If you’ve started researching surrogacy, you’ve probably already noticed: the rules change depending on where the baby is born. Surrogacy laws by state control everything from parentage orders to birth certificate timing — and there’s no federal law to standardize any of it.
One state might let you finalize parentage before delivery. Another might void your contract entirely. And for same-sex couples, single parents, and families using donor gametes, the wrong state can add months and thousands of dollars.
At Physician’s Surrogacy — the only surrogacy agency in the U.S. managed by board-certified OB/GYNs — we coordinate journeys in all approved states from our headquarters in San Diego.
This guide gives you the same state-by-state breakdown we walk through with every intended parent: which states make surrogacy straightforward, which ones come with conditions, and which ones to plan around.
You’ll see the term “surrogacy-friendly” used everywhere — by agencies, attorneys, and fertility clinics. But it’s worth understanding what the label actually means in practice, because it’s more than a marketing grade.
A surrogacy-friendly state typically checks four boxes:
States with conditions may check some of those boxes, but not all.
Texas, for example, has a validated gestational agreement pathway, but it’s limited to married couples. Oregon has a strong court practice but no surrogacy-specific statute, which means county-level variation is more common.
Restrictive states either void surrogacy contracts outright (like Nebraska) or limit them so narrowly that most families are better off planning a cross-state birth (like Louisiana). The act of surrogacy itself isn’t usually illegal, but without enforceable contracts or reliable parentage orders, the legal risk climbs fast.
These states have clear statutory authorization or deep case law supporting enforceable gestational surrogacy, pre-birth parentage orders for most family structures, and predictable court processes. They’re the strongest options for both intended parents and surrogates.
| State | Pre-Birth Orders | Who It Works For | Key Strength | Watch Out For |
|---|---|---|---|---|
| California | ✅ Yes | All family structures | Gold standard; deepest legal + clinical infrastructure | Higher cost of living may raise surrogate expenses |
| Colorado | ✅ Yes | All family structures | Intent-based statute; strong for donor-gamete families | Fewer agencies HQ’d here vs. California |
| Connecticut | ✅ Yes | Most family structures | Modern Parentage Act; best Northeast option | Compliance with statutory agreement requirements needed |
| Delaware | ✅ Yes | All family structures | Statute since 2013; inclusive and well-tested | Smaller surrogate pool; cross-state matching common |
| D.C. | ✅ Yes | Broad (with nexus) | Statutory since 2017; inclusive framework | Requires residency or birth nexus |
| Hawaii | ✅ Yes | All family structures | New UPA-based statute (Act 298, Jan 2026) | First year of new law; limited local precedent |
| Idaho | ✅ Yes (validation) | All family structures | Gestational Agreements Act; marriage not required | Validation timing must be met; newer framework |
| Illinois | ✅ Yes | Broad (expanded 2025) | Gestational Surrogacy Act + 2025 Equality Act | Sequencing contracts + filings early matters |
| Maine | ✅ Yes | All family structures | Statutory; inclusive of LGBTQ+ families | Limited local clinic infrastructure |
| Massachusetts | ✅ Yes | Most family structures | Parentage Act effective Jan 2025 | Newer statute; court procedures still maturing |
| Michigan | ✅ Yes | Broad | ARSPA effective April 2025; gender/marriage neutral | New law — confirm pathway with local attorney |
| Nevada | ✅ Yes | All family structures | No residency requirement; accessible to out-of-state IPs | Fewer surrogates locally; matching often cross-state |
| New Hampshire | ✅ Yes | Broad | Orders often granted on pleadings alone | Small state; limited surrogate availability |
| New Jersey | ✅ Yes | All family structures | Gestational Carrier Agreement Act (2018) | Statutory prerequisites must be met precisely |
| New York | ✅ Yes | Most family structures | CPSA (2021); Surrogate’s Bill of Rights | Agency licensing required; strict compliance |
| Oregon | ✅ Yes (most cases) | All family structures | Strong court practice; 2025 parentage reform (SB 163) | SB 163 effective 2027; until then, case law-based |
| Pennsylvania | ✅ Yes | All family structures | Pre-birth orders available statewide | No surrogacy-specific statute; practice-based |
| Rhode Island | ✅ Yes | Broad (1 IP must be US resident) | UPA-based statute (2021); no genetic link needed | US residency requirement for at least one IP |
| Vermont | ✅ Yes | All family structures | Statutory; inclusive and modern | Small state; limited local infrastructure |
| Washington | ✅ Yes | All family structures | RCW 26.26A; no residency requirement | Statutory compliance needed for pre-birth order |
This table reflects legal conditions as commonly practiced in 2026. Surrogacy law changes frequently — always confirm your specific pathway with a reproductive attorney licensed in the birth state.
California is the benchmark for surrogacy law in the U.S. — and the most inclusive state for LGBTQ+ families, single parents, and international intended parents. Statutory protections under Cal. Fam. Code §§ 7960–7962 provide pre-birth parentage orders regardless of marital status, sexual orientation, or genetic relationship.
The 1993 Johnson v. Calvert ruling established that intent governs parentage — a precedent that has kept California courts predictable for decades.
California also has the densest infrastructure of fertility clinics, reproductive attorneys, and experienced agencies in the country. Medical and legal timelines coordinate more reliably here than in most other states. The tradeoff is cost: California’s higher cost of living can push surrogate-related expenses above the national average.
If you’re looking for the best surrogacy agencies in California, start by comparing how each agency handles screening — because not all OB oversight is created equal.
Colorado offers one of the strongest statutory surrogacy frameworks in the country, codified under Colo. Rev. Stat. § 19-4.5-101 It emphasizes intent over biology — making it a strong choice for donor-gamete families.
Pre-birth parentage orders are available for all family structures when statutory requirements are met, and the process is largely documentation-driven, so it sequences well alongside IVF clinic timelines.
Connecticut’s Parentage Act (C.G.S. ch. 818) provides a clear statutory foundation for gestational surrogacy, making it the most predictably friendly state in the Northeast. Pre-birth parentage orders are available for most family structures.
The statutory language reduces ambiguity around hospital paperwork and birth certificate timing. The Raftopol v. Ramey (2011) decision provided earlier parentage precedent that the Parentage Act later codified.
Delaware’s gestational surrogacy statute (Delaware surrogacy statute) has been in place since 2013 and covers a broad range of family structures without requiring a genetic link. Pre-birth orders are commonly granted. The main consideration is surrogate availability — Delaware’s smaller population means cross-state matching is common.
D.C.’s Collaborative Reproduction Amendment Act of 2016 (D.C. Law 21-255) expressly authorizes surrogacy agreements with parentage order pathways for both gestational and traditional surrogacy. The framework is inclusive, but requires a residency or birth nexus — at least one party must reside in D.C. or the birth must occur there.
