Show HN: Know the true cost of egg freezing upfront

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How Much Does Egg Freezing Cost?

How Much Does Egg Freezing Cost?

How much does egg freezing cost in the United States? One cycle runs $12,000 to $20,000 all-in. Most patients do more than one cycle. Annual storage adds $500 to $1,000. A transfer attempt costs $5,800 to $11,800. These ranges vary by state, age, and insurance scenario.

One cycle, all-in$12,000 to $20,000Procedure, medications, first year of storage. National 2026 range from FertilityIQ, GoodRx, and Cofertility.[1][2][3] See breakdown<br>Realistic total2 cycles typicalThe average patient does a second cycle. Over 20% do a third.[1] See multi-cycle math<br>Storage$500 to $1,000 / yrYear one often included. Cumulative 10-year cost typically $4,500 to $9,000. See storage fees

The realistic components of the price

Roughly 70% of lifetime cost goes to treatment, 10% to drugs, and 20% to storage. That breakdown comes from FertilityIQ’s cost-decomposition data, the most-cited reference in the niche.[1]

Treatment ~70%<br>$8,400 to $14,000<br>Initial consult and screening, monitoring, retrieval, anesthesia, embryologist, vitrification.

Medications ~10% to 30%<br>$3,000 to $6,000<br>Gonadotropins (Gonal-F, Follistim, Menopur), antagonist (Cetrotide, Ganirelix), trigger (Ovidrel or Lupron). Dose drives most variance.

Storage ~20% lifetime<br>$500 to $1,000 / yr<br>Annual fee for as long as the eggs are kept. Most freezers store 8 to 12 years before deciding to use, transfer to off-site, or dispose.

Prices vary across US states

Where you live drives the per-cycle price: how many clinics compete nearby, what the metro costs to live in, and whether a coverage mandate applies. The 12 states covered here account for most of the US population. Prices draw on FertilityIQ regional data, Cofertility tiers, and clinics’ own published pages.[1][3]

All states →

StateFromToMandateCalifornia$15,000$24,000SB 729 (Jan 2026), partial elective via large-group plansDetail →New York$16,000$22,000Full state infertility mandate, fertility preservation included for medically necessaryDetail →Massachusetts$13,000$19,000Comprehensive infertility mandate (since 1987), strongest in countryDetail →Illinois$12,000$18,000Comprehensive mandate, IVF coverage required on group plansDetail →Washington$12,000$18,000No comprehensive mandate, employer-drivenDetail →Colorado$12,000$18,000Building Families Act mandate (effective 2022)Detail →Pennsylvania$11,000$16,000No comprehensive mandateDetail →Georgia$10,000$15,000HB 94 (Jan 2026): iatrogenic infertility preservation requiredDetail →Florida$10,000$16,000State group plans must cover iatrogenic-infertility preservation (Jan 2026)Detail →Texas$10,000$15,000No comprehensive mandate, employer-drivenDetail →Arizona$10,000$15,000No comprehensive mandateDetail →North Carolina$10,000$15,000State employee health plan covers IVF (since 2025)Detail →

Costs differ by country

International prices seem low initially. However, you must add flights, accommodation, lost work time, and US follow-up costs if complications arise. The country pages provide the full breakdown and a fertility-tourism calculator.

All countries →

CountryTypical per-cycle priceWhat the price coversUnited States$12,000 to $20,000National average all-in per cycle, plus storageDetail →United Kingdom£7,000 to £8,000 (~$9,000 to $10,000)HFEA-regulated private; NHS only funds medical necessityDetail →CanadaCAD $7,000 to $11,000 (~$5,200 to $8,200)Provincial coverage varies (Ontario, Quebec)Detail →Mexico$3,500 to $6,500 USDPlus ~$3,000 in medications, plus travel and follow-upDetail →Czech Republic / Greece / Spain$3,000 to $7,000 USDEU-regulated; English-friendly clinics in Prague, Athens, BarcelonaDetail →

Most patients require multiple cycles

Two cycles is the norm, and more than 20% of patients go to three.[1] The eggs-needed-by-age model explains it. Someone freezing at 35 needs 15 mature eggs for a 70% chance of one live birth; a single cycle at 35 delivers 8 to 14.[4][17] That gap is the whole reason for a second round. Full multi-cycle math →

Consider a 35-year-old in a mid-tier metro (Boston / Chicago / Seattle tier) with no insurance, aiming for a 70% probability of one live birth.Patient profile.<br>Eggs needed: ~15 mature eggs (ASRM)<br>The average yield per cycle at age 35 is 8 to 14 mature eggs.<br>Expected cycles are 1 to 2. Most patients in this profile do two.<br>Per-cycle cost (mid-tier): $12,000 to $18,000<br>Two-cycle cost range: $24,000 to $36,000<br>Store eggs for 9 paid years (freeze at 35, year one included, use at 45) at $750/year: $6,750<br>Realistic 10-year all-in: $30,750 to $42,750<br>That figure moves once you factor in insurance, an employer benefit, financing, or the use-side cost of actually thawing the eggs. The calculator above takes all four.

Elective vs medically necessary<br>25 states and DC now have a fertility-coverage mandate.[11] However, elective egg freezing is rarely included; medically necessary freezing (e.g., prior to chemotherapy or gender-affirming treatment) is...

cycle cost eggs mandate freezing states

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