin pregnancy, and more still for triplets and additional multiples, due to additional bed rest required for the surrogate.

Information provided by Gail Sexton Anderson of Donor Concierge (http://donorconcierge.com)
Since 1998, Gail Sexton Anderson, Ed.M., has dedicated her career to helping intended parents from all walks of life build families. She founded Donor Concierge as a compassionate approach to helping intended parents sort through the myriad of egg donor and surrogacy options.

Gail has developed working relationships with many excellent egg donor and surrogacy programs, fertility attorneys, and mental health professionals specializing in third party fertility counseling she has known and trusted for years. This enables her be a great resource for her clients for any additional help they may need as they build their family.

Gail holds a master’s degree in counseling from Harvard Graduate School of Education. She is an empathic listener who brings a calming influence to what can often be an emotionally stressful process.

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