7 Best Surrogacy Agencies in Nevada (2026)

Nevada has governed gestational surrogacy by statute since 2013 under Nevada Revised Statutes (NRS) 126.500–126.810, and its courts grant pre-birth parentage orders to married couples, unmarried couples, same-sex couples, and single individuals regardless of genetic connection. That makes it one of the most inclusive and legally dependable surrogacy destinations in the country.

What sets Nevada apart from most other strong surrogacy states is its no-residency requirement — neither the surrogate nor the intended parents need to live in Nevada for a Nevada journey to proceed. As long as one element of the surrogacy process takes place in the state — the delivery, the contract execution, or the medical procedure — Nevada’s legal protections apply in full.

For families in Arizona, Utah, Idaho, and other Western states with restrictive or uncertain local laws, Nevada offers geographic proximity combined with statutory clarity. Physician’s Surrogacy, the nation’s only OB/GYN-managed surrogacy agency, serves Nevada surrogates and intended parents through the same physician-designed screening program and Flat-Rate Surrogacy model used by families across the Western U.S.

The agency you work with determines the depth of support, medical oversight, and compensation transparency you receive — whether you are an intended parent researching options or a woman exploring what it means to become a surrogate in Nevada.

This guide compares the seven best surrogacy agencies actively serving Nevada in 2026 — covering surrogate compensation, intended parent costs, match timelines, physician oversight, and local Nevada presence — so you can make a fully informed decision before your journey begins.

7 Best Surrogacy Agencies in Nevada

The table below compares all seven agencies at a glance. Surrogate pay reflects published first-time surrogate figures; IP totals cover the full journey — not agency fees alone. All figures are as of 2026.

1. Physician’s Surrogacy (National — OB/GYN-Managed)

Physician’s Surrogacy is the only surrogacy agency in the United States managed by practicing OB/GYNs — and that clinical structure produces measurable results. Preterm birth rates among Physician’s Surrogacy carriers run 50% below the national average, driven by a physician-designed screening protocol that accepts roughly 8% of all applicants.

The agency’s physicians conduct peer-to-peer consultations with a Nevada surrogate’s delivering OB — coordination no coordinator-run agency can replicate. For out-of-state intended parents pursuing a Nevada birth journey, the fully national program structure means no geographic barriers. Learn more about our physician-led model.

Nevada is an HC-tier state, meaning PS surrogates here start at $75,000+ — among the highest first-time floors in the country. Surrogates also receive a $1,250 screening completion bonus before pregnancy confirmation. Experienced surrogates can earn more. Intended parents choose from four flat-rate program tiers — Surrogacy Flat Rate ($145,000), Physician Plus ($193,000), Surrogacy Livebirth Guarantee ($208,000), or All Inclusive Bundle ($255,000) — with no agency fees until a match is confirmed. Full detail at our surrogacy cost guide.

For Intended Parents

• OB/GYN oversight throughout. Practicing physicians lead surrogate screening and coordinate directly with the delivering OB in Nevada — no coordinator-only model.
• Four-tier Flat-Rate Surrogacy program. Tiers from $145,000 to $255,000 with no agency fees until match confirmation.
• One-week average match time. The fastest matching performance in the industry, with no waitlist and immediate availability for Nevada families.
• Medically Cleared Program. Nevada surrogates who complete pre-match medical and psychological clearance eliminate the 3–5 week post-match screening wait. Legal timeline is standard. Available through partner centers only.
• No-residency-requirement fit. Physician’s Surrogacy’s national program structure works smoothly for out-of-state intended parents pursuing a Nevada birth journey. Browse available surrogates to see the pool.

For Surrogates

• Flat-rate package starting at $75,000+. Nevada is an HC-tier state — one of the highest compensation floors PS offers nationally. Total pay is clear from day one, with no adjustments tied to insurance or location.
• $1,250 screening completion bonus paid before pregnancy confirmation.
• Experienced surrogates can earn more on each subsequent journey.
• Physician oversight protects your health. The physician-designed screening protocol means only the healthiest candidates carry — reducing complication risk for Nevada surrogates and their families.
• Surrogate age window: 20.5–40.5. BMI below 35 required; women with BMI between 35 and 37 are evaluated case-by-case. Learn more about surrogate requirements.

Physician’s Surrogacy is headquartered in San Diego — without a physical Las Vegas or Reno office. All clinical coordination connects with Nevada IVF clinics remotely, which suits out-of-state intended parents particularly well.