Hawaii’s Act 298 took effect January 1, 2026, modernizing the state’s parentage laws under a UPA 2017-based framework. The law expressly authorizes gestational surrogacy, provides pre-birth parentage order pathways, and uses gender-neutral language.
Broad eligibility — single parents, same-sex couples, donor-gamete families. As with any newly enacted law, confirm procedures with a local attorney while court-level familiarity develops.
Idaho’s Gestational Agreements Act (Idaho Code § 7-1601) uses a validation-based approach: the court validates the agreement before birth (or within seven days after), and a final parentage order follows. Marriage is not required, and one or two intended parents are recognized. The key is hitting the validation filing window — miss it, and the process gets more complicated.
Illinois has long had one of the most developed surrogacy frameworks in the country under the Gestational Surrogacy Act (750 ILCS 47). The 2025 Equality for Every Family Act expanded access further, removing the prior genetic-connection requirement — so families using donor embryos now have a clearer statutory pathway.
If you’re researching the best surrogacy agencies in Illinois, the state’s well-sequenced legal process is a major advantage. Get contracts, medical milestones, and parentage filings in order early, and the timeline stays predictable.
Maine’s Maine Parentage Act § 1932 supports enforceable gestational agreements with pre-birth parentage orders available for all family structures, including LGBTQ+ families. Clinical infrastructure is thinner than in larger states, but the legal pathway is solid for families willing to work with agencies that coordinate cross-state matching.
The Massachusetts Parentage Act took effect January 1, 2025, providing statutory clarity for surrogacy statewide for the first time. The law supports gestational surrogacy with a streamlined judgment of parentage and protects surrogate medical autonomy.
Court and vital-records procedures are still maturing, so work with a Massachusetts-licensed reproductive attorney to confirm filings and timelines.
Michigan went from one of the most restrictive states to a surrogacy-friendly one almost overnight. The ARSPA (MCL 722.1701) (ARSPA, effective April 2, 2025) makes surrogacy contracts enforceable, provides parentage order pathways, and is gender- and marriage-neutral.
The law requires mental health clearance and independent Michigan-licensed attorneys for both sides. The framework is strong on paper — but given its newness, confirm your pathway with a local attorney early while practitioner familiarity continues to develop.
Nevada is a popular choice specifically because it imposes no residency requirement. Intended parents from Western states with more complicated local laws can plan a Nevada birth without living there. NRS 126.500–126.810 provides a statutory pathway with pre-birth parentage orders available regardless of genetic connection, marital status, or sexual orientation.
New Hampshire’s statute (N.H. Rev. Stat. Ann. 168-B) expressly permits gestational surrogacy with clear eligibility requirements. Pre-birth and post-birth orders are typically granted on the pleadings alone — meaning no hearing is required. Small surrogate pool locally, but the legal framework is clean.
The Gestational Carrier Agreement Act of 2018 (N.J.S.A. 9:17-65 et seq.) provides broad-access enforceable gestational surrogacy with pre-birth orders. All family structures — single, married, LGBTQ+, donor gametes — are covered. Meet the statutory prerequisites precisely, and the process runs smoothly.
New York legalized compensated gestational surrogacy in 2021 via the Child-Parent Security Act (CPSA), and 2025 amendments expanded access for out-of-state intended parents. The state has a statutory Surrogate’s Bill of Rights and requires surrogacy agencies to be licensed by the Department of Health.
Compliance risk is real — failing statutory requirements can impair your parentage pathway — so work with an attorney who knows New York’s specific filing rules. If you’re exploring the best surrogacy agencies in New York, agency licensure status should be one of your first questions.
Oregon doesn’t have a surrogacy-specific statute yet, but courts routinely grant pre-birth parentage orders in gestational surrogacy cases — including for LGBTQ+ families and donor-gamete scenarios. The state passed SB 163 in 2025, a broad parentage reform bill that includes surrogacy provisions, but most provisions take effect January 1, 2027.
Until then, the legal framework remains case law-based. Work with an attorney who knows which counties and courts to file in.
Pennsylvania lacks a surrogacy-specific statute — the relevant parentage framework sits in 23 Pa.C.S. Ch. 54 — but is included in the “surrogacy-friendly” tier by most practitioner maps because pre-birth orders are available statewide for all family structures. Both parents are named on the birth certificate.
The court names both parents on the birth certificate — a practical strength rooted in consistency rather than statute.
Rhode Island’s UPA-based statute (R.I. Gen. Laws § 15-8.1, effective 2021) permits gestational surrogacy without requiring a genetic connection. At least one intended parent must be a U.S. resident. Pre-birth orders are available through the statute’s birth order pathway.
Vermont’s 15C V.S.A. ch. 8 expressly permits gestational surrogacy and provides modern, inclusive parentage order pathways. The state is small and the local surrogate pool is limited, but the legal environment is as clean as it gets for families willing to coordinate matching across state lines.
Washington’s UPA (RCW 26.26A) permits both compensated gestational and traditional surrogacy, with pre-birth parentage orders available regardless of marital status, genetic connection, or sexual orientation. No residency requirement. The statute is strong and well-traveled — one of the best legal environments for surrogacy in the country.
These states can work for gestational surrogacy, but the legal pathway comes with more conditions. Some limit access based on marital status or genetic connection. Others rely on case law rather than statute, creating county-level variation. Extra legal planning is typically required — and legal fees may run higher.