Best For: Nevada intended parents — especially those coming from other Western states — who want physician-managed clinical oversight, an immediate match, and a fully transparent flat-rate pricing structure. Also ideal for Nevada surrogates who want the highest compensation floor on this list and a pre-match screening bonus.

2. Gestational Concepts (Las Vegas, Nevada)

Gestational Concepts is a Las Vegas-based agency whose entire staff comes from reproductive endocrinology backgrounds — giving it a deeper clinical vocabulary than most coordinator-run local agencies. The agency focuses on Las Vegas, Henderson, and Spring Valley, where Nevada’s leading IVF clinics are concentrated.

Published compensation is listed up to $50,000 — surrogates and intended parents should contact the agency directly for a full, current breakdown. Reviews from Las Vegas-area surrogates consistently cite personal, responsive communication from matching through delivery.

For Intended Parents

• Locally rooted Las Vegas team. On-the-ground relationships with Nevada’s IVF clinics, reproductive attorneys, psychologists, and escrow partners.
• Reproductive endocrinology staff background. Team members bring direct clinical experience that supports more informed coordination between agency, fertility clinic, and delivering OB.
• Established Nevada fertility clinic relationships. Active working partnerships with the Fertility Center of Las Vegas and Nevada Fertility Center.
• LGBTQ+ and inclusive matching. Serves all family structures without restriction.

For Surrogates

• Dedicated Las Vegas case management. Surrogates in the Las Vegas metro work with a locally present team — not remote coordinators managing from out of state.
• Clinically knowledgeable support team. Staff reproductive endocrinology backgrounds mean questions about medications, monitoring, and transfer procedures get substantive answers.
• Published compensation up to $50,000. Contact directly for the complete benefits structure and current first-time surrogate rates.

Gestational Concepts does not publish IP total costs or average match times. Its $50,000 compensation ceiling is lower than several agencies here — surrogates who want a higher guaranteed minimum should compare against Golden Surrogacy and Physician’s Surrogacy.

Best For: Nevada surrogates in the Las Vegas metro who want a locally present team with clinical staff experience. Intended parents who prioritize established local fertility clinic relationships and personalized in-market support.

3. Adoption and Surrogacy Choices of Nevada (Reno & Las Vegas)

Adoption and Surrogacy Choices of Nevada is the state’s only non-profit, 501(c)(3) licensed surrogacy agency, with dual locations in Reno and Las Vegas — the only agency on this list present in both major Nevada cities. Founded in 2012, it handles matching, screening, legal coordination, escrow, and ongoing support as a single integrated operation.

The non-profit structure means operating resources go back into service quality rather than profit distribution — a distinction some families weigh when evaluating long-term support depth.

The agency publishes IP total costs of $108,000–$156,000 excluding IVF — one of the most transparent cost disclosures in the Nevada market. Surrogate pay and benefits can reach up to $60,000, with the overall journey timeline approximately 18 months from sign-on to birth.

For Intended Parents

• Only non-profit agency in Nevada. 501(c)(3) status means operating resources go toward service quality rather than profit distribution.
• Dual Nevada offices — Reno and Las Vegas. The only agency on this list with in-person presence in both major Nevada cities.
• Published cost range: $108,000–$156,000 (excl. IVF). One of the most transparent IP cost disclosures among Nevada-based agencies.
• Full-service integration. Matching, legal coordination, medical coordination, escrow, and support handled as a single integrated operation.
• International and LGBTQ+ experience. Serves families from across the U.S. and internationally with equal access regardless of family structure.

For Surrogates

• Rigorously screened surrogate pool. A thorough screening process that protects both surrogates and intended parents from poor matches.
• Surrogate pay and benefits up to $60,000. Factors include the surrogate’s location, insurance, and experience level.
• Dual-city support. Surrogates in both Reno and Las Vegas have access to local support staff rather than remote-only coordination.
• Non-profit mission orientation. The agency’s published values center surrogate well-being as part of its organizational mission, not just as a business requirement.

The published cost range excludes IVF, which adds $25,000–$35,000+ depending on clinic and number of transfer cycles. Physician’s Surrogacy, Golden Surrogacy, and Fertility Source Companies all publish higher surrogate compensation floors.

Best For: Intended parents and surrogates who want Nevada’s only licensed non-profit agency with in-person offices in both Reno and Las Vegas. Particularly well-suited to domestic and international families who value organizational mission alignment alongside service quality.