| State | Pre-Birth Orders | Key Condition | Who It Works For | What to Plan For |
|---|---|---|---|---|
| Alabama | Often available | No surrogacy statute; practice-based | Single IPs, married couples (genetic link often required) | County variation; limited second-parent adoption |
| Alaska | Limited/unclear | No statute or case law; unregulated | Narrow scenarios; post-birth adoption common | High uncertainty; cross-state recommended |
| Arkansas | Yes (limited) | Statute requires marriage or genetic link | Married couples; single genetic IPs | Non-genetic/unmarried IPs may need adoption |
| Florida | Post-birth (expedited) | §742.15 requires married couple; 72-hour post-birth deadline | Married couples (§742.15); broader via §63.213 | Strict filing deadlines; dual pathway complexity |
| Georgia | Often available | No statute; practice-based in many counties | Broad in practice (including single, non-genetic) | County/judge variability; no statutory backstop |
| Iowa | Case-dependent | Often requires genetic parent | Genetic IPs most likely to succeed | Limited guidance; post-birth steps may be needed |
| Kansas | Unclear | No statute; unregulated | Practice-dependent | Unpredictable; experienced local counsel a must |
| Kentucky | Unclear | No statute; case-by-case | Practice-dependent | No established pathway; consider cross-state |
| Maryland | Often available | No statute; practice-based | Broad in practice | Judge variation; no statutory enforceability |
| Minnesota | Statutory stay pre-birth | No surrogacy statute; requires post-birth order | Limited | Post-birth process adds time; consult local attorney |
| Mississippi | Practice-dependent | No statute; unregulated | Uncertain | No reliable pathway; cross-state recommended |
| Missouri | Practice-dependent | No statute; unregulated | Uncertain | County variation; limited precedent |
| Montana | Practice-dependent | No statute; unregulated | Uncertain | Minimal case law; cross-state often recommended |
| New Mexico | Often available | Statute says “neither permitted nor prohibited” | Broad in practice | No explicit authorization adds residual risk |
| North Carolina | Practice-dependent | No statute; unregulated | Practice-based outcomes | Judge/county variability |
| North Dakota | Often limited | Often requires genetic link | Genetic IPs | Non-genetic IPs may need post-birth adoption |
| Ohio | Often available | Case law supportive; no statute | Broad in practice | No statutory backstop; county variation |
| Oklahoma | Yes | Statute (2019); married couples + residency | Married couples meeting residency rules | Marital and residency restrictions |
| South Carolina | Often available | No statute; practice-based | Broad in practice | No statutory protections; limited case law |
| South Dakota | Often available | No statute; contract drafting must avoid coercion terms | Broad in practice | SDCL §22-17-14 requires careful drafting |
| Tennessee | Limited | Often requires genetic connection; non-genetic IP needs adoption | Genetic IPs | Non-genetic parents face adoption requirement |
| Texas | Yes (after validation) | Validated pathway requires married IPs; medical-need showing | Married couples | Single parents, unmarried couples need cross-state plan |
| Utah | Yes | Requires married IPs and genetic connection | Married couples with genetic link | Non-genetic and unmarried IPs excluded from primary pathway |
| Virginia | Yes (court-approved) | Dual-model statute; two-IP marriage requirement | Married couples; others with extra planning | Procedurally heavier; build legal steps into timeline |
| West Virginia | Often available | Narrow statute cite; county variability | Broad in practice | Judge/county variation; backup plan recommended |
| Wisconsin | Interim pre-birth + post-birth | Case law based; best-interest standard applies | Practice-dependent | Interim orders may not finalize until post-birth |
| Wyoming | Unclear | Statute neither permits nor prohibits | Very limited data | High uncertainty; cross-state strongly recommended |
Texas has a court-validated gestational agreement pathway under Texas Family Code §§ 160.751–160.763. It works — but only if the intended parents are married to each other, and the statute includes a medical-need showing regarding the intended mother’s inability to carry.
Single parents and unmarried couples don’t qualify for the validated pathway and typically need a cross-state arrangement. Houston and Dallas are common coordination hubs. If you’re researching the best surrogacy agencies in Texas, confirm eligibility before matching — not after.
Florida has a dual-pathway structure. §742.15 governs gestational surrogacy contracts for married commissioning couples; §63.213 provides a broader “preplanned adoption agreement” pathway that covers single persons, unmarried couples, and no-genetic-link situations.
Florida uses a post-birth affirmation model rather than true pre-birth orders — the petition must be filed within 72 hours of birth under §742.16. Miss that window, and the process gets more complicated. If you’re looking at the best surrogacy agencies in Florida, ask about their deadline management and hospital coordination.
Georgia has no surrogacy statute — the state’s O.C.G.A. Title 19, Ch. 7 does not address surrogacy directly — but gestational surrogacy is practiced and pre-birth orders are often available, depending on the county and judge. The best surrogacy agencies in Georgia will have direct experience working through county-level court practices.
The absence of a statutory framework means there’s no enforceability backstop if something goes wrong — so legal counsel and agency selection matter more here than in statute-heavy states.
Virginia permits surrogacy under Va. Code §§ 20-156–20-165 but is more procedurally structured than most surrogacy-friendly states. The statute includes a two-IP marriage requirement and a court-approval model. Plan the legal steps early — Virginia’s process tends to add time if approached reactively rather than proactively.
Oklahoma’s Gestational Agreement Act (effective May 2019) provides a statutory framework, but limits the validated pathway to married couples and includes residency requirements. Pre-birth parentage orders are available within those constraints. Single parents and unmarried couples need to explore alternatives.
A number of states — including Alabama, Iowa, Kansas, Kentucky, Maryland, Mississippi, Missouri, Montana, New Mexico, North Carolina, Ohio, South Carolina, South Dakota, West Virginia, Wisconsin, and Wyoming — have no dedicated surrogacy statute. Surrogacy happens in all of them, but outcomes depend on case law, county-level court practices, and individual judges.
Pre-birth orders may be available in some jurisdictions within these states but not others. The right attorney and the right agency become even more important in practice-based states.
These states either void surrogacy contracts outright, prohibit compensated surrogacy, or impose such narrow eligibility that the vast majority of intended parents are better off planning a cross-state birth.
| State | Restriction | Pre-Birth Orders | Practical Takeaway |
|---|---|---|---|
| Arizona | Contracts prohibited by statute (A.R.S. § 25-218) | Limited (genetic link required in practice) | High friction for non-genetic IPs; cross-state recommended for most families |
| Indiana | Contracts void (Ind. Code § 31-20-1-1) | Some courts grant (varies by county) | Surrogacy occurs but contracts unenforceable; same-sex couples face extra obstacles |
| Louisiana | Narrow: married heterosexual couples, own gametes only, no compensation | Not available | Most modern families don’t qualify; cross-state birth is standard |
| Nebraska | Contracts void (Neb. Rev. Stat. § 25-21,200) | Not available | Cross-state birth in California or Nevada is the standard path |
Arizona statute (A.R.S. § 25-218) prohibits surrogate parentage contracts. They’re statutorily unenforceable. Some courts have granted pre-birth orders in limited genetic-link scenarios after the Soos v. Superior Court decision, but the pathway is narrow and risky.
Non-genetic intended parents, same-sex couples, and families using donor gametes face the highest friction. Most families plan a cross-state birth in Nevada or California.
Indiana declares surrogacy contracts void and unenforceable under Ind. Code § 31-20-1-1. Surrogacy itself isn’t illegal, and some Indiana courts have started granting pre-birth orders — particularly where at least one intended parent is genetically related — but outcomes vary by county and judge.
Same-sex couples face additional obstacles, with no reported cases of both members obtaining a pre-birth order. Compensated surrogacy isn’t explicitly prohibited, but compensation terms in voided contracts likely won’t be upheld if challenged.