4. Golden Surrogacy (Nevada)

Golden Surrogacy has operated statewide in Nevada for over a decade, serving Las Vegas, Reno, North Las Vegas, Paradise, Henderson, and surrounding communities. The agency publishes a $70,000 guaranteed minimum for first-time surrogates — and explicitly commits to never using “up to” language that masks a lower actual figure.

Golden was co-founded by former intended parents, and its team includes multiple former surrogates. Pre-pregnancy payments total $12,500 before confirmation, and all funds are held in third-party escrow before any medical procedures begin.

For Intended Parents

• Statewide Nevada coverage. Active matching across the entire state — not limited to the Las Vegas metro.
• Founder-led empathy. Co-founded by former intended parents who understand the process from the IP perspective.
• Escrow-first policy. All funds must be deposited in a third-party escrow account before any medical procedures begin — protecting both sides from financial exposure.
• LGBTQ+ inclusive. Serves all family structures regardless of sexual orientation, marital status, or genetic connection to the child.

For Surrogates

• $70,000 guaranteed minimum. No “up to” language — $70,000 is the floor for all first-time Nevada surrogates, regardless of location or insurance status.
• Pre-pregnancy payments totaling $12,500. One of the strongest pre-confirmation payment structures available to Nevada surrogates.
• Compensation not adjusted for location or insurance. Golden does not reduce surrogate pay based on factors many other agencies use to lower the effective rate.
• Experienced surrogate premium. Repeat surrogates earn more — total packages can reach $75,000 or above based on journey history.

Golden does not publish IP total costs or average match times — intended parents should request a full breakdown during the consultation. Compensation transparency is the agency’s clearest public strength; IP-side cost clarity lags behind Fertility Source Companies and Adoption and Surrogacy Choices of Nevada.

Best For: Nevada surrogates who want the clearest guaranteed compensation minimum available from a locally active agency. Intended parents who want a co-founder team with lived IP experience and statewide matching coverage.

5. Fertility Source Companies (National — Nevada Program)

Fertility Source Companies (FSC) publishes more Nevada-specific financial data than most agencies: first-time surrogates earn a $65,000 base, paid in eight installments from confirmed fetal heartbeat, plus $1,500 bonuses at medical and legal clearance. On the IP side, total journey costs run $160,000–$175,000, with the agency fee structured in milestone-tied installments.

All coordination runs through FSC’s national case management team, with matching drawing from a nationwide database that includes domestic and international families. FSC uses base compensation language — worth understanding before comparing figures directly against Physician’s Surrogacy’s flat-rate package. See our guide to surrogate pay for a breakdown of how agency models differ.

For Intended Parents

• Published total cost range: $160,000–$175,000. One of the clearest IP-facing total cost disclosures available for Nevada journeys.
• Agency fee paid in installments. Fee structure is milestone-tied, reducing upfront financial exposure at journey start.
• National surrogate pool. Nevada intended parents access FSC’s nationwide database of pre-screened surrogates, not limited to in-state candidates.
• Financing options available. Partnerships with Prosper Healthcare Lending, CAPEXMD, and fertility-specific lenders reduce the financial barrier to entry.

For Surrogates

• $65,000 published base for Nevada. Eight-payment installment structure beginning at fetal heartbeat confirmation, with additional expense allowance.
• $1,500 medical clearance bonus + $1,500 legal clearance bonus. Milestone payments supplement base compensation.
• Access to domestic and international intended parents. Nevada surrogates can match with a broader IP pool than local-only agencies provide.
• Surrogate age requirement: 21–43. A broader age window than some agencies; confirms requirements during screening.

FSC has no physical Nevada office — all coordination is remote. Its $160,000–$175,000 total cost range is higher than Adoption and Surrogacy Choices of Nevada’s published range, so budget-conscious families should compare both closely.

Best For: Nevada intended parents who want a clearly published total journey cost estimate before engaging and access to a national surrogate pool. Nevada surrogates who want a clearly posted base compensation figure with structured milestone bonuses.

6. ConceiveAbilities (Chicago, IL — Las Vegas Presence)

ConceiveAbilities has served Nevada families for over two decades with a Las Vegas-facing program backed by one of the largest surrogacy agency infrastructures in the U.S. Its internal legal team is experienced with Nevada’s pre-birth order process, and it is one of the more active agencies matching Nevada surrogates with international intended parents.

The All-In Surrogacy Program at $197,500 bundles most journey costs into one price: unlimited rematches, additional transfer cycles, maternity insurance, and lost wages coverage for a surrogate’s spouse. The Matching Matters™ process claims a 97% first-introduction acceptance rate, though Nevada match times average 2–3 months.