Louisiana allows only a very narrow form of gestational surrogacy under La. R.S. 9:2718 et seq.: married heterosexual couples using their own egg and sperm (no donor gametes), with no compensation beyond permitted expenses. The agreement must be court-approved before embryo transfer.
The vast majority of modern family-building pathways don’t qualify. Most families from Louisiana pursue a cross-state journey — typically with a California or Nevada birth.
Surrogacy contracts are void and unenforceable under Nebraska Revised Statute § 25-21,200. Pre-birth parentage orders are not available. In limited scenarios involving a genetically related father, some birth certificate recognition may occur — but all other intended parents typically require post-birth adoption steps. Cross-state planning is the standard path for Nebraska families.
Living in a restrictive state doesn’t prevent you from pursuing surrogacy. Intended parents from Nebraska, Louisiana, Indiana, Arizona, and other challenging states complete journeys every year. The key is planning around the birth state — not your home state — and building the right team before you match.
Engage a reproductive attorney in the birth state early. The attorney you need is licensed where your surrogate will give birth. They’ll confirm which parentage pathway applies to your family structure, what steps need to happen before embryo transfer, and how to prepare hospital and vital-records paperwork ahead of time.
Choose an agency with cross-state experience. Not every agency handles cross-state logistics well. Look for documented coordination between the birth state’s clinic, legal counsel, and hospital — with defined timelines and handoffs at each stage.
At Physician’s Surrogacy, we regularly coordinate cross-state arrangements for families in restrictive states, with surrogate compensation structured through escrow regardless of which state the birth occurs in.
Confirm medical readiness before matching. The biggest timeline disruptors in cross-state journeys come from late-stage screening surprises. Working with an agency that completes medical and psychological clearance before presenting a match — rather than after — dramatically reduces the risk of delays once you’ve committed.
Our physician-designed screening protocol clears surrogates before matching, so intended parents know the surrogate’s medical status from the start.
The legal environment doesn’t just determine parentage — it shapes the entire timeline. In surrogacy-friendly states, agencies can move from confirmed match to medical clearance to embryo transfer on a more predictable schedule. In conditional or restrictive states, unexpected legal steps can push that window out by months.
Most intended parents ask “how long does it take to get matched?” The better question is “how long from match to transfer?” That second window is where state law, medical readiness, and agency coordination all converge. For a full breakdown of what to budget for, see our guide to surrogacy costs.
Gestational surrogacy is one of the most medically sophisticated ways a family can be built — and one of the most human. The state you choose shapes how much of the process feels predictable versus improvised. Pairing the right legal environment with the right agency is what turns a complex process into a coordinated one.
Surrogacy laws by state determine legal predictability. The right agency determines if that predictability actually translates into a smooth journey.
At Physician’s Surrogacy, intended parents are typically matched within a week of their initial consultation — with surrogates who’ve already been medically and psychologically cleared through a physician-designed screening protocol built and reviewed by in-house board-certified OB/GYNs.
That screening produces a preterm delivery rate 50% below the national average. And for families from restrictive states, we have direct experience coordinating cross-state arrangements and legal timing in California and other surrogacy-friendly jurisdictions.
If you’re ready to understand how your state situation affects your timeline, schedule a consultation to review your legal pathway and get a clear picture of what comes next.
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Finding the best surrogacy agencies in New Jersey means more than comparing compensation numbers on a spreadsheet. New Jersey’s 2018 Gestational Carrier Agreement Act created one of the cleanest statutory frameworks in the country.
Enforceable contracts, standard pre-birth orders, coverage for all family structures — the law has real teeth. But it only protects you if the agency behind your journey is doing its job properly.
That’s where the real differences show up. Some agencies handle the paperwork. Others build a system around your safety. In a state where gestational surrogacy is fully legal and growing fast, the choice of agency determines how quickly you match, how well your surrogate is screened, and if you’ll hit complications alone or with a clinical team behind you.
This guide covers six of the best surrogacy agencies in New Jersey in 2026 — what they offer, who they’re best for, and how they compare on the factors that matter most to both gestational surrogacy participants on both sides.
Here is a quick comparison of the top-rated New Jersey surrogacy agencies, followed by detailed breakdowns of each.
| Agency | HQ / NJ Presence | Surrogate Pay (NJ) | Est. IP Total Cost | Match Time | Physician-Led? | NJ-Based? |
|---|---|---|---|---|---|---|
| Physician’s Surrogacy | San Diego, CA — serves NJ | Starts at $60,000+ | $140,000–$200,000+ | ~1 week avg | Yes — OB/GYN-led | No (national) |
| Reproductive Possibilities | Montvale, NJ (HQ) | Not published publicly | Not published publicly | Not published | No | Yes (NJ-based) |
| Circle Surrogacy | Boston, MA — serves NJ | Up to $75,000+ | ~$157,000–$189,500 | Not published | No | No (national) |
| ConceiveAbilities | Chicago, IL — Jersey City NJ | Up to $75,000+ | Not published publicly | Not published | No | No (national) |
| Family Inceptions | National — serves NJ | Not published publicly | Not published publicly | Not published | No | No (national) |
| American Surrogacy | Overland Park, KS — serves NJ | $55,000 base; up to $110,000+ | $187,500–$202,500+ | 1–4 months | No | No (national) |
* Compensation and pricing figures reflect each agency’s publicly published ranges as of 2026. Actual amounts vary by experience, insurance, and program. Confirm current figures directly with each agency before applying.
Quick Facts
Physician’s Surrogacy is the nation’s only OB-managed surrogacy agency, headquartered in San Diego, California. The agency accepts surrogates from New Jersey, with compensation starting at $60,000+.
Onsite board-certified OB/GYNs and an advisory board of specialists in maternal-fetal medicine, neonatal care, and OB/GYNs oversee every aspect of the surrogate’s medical journey from screening through post-delivery support.
Physician’s Surrogacy works with intended parents and surrogates across the country — and New Jersey’s strong GCAA framework makes it one of the cleaner states for a smooth, physician-monitored journey. When a surrogate in New Jersey works with Physician’s Surrogacy, she enters a program built around one principle: medical oversight should never be optional.
Only 8% of surrogate candidates pass the agency’s physician-designed screening protocol — a rate that accounts directly for the preterm delivery rate sitting 50% below the national average. That figure isn’t a coincidence. It’s the result of a rigorous process that other agencies, run by non-medical staff, simply can’t replicate.
The $1,250 pre-screening completion bonus is the only publicly named bonus and is paid before pregnancy begins. No agency fees are charged to intended parents until a match is confirmed.
For a surrogate who wants physician-level oversight throughout her pregnancy, or for intended parents who’ve already spent years on a fertility journey, the difference between an OB-managed agency and a standard coordinator-run program is not a minor detail. It’s the whole question.