For Intended Parents

• $197,500 All-In program. Comprehensive fixed-price structure that covers unlimited rematches and transfer cycles, reducing financial unpredictability.
• 25+ years of Nevada legal familiarity. Internal legal team experienced with Nevada pre-birth order filings under NRS 126.720.
• International IP program. Serves families from 70+ countries, including international parents who want Nevada’s accessible, residence-free framework.
• LGBTQ+ focused matching. Strong track record serving all family structures, including those in the Las Vegas LGBTQ+ community.

For Surrogates

• Global intended parent pool. Nevada surrogates matched through ConceiveAbilities can connect with families from across the U.S. and internationally.
• Nevada surrogate compensation not published publicly; discussed during intake.
• Established support infrastructure. Decades of experience mean surrogate case management processes are well-documented and consistently applied.

At $197,500, ConceiveAbilities sits well above both Adoption and Surrogacy Choices of Nevada and Fertility Source Companies. The 2–3 month match time is notably slower than Physician’s Surrogacy’s one-week average.

Best For: Nevada intended parents — particularly international families leveraging Nevada’s no-residency-requirement framework — who want maximum financial predictability through an all-inclusive fixed-price model.

7. American Surrogacy (National — Nevada Program)

American Surrogacy is headquartered in Olathe, Kansas, with an active Nevada program and one of the widest published compensation ranges in the state: $55,000–$110,000+ for first-time surrogates. The agency publishes a 1–4 month match time and operates on a 1:1 surrogate-to-intended parent ratio.

The Limited Risk Program covers unlimited rematches and refunds on specified unused fees if no embryos remain and no birth has occurred. It also includes a Parent Protection Fee designed to reduce exposure to unexpected cost escalation.

For Intended Parents

• Limited Risk Program. Financial protection against repeated failed transfers and unused-fee losses — relevant for Nevada journeys involving complex medical histories.
• 1–4 month published match time. Faster than the industry standard of 6–12 months, though slower than Physician’s Surrogacy’s one-week average.
• Published detailed cost estimates. The agency builds cost breakdowns for individual journeys rather than publishing a single fixed price.
• Nevada-specific legal familiarity. Works with Nevada ART attorneys experienced in NRS 126.500–126.810 compliance and pre-birth order filings.

For Surrogates

• $55,000–$110,000+ published NV range. The widest published first-time surrogate compensation range among agencies in this comparison.
• Monthly payment structure. Base pay distributed in monthly installments after pregnancy confirmation, providing consistent financial support through gestation.
• Statewide Nevada coverage. Active across Las Vegas, Reno, Henderson, and surrounding communities.

American Surrogacy does not publish an IP total cost figure for Nevada, and surrogate screening relies on contracted medical professionals rather than an onsite clinical team. Fertility Source Companies and Adoption and Surrogacy Choices of Nevada both offer more upfront cost transparency.

Best For: Nevada surrogates who want a clearly published state-specific pay range with an experienced surrogate premium. Intended parents who want financial downside protection through the Limited Risk Program and a match timeline faster than the industry standard.

Nevada Surrogacy Law: What You Need to Know

Nevada has governed gestational surrogacy by statute since 2013 — one of the earliest Western states to codify the practice. The governing framework is NRS 126.500–126.810, covering eligibility, contract requirements, parentage, and compensation.

For a broader look at how Nevada compares nationally, see our surrogacy laws by state guide. Here is what the statute means in practice in 2026.

• Gestational surrogacy is expressly permitted by statute. NRS 126.500–126.810 establishes Nevada as a gestational surrogacy-permissive state with a detailed regulatory structure. Under NRS 126.580, a gestational carrier is defined as a woman who bears a child using gametes from other persons — not her own.
• Traditional surrogacy is legally risky. Nevada’s statute does not cover traditional surrogacy. Most Nevada ART attorneys strongly advise against it given the elevated legal risk to all parties.
• Pre-birth parentage orders are routinely granted. Nevada district courts issue pre-birth orders for married couples, unmarried couples, same-sex couples, and single individuals regardless of genetic connection. Under NRS 126.720, the court order validating the gestational agreement also establishes intended parents as the child’s legal parents — and directs the birth certificate to name them from birth. Orders can generally be obtained in days to weeks, often without a hearing.
• No residency requirement. Neither intended parents nor surrogates are required to live in Nevada for Nevada’s legal framework to apply. At least one qualifying connection to the state is sufficient — the delivery occurring in Nevada, the gestational agreement being executed in Nevada, or the medical procedures for assisted reproduction taking place in the state.
• Independent legal counsel is mandatory for both parties. Under NRS 126.740, a prospective gestational carrier must undergo legal consultation with independent legal counsel before the agreement is executed. Intended parents must also have separate independent representation. The gestational agreement must be executed before any medical procedures related to the surrogacy take place — other than the medical evaluation for carrier eligibility.
• The gestational agreement must be in writing and notarized. Under NRS 126.750, the agreement must be in written form, signed, and notarized within Nevada to be valid. A copy must be attached to the pre-birth order petition per NRS 126.720.
• Compensated surrogacy is explicitly permitted. Under NRS 126.810, consideration paid to a gestational carrier must be negotiated in good faith and must not be conditioned on gamete quality or genetic traits. Nevada expressly recognizes payment for the surrogate’s time, trouble, and inconvenience — one of the most direct statutory acknowledgments of compensated surrogacy in the Western U.S.
• Donors have no parental rights. Under NRS 126.660, a donor is not a parent of a child conceived by assisted reproduction. This protects donor-gamete families — including same-sex couples using egg or sperm donors — and makes Nevada one of the most inclusive states for non-genetic intended parents.
• No Nevada agency licensing requirement. Nevada statutes do not require surrogacy agencies to hold a state license to operate. The law governs the contract, the parties, and the parentage — not the agencies coordinating the journey. Vetting any agency’s qualifications, financial handling, and medical oversight falls entirely on intended parents and surrogates.

What to Look for in a Nevada Surrogacy Agency

Nevada’s statute creates a strong legal foundation — but it sets no standards for the agencies that coordinate journeys under it. Because any entity can operate as a surrogacy agency in Nevada without a license, the quality of clinical oversight, financial transparency, and surrogate support varies widely. These five criteria separate agencies that will serve you well from those that leave critical gaps. See also our guide to choosing a surrogacy agency.

• Clinical oversight depth. Ask who screens the surrogates and what clinical credentials they hold. Coordinator-led screening outsources all medical judgment to contracted fertility clinics; physician-led models keep clinical responsibility onsite. The difference affects accountability when a complication arises — and the data shows it affects preterm birth rates measurably.
• Compensation transparency before you apply. Nevada’s market spans a wide range — from $50,000 published ceilings at some local agencies to $75,000+ guaranteed minimums through Physician’s Surrogacy. Ask whether the published figure is a true guaranteed minimum or a maximum that most surrogates fall below. Confirm how compensation is structured: flat-rate packages and base compensation installment models produce different cash-flow profiles for surrogates. Our avoiding agency scams covers the red flags to watch for.
• Escrow structure and timing. Nevada law does not mandate escrow — agencies treat it differently. An agency that does not require all intended parent funds in third-party escrow before medical procedures begin creates real payment-security risk for surrogates. Confirm escrow policy in writing before signing.
• Nevada-specific ART legal network. Nevada has only a small number of attorneys with active ART practice experience under NRS 126.500–126.810. Ask each agency which Nevada attorneys they recommend and whether those attorneys have filed multiple pre-birth orders under NRS 126.720.
• No-residency-requirement readiness. For out-of-state intended parents and surrogates, ask whether the agency has documented experience coordinating journeys where surrogate and IPs live in different states — including the logistical sequencing of notarized agreement execution in Nevada.

How We Evaluated These Agencies

This comparison was built on direct research into each agency’s publicly available materials, published compensation and cost data, Nevada legal affiliations, and verifiable state presence. Five criteria were applied consistently across all seven agencies.

Starting Your Nevada Surrogacy Journey: Where to Begin

Nevada’s no-residency requirement and its 2013 statute make the Silver State a reliable destination for families across the Western U.S. — particularly those in Arizona, Utah, and Idaho where local laws are less settled. The legal protections are real, but Nevada’s law does not regulate the agencies that coordinate journeys under it — that vetting falls entirely on you.

The best surrogacy agencies in Nevada take genuinely different approaches: local offices vs. national reach, published fee structures vs. intake-only pricing, coordinator-led screening vs. physician oversight. Only one agency on this list has onsite OB/GYNs managing the screening process — which is why its preterm birth rates run 50% below the national average and its Nevada surrogate compensation floor ($75,000+) is the highest on this list.

Surrogacy sits at the intersection of modern medicine and profound human generosity. The families who move through this process most smoothly are the ones who ask the hardest questions upfront — about who performs screening, what the total cost actually looks like, and how long they should expect to wait. In Nevada, you now have the information to ask all three.

Frequently Asked Questions