Best For: Intended parents who want medical-grade safety and faster matching; NJ surrogates who want physician oversight from application through delivery.
New Jersey’s legal framework is built for surrogacy to work. The right agency makes the difference between a journey that runs on schedule and one that stalls at every stage.
Reproductive Possibilities is headquartered in Montvale, New Jersey, making it one of the very few surrogacy agencies with its roots actually in the Garden State. The agency was founded by Melissa Brisman, a Harvard Law graduate and intended parent through surrogacy herself — a background that gives the team genuine firsthand understanding of what IPs experience.
With more than 20 years of service and over 2,500 babies born, Reproductive Possibilities has built a deep network across the NJ tri-state area, including strong relationships with RMA NJ and other top-rated fertility clinics. For IPs who want a surrogate within driving distance, or for NJ-based surrogates who prefer local coordination, this local footprint is a real advantage.
The agency works exclusively with gestational surrogacy and serves domestic and international clients, heterosexual couples, LGBTQ+ families, and single parents. Specialized programs include BYOS (Bring Your Own Surrogate) and Encore Journey for experienced surrogates.
Reproductive Possibilities doesn’t publish compensation or IP pricing online, so getting a quote requires a consultation. That personalized approach suits some clients well; others may prefer agencies with transparent public pricing for upfront comparison.
Best For: NJ-based intended parents and surrogates who want a locally rooted agency with decades of tri-state experience and a founder who has lived the IP journey.
Circle Surrogacy has been operating for over 30 years, giving it one of the longest track records in the industry. The agency has a dedicated Connecticut surrogacy page and serves New Jersey surrogates and IPs throughout the northeastern corridor, with experience matching across Newark, Trenton, Hoboken, and the wider Garden State.
Circle publishes competitive compensation figures — surrogates can earn up to $75,000+ including compensation and benefits — and backs its surrogates with the Journey Protection Pay Promise, guaranteeing payment through 100% upfront-funded escrow accounts. The agency’s screening passes roughly 4% of applicants, which it describes as its top-tier surrogate pool.
For intended parents, Circle offers a fixed-cost Journey Protection Program at $189,500, covering agency fees, medical and legal costs, and surrogate compensation with no surprise invoices. A surrogacy-only journey runs around $157,000.
Circle’s strength is its decades-long track record and financial security model. What it doesn’t offer is physician-led clinical oversight — the medical side is managed by the IVF clinic, not an in-house medical team. For IPs who want a physician monitoring the surrogate’s pregnancy between clinic appointments, that’s a gap worth noting.
Best For: Intended parents who want a long-established national agency with fixed-cost pricing and strong financial protections; NJ surrogates who value guaranteed payment security.
ConceiveAbilities has a dedicated presence in the Jersey City area, where the agency actively recruits surrogates and supports intended parents pursuing surrogacy in the NYC metro corridor.
The agency publishes strong surrogate metrics: 95% of their surrogates are medically cleared by IVF clinics, and 56% complete a repeat journey — a repeat rate that reflects surrogate satisfaction with the experience.
Surrogate compensation through ConceiveAbilities reaches up to $75,000+ including base pay and benefits, with the agency’s All-In Surrogate Care and Compensation Program covering location, insurance, wage replenishment, and qualifications in the base figure. Matching is based on personality, values, and expectations — not a simple waitlist system.
ConceiveAbilities also bundles egg donation services, making it a practical option for IPs who need both a gestational carrier and an egg donor under one program roof. IP total cost is not published publicly — prospective parents are directed to contact the acceptance team for a full quote.
ConceiveAbilities’ NJ presence is concentrated in the Jersey City/Newark metro area. Surrogates in other parts of the state may find the coverage thinner. IP cost transparency is also limited online — a consultation is required for full pricing.
Best For: NJ/NYC-area surrogates and intended parents who want combined surrogacy-plus-egg-donation coordination and a high surrogate medical clearance rate.
Family Inceptions earns consistent high marks in surrogate reviews — a pattern that matters when you’re choosing an agency for a multi-year journey. The agency serves New Jersey surrogates and intended parents as part of its national program.
Coordinators are known for treating surrogates as people rather than cases. The review pattern across Google and Trustindex is notably strong on surrogate experience, responsiveness during difficult moments like broken matches, and coordinator accessibility.
The agency screens roughly 5% of surrogate applicants through its full process. Requirements include age 21–40, at least one prior pregnancy, no current federal aid, and clear nicotine and drug screening.
Family Inceptions is transparent about the fact that compensation alone is not a reliable basis for agency selection — their guidance emphasizes total support package over headline numbers.
Family Inceptions does not publish compensation ranges or IP total costs publicly. Their NJ page includes legal resources and state-specific eligibility guidance, and the team coordinates with New Jersey-licensed attorneys for contracts and pre-birth orders.
Family Inceptions’ lack of published pricing makes upfront comparison harder. Their strength is relationship quality — and for surrogates who’ve had poor experiences elsewhere, that’s often the deciding factor.
Best For: NJ surrogates who prioritize coordinator quality and surrogate advocacy; intended parents who want a agency with a documented track record of handling match disruptions with care.
American Surrogacy operates nationally and has invested heavily in New Jersey-specific legal content. It’s one of the more transparent agencies when it comes to explaining the GCAA’s requirements, what they mean in practice, and how they affect the contracting timeline.
The agency offers three structured programs — Limited Risk, Foundation, and Independent — at published price points, giving intended parents a clear cost framework before picking up the phone.
Surrogate compensation through American Surrogacy averages $55,000 for NJ surrogates, with total packages ranging from $55,000 to $110,000+ after reimbursements.
Most intended parents are matched in 1–4 months. The Limited Risk Program ($202,500+) provides financial protections against failed embryo transfers, rematches, and early complications — a structure similar to what other agencies call a “guarantee program.”
American Surrogacy explicitly acknowledges New Jersey’s position on reproductive rights — the state’s laws support surrogate autonomy on medical decisions without the restrictions found in other states, and contracts can address termination decisions within GCAA protections. For IPs whose views on these issues don’t align with NJ law, the agency offers matches in other states.
American Surrogacy’s journey timelines run 1–4 months to match — considerably longer than Physician’s Surrogacy’s one-week average. For intended parents in a hurry, that gap is meaningful. The trade-off is published, tiered pricing that makes cost comparison easier from day one.
Best For: Intended parents who want transparent tiered pricing and financial risk protection; NJ surrogates who want thorough legal guidance on their GCAA rights before committing.
New Jersey’s Gestational Carrier Agreement Act (N.J.S.A. 9:17-60 to 9:17-74), signed into law on May 30, 2018, is one of the most complete gestational surrogacy statutes in the country. Before the act, compensated surrogacy was unenforceable in New Jersey — the 2018 law changed that entirely.
This is why so many of the best surrogacy agencies in New Jersey specifically highlight their GCAA compliance and legal coordination capabilities. Here’s what the statute actually requires:
New Jersey also has a noteworthy IVF insurance mandate. Many employers and insurers in the state are required to cover IVF under state law — a factor that can meaningfully reduce medical costs for intended parents using NJ-based fertility clinics.
New Jersey’s legal protections are real — but they don’t evaluate agencies for you. When comparing the best surrogacy agencies in New Jersey, these five factors separate the stronger programs from the rest:
Each agency in this guide was evaluated against six criteria grounded in what New Jersey surrogates and intended parents actually need. These are the same standards we apply to all the best surrogacy agencies in New Jersey lists we publish.
Does the agency employ or contract onsite physicians? Who monitors the surrogate’s health between IVF appointments, and what is the escalation pathway if complications arise?
Does the agency coordinate dual independent legal counsel, pre-contract screening, attorney affidavits, and parentage filings per New Jersey’s specific statutory requirements?
What is the agency’s surrogate acceptance rate, and who designs the screening protocol? Agencies with physician-designed screening consistently produce better medical outcomes for both surrogate and child.
How long does matching take, and what drives that timeline? Agencies with pre-screened surrogate pools match in days to weeks; agencies that screen post-match add months to every journey.
Does the agency publish total IP cost ranges, surrogate pay floors, and what is included vs. excluded from each program? Opaque pricing leaves intended parents financially exposed mid-journey.
What do surrogate reviews actually say about coordinator responsiveness, re-match handling, and post-delivery support? Repeat surrogate rates are one of the most honest proxies for surrogate experience quality.
New Jersey is a genuinely good state for surrogacy — the GCAA is clear, the legal community is experienced, and the tri-state corridor gives access to some of the country’s strongest fertility clinics.
When evaluating the best surrogacy agencies in New Jersey, most families find that legal compliance is table stakes — the real differentiator is clinical quality.
For NJ surrogates considering this path, our best states to surrogate guide walks through how NJ compares across safety, compensation, and legal protections.
The question isn’t if New Jersey supports surrogacy. It does. The question is which agency will get you through this journey with the medical rigor, legal coordination, and surrogate care that the process deserves.
For IPs, that means asking every agency you’re considering: who is actually watching the medical side? For surrogates, it means asking: who is actually in my corner when things get difficult?
For more on how surrogacy law varies across states — and how it affects real journeys — see our full guide to surrogacy laws by state. And if you’re also researching adjacent markets, both our New York surrogacy agencies guide and our Connecticut surrogacy agencies guide cover the tri-state corridor in full.
Gestational surrogacy is one of the most medically sophisticated ways a family can be built — and one of the most human. New Jersey’s 2018 statute made that possible with real legal teeth. The agency you choose determines how that possibility plays out in practice.
New Jersey surrogates earn $60,000+ with Physician’s Surrogacy — and intended parents get access to the only OB-managed program in the country. Ready to apply or just starting your research, this is where that next step begins.
Physician’s Surrogacy matches intended parents in an average of one week — compared to the industry standard of 6–12 months — with a preterm delivery rate 50% below the national average.
Michigan is one of the newest surrogacy-friendly states in the country. The Assisted Reproduction and Surrogacy Parentage Act (ARSPA) — also called the Michigan Family Protection Act — took effect on April 2, 2025, reversing decades of criminal and civil bans on compensated surrogacy.
Before that date, Michigan was the only state in the nation to both criminalize and ban compensated surrogacy contracts. The 1988 Surrogate Parenting Act made them void, unenforceable, and subject to criminal penalty. The 2024 law reversed that entirely.
Michigan now permits compensated gestational surrogacy, enforceable surrogacy agreements, and pre-birth parentage orders — no court hearing required. Physician’s Surrogacy, the nation’s only OB/GYN-managed surrogacy agency, actively serves Michigan surrogates and intended parents. Michigan is also consistently listed among the best states for surrogacy in the U.S.
The table below compares all seven agencies at a glance. Surrogate pay reflects published first-time surrogate figures. Intended parent (IP) totals cover the full journey — agency fees, surrogate compensation, medical, legal, and insurance. All figures are as of 2026.
| Agency | HQ / MI Presence | Surrogate Pay (MI) | Est. IP Total Cost | Match Time | Physician-Led? | MI-Based? |
|---|---|---|---|---|---|---|
| Physician’s Surrogacy | San Diego, CA / National | $60,000–$75,000+ | $140,000–$170,000+ (Flat-Rate) | ~1 week avg. | ✅ Yes — OB/GYNs | No (national) |
| Hope Surrogacy | Royal Oak, MI | $60,000–$70,000 (surrogate-set) | Not published | Not published | No | Yes |
| Gift of Life Surrogacy | Bloomfield Hills, MI + Sylvania, OH | $60,000–$70,000 | Not published (full) | Not published | Physician on staff | Yes (Bloomfield Hills) |
| Golden Surrogacy | National / Active MI | $70,000 minimum | Not published | Not published | No | No |
| Fertility Source Companies | National / MI clinic network | $65,000 base | $160,000–$175,000 | Not published | No | No |
| Circle Surrogacy | Boston, MA / Serves MI | Not published (MI) | Not published | Not published | No | No |
| American Surrogacy | Olathe, KS / Serves MI | $55,000–$110,000+ (MI) | $150,000–$179,000+ | 1–4 months | No | No |
* IP total cost estimates include agency fees, surrogate compensation, medical/in vitro fertilization (IVF), legal, escrow, and insurance. Figures excluding IVF clinic costs are noted. Exact totals vary by surrogate experience, insurance, and transfer cycles.
Quick Facts
Physician’s Surrogacy is headquartered in San Diego, CA and serves Michigan families nationally. Michigan surrogates earn a flat-rate package starting at $60,000–$75,000+. Intended parents pay $140,000–$170,000+ through the Flat-Rate Surrogacy program, with no agency fees owed until a match is confirmed. Average match time is one week — versus the 6–12 month industry standard.
Physician’s Surrogacy is the only surrogacy agency in the United States managed by practicing OB/GYNs.
That clinical structure produces measurable results. Preterm birth rates run 50% below the national average — driven by a physician-designed screening protocol that accepts roughly 8% of all applicants.
Michigan surrogates earn a flat-rate package starting at $60,000–$75,000+. They also receive a $1,250 screening bonus before pregnancy confirmation — paid before most agencies offer anything.
Intended parents pay one all-in price starting at $140,000–$170,000+. No agency fees are owed until a match is confirmed.
Review surrogate compensation details or surrogacy costs for intended parents.
Physician’s Surrogacy has no physical Michigan office. All clinical coordination connects with Michigan IVF clinics remotely — a structure that works well for both in-state and out-of-state intended parents.
Best For: Michigan intended parents who want physician-managed clinical oversight, an immediate match, and fully transparent flat-rate pricing. Also ideal for Michigan surrogates who want a set compensation package and a pre-match screening bonus.
Hope Surrogacy is a full-service agency headquartered in Royal Oak, Michigan — serving surrogates and intended parents statewide from Detroit to Ann Arbor to Grand Rapids.
The agency uses a surrogate-set compensation model. Hope recommends surrogates request a base of $35,000–$40,000, with total compensation landing between $60,000 and $70,000.
Surrogates work directly with the founding team: Mary, Amy, Krista, and Jenn.
Hope does not publish IP total journey costs. Intended parents should request a full cost breakdown during the initial consultation. The surrogate-set compensation model gives surrogates more negotiating flexibility — but it also means IPs cannot easily compare costs upfront without an intake call.
Best For: Michigan surrogates who want to set their own rate and work with a locally based, founder-led team. Intended parents who prefer a boutique Michigan agency over a national program.
Gift of Life Surrogacy has two physical offices — Bloomfield Hills, Michigan (just outside Detroit) and Sylvania, Ohio (near Toledo).
It is one of a small number of agencies nationally that fully screens all surrogate candidates before matching them with intended parents. That pre-match screening is led by Dr. F. Nicholas Shamma, a board-certified reproductive endocrinologist and founder of IVF Michigan Fertility Center.
Surrogates at Gift of Life receive $60,000–$70,000 in total compensation, covering first-time through experienced carriers.
Gift of Life does not publish full IP journey costs. The pre-match screening model does add time to the initial process — but families who have experienced a late-stage disqualification elsewhere generally view the upfront investment as worthwhile.
Best For: Michigan intended parents who want the deepest pre-match surrogate vetting available from a local agency with physician oversight on staff. Surrogates who want physician-supervised medical screening and a multidisciplinary support team.
Golden Surrogacy has served Michigan surrogates and intended parents for over a decade — operating across Detroit, Grand Rapids, Ann Arbor, Lansing, Kalamazoo, and surrounding communities.
The agency’s compensation guarantee is its clearest differentiator: $70,000 minimum for first-time Michigan surrogates. All IP funds are held in third-party escrow before medical procedures begin.
The agency was co-founded by former intended parents.
Golden does not publish IP total costs or average match times. Intended parents should request a full breakdown during the initial consultation. The agency operates remotely for Michigan families — no in-state office.
Best For: Michigan surrogates who want the clearest guaranteed compensation minimum in this comparison. Intended parents who want a founder team with lived IP experience and strong statewide matching reach.
Fertility Source Companies (FSC) is a nationally operating agency with an active Michigan program and published state-specific figures on both sides. First-time Michigan surrogates earn a $65,000 base — paid in eight monthly installments from confirmed fetal heartbeat.
Total IP journey costs run $160,000–$175,000. FSC’s Michigan program is supported by clinic partnerships across Detroit, Grand Rapids, Sterling Heights, and Ann Arbor.
FSC has no physical Michigan office — coordination is fully remote. Families on tighter budgets should compare closely against other agencies with lower total cost ranges.
Best For: Michigan IPs who want clearly published total journey costs and active clinic relationships statewide. Michigan surrogates who want structured base compensation with published milestone payments.
Circle Surrogacy was founded in 1995 and is one of the oldest agencies in the U.S. It actively serves Michigan families from its Boston headquarters. Circle has been operating in states that legalized surrogacy well before Michigan’s 2025 law — bringing that depth of legal and medical coordination experience to a new market.
Circle’s Circle Surrogate Promise is a standout protection program. Circle financially backs intended parents so surrogate escrow accounts are always funded. It also takes on liability for certain medical billing complications — a protection most agencies do not offer.
Circle does not publish Michigan-specific compensation ranges or IP total costs. Families who need cost data before engaging will find Fertility Source Companies more immediately transparent. Circle’s strength is depth of experience and surrogate financial protections.
Best For: Michigan IPs with international backgrounds or complex multi-jurisdiction needs. Michigan surrogates who want the strongest escrow and medical billing protections available from a nationally established agency.
American Surrogacy is headquartered in Olathe, Kansas with an active Michigan program. First-time Michigan surrogates can earn $55,000–$110,000+ — one of the widest published pay ranges in the state.
The agency publishes a 1–4 month match time and operates on a 1:1 surrogate-to-IP ratio. The Limited Risk Program covers unlimited rematches and refunds on specified unused fees if no embryos remain and no birth has occurred.
Total Michigan journey costs run $150,000–$179,000+.
American Surrogacy has no physical Michigan office. Surrogate screening relies on contracted medical professionals rather than an in-house clinical team — a meaningful distinction for families evaluating medical oversight.
Best For: Michigan surrogates who want a clearly published pay range with an experienced surrogate premium. IPs who want financial downside protection through the Limited Risk Program.
Michigan’s legal framework changed dramatically on April 2, 2025. The ARSPA (Act 24 of 2024) — also called the Michigan Family Protection Act — repealed the 1988 Surrogate Parenting Act and replaced it with one of the most comprehensive surrogacy statutes in the country.
Michigan’s ARSPA sets strong statutory standards for surrogacy agreements and parentage. But it sets no minimum bar for the agencies that coordinate journeys under it.
Any business can operate as a Michigan surrogacy agency without a license. These five criteria separate strong agencies from weak ones in this market.
This comparison was built on direct research into each agency’s publicly available materials, published compensation and cost data, Michigan legal affiliations, and verifiable state presence. Six criteria were applied consistently across all seven agencies.
We assessed whether each agency employs practicing physicians or reproductive endocrinologists in a clinical oversight role. Michigan’s ARSPA sets no minimum bar on agency medical qualifications. In-house physician involvement was weighted heavily because it directly affects surrogate health outcomes.
We assessed each agency’s demonstrated familiarity with Michigan’s ARSPA (MCL 722.1901 et seq.), their legal network’s experience filing pre-birth order petitions under MCL 722.1908, and depth of in-house vs. referred legal resources for the new Michigan framework.
We documented whether agencies publish verifiable Michigan-specific surrogate compensation figures and verified whether those figures are guaranteed minimums or ceilings. Agencies with clear, guaranteed first-time surrogate floors received higher marks.
We reviewed whether agencies publish total journey cost ranges — not just agency fee lines. Agencies with all-inclusive or flat-rate pricing and published total cost figures scored higher than those requiring an intake call before any numbers are shared.
We recorded published average match times and assessed physical Michigan presence — in-state office vs. remote coordination. We also evaluated demonstrated Michigan clinic network relationships as a proxy for state-specific operational depth.
We evaluated whether agencies complete pre-match vs. post-match medical and psychological screening. In Michigan’s newly opened market, pre-match screening reduces late-stage disqualification risk — a consideration that matters more here than in established surrogacy states.
Michigan’s surrogacy law is one of the most comprehensive in the country. The ARSPA protects surrogates, IPs, donors, and children — built on a framework drawn from the Uniform Parentage Act of 2017.
Gestational surrogacy is one of the most medically sophisticated ways a family can be built — and one of the most human. The best surrogacy agencies in Michigan bring both to the table: physician oversight at the screening level, ARSPA-experienced legal counsel, and compensation structures built for transparency from day one.
What Michigan surrogacy families gain with this law — and a carefully chosen agency — is something that wasn’t possible here just two years ago: a protected path to parenthood, a fairly compensated surrogate, and clinical accountability at every step.
Michigan surrogates can start their application today. Intended parents can schedule a no-obligation consultation — no agency fee is owed until your match is confirmed.
Physician’s Surrogacy averages a one-week match — versus the 6–12 month industry standard — with preterm birth rates 50% below the national average.
Finding the best surrogacy agencies in Connecticut starts with understanding what makes the state’s legal framework genuinely different from most.
The Connecticut Parentage Act — enacted as Public Act 21-15 and effective January 1, 2022 — codified gestational surrogacy into statute under C.G.S. §§ 46b-450 through 46b-553, establishing clear requirements for surrogacy agreements, mandatory independent legal counsel, and a defined path to pre-birth parentage orders for all family structures.
Pre-birth orders are available to married and unmarried couples, same-sex couples, and single parents regardless of genetic connection to the child. Connecticut was already a recognized surrogacy-friendly state before 2022, but the statute codified and expanded those protections into one of the strongest parentage frameworks in the region.
Connecticut is consistently listed among the best states for surrogacy in the U.S. Physician’s Surrogacy, the nation’s only OB/GYN-managed surrogacy agency, works with Connecticut surrogates and intended parents through the same physician-designed screening program and Flat-Rate Surrogacy model relied on by families across the Northeast.
This guide compares the seven best surrogacy agencies actively serving Connecticut in 2026, covering surrogate compensation, intended parent costs, match timelines, physician oversight, and local presence.
The table below compares all seven agencies at a glance. Surrogate pay reflects published first-time surrogate compensation. IP totals cover the full journey — agency fees, surrogate compensation, medical, legal, and insurance. All figures are as of 2026.
| Agency | HQ / CT Presence | Surrogate Pay (CT) | Est. IP Total Cost | Match Time | Physician-Led? | CT-Based? |
|---|---|---|---|---|---|---|
| Physician’s Surrogacy | San Diego, CA / National | $60,000+ (first-time) | From $145,000 (fixed and flat) | ~1 week avg. | ✅ Yes — OB/GYNs | No (national) |
| Worldwide Surrogacy Specialists | Fairfield, CT (CT HQ) | $55,000–$70,000+ | $140,000–$160,000 (excl. clinic) | Not published | No | Yes |
| Reproductive Possibilities | Montvale, NJ / Tri-state CT | $55,000–$60,000 | Not published (full) | Not published | No | No (NJ-based, tri-state) |
| Golden Surrogacy | National / Active CT | $70,000 minimum | Not published | Not published | No | No |
| Fertility Source Companies | National / CT clinic network | $65,000 base | $160,000–$175,000 (total) | Not published | No | No |
| Circle Surrogacy | Boston, MA / Serves CT | Not published (CT) | Not published | Not published | No | No |
| American Surrogacy | Olathe, KS / Serves CT | $55,000–$90,000+ (CT) | $140,000–$200,000+ | 1–4 months | No | No |
* IP total cost estimates include agency fees, surrogate compensation, medical/in vitro fertilization (IVF), legal, escrow, and insurance. Figures excluding IVF clinic costs are noted. Exact totals vary by surrogate experience, insurance, and number of transfer cycles.
Quick Facts
Physician’s Surrogacy is the only surrogacy agency in the United States managed by practicing OB/GYNs. Connecticut surrogates earn a flat-rate package starting at $60,000+, plus a $1,250 screening bonus. Programs for intended parents start at $145,000 with all quotations Fixed and Flat and no agency fees until match is confirmed. Average match time: approximately one week.
Physician’s Surrogacy is the only surrogacy agency in the United States managed by practicing OB/GYNs. That clinical structure produces measurable results: preterm birth rates 50% below the national average, driven by a physician-designed screening protocol that accepts roughly 8% of all applicants.
The agency’s specialists in maternal-fetal medicine, neonatal care, and OB/GYNs conduct peer-to-peer consultations with a Connecticut surrogate’s delivering OB — coordination no coordinator-run agency can replicate.
Connecticut surrogates earn a flat-rate package starting at $60,000+, plus a $1,250 screening bonus before pregnancy confirmation. Intended parents pay one all-in price — Fixed and Flat — with no agency fees until a match is confirmed. Programs start at $145,000 (Surrogacy Flat Rate).
Review surrogate compensation details or surrogacy costs for intended parents.
Physician’s Surrogacy is headquartered in San Diego without a physical Connecticut office. All clinical coordination connects with Connecticut IVF clinics remotely for both in-state and out-of-state intended parents.
Best For: Connecticut intended parents who want physician-managed clinical oversight, an immediate match, and a fully transparent flat-rate pricing structure. Also ideal for Connecticut surrogates who want a fixed-rate package and a pre-match screening bonus.
Ready to learn more about Physician’s Surrogacy?
Connecticut surrogates start at $60,000+. No agency fees for intended parents until match is confirmed.
Worldwide Surrogacy Specialists (WWS) is the only surrogacy agency physically headquartered in Connecticut — based in Fairfield and serving intended parents across the U.S. and internationally. The agency carries a distinct legal credential: its founder, Victoria Ferrara, is a Connecticut reproductive attorney and the legal director who secured the landmark 2011 Raftopol v. Ramey decision from the Connecticut Supreme Court — the ruling that established Vital Records’ obligation to name intended parents on birth certificates regardless of genetic connection.
That legal foundation is built into how WWS operates. The agency provides in-house attorney oversight at every stage, which means Connecticut surrogacy law is not outsourced to a separate firm — it is integral to the agency’s management structure. IP costs run $140,000–$160,000 excluding fertility clinic fees, and first-time surrogate compensation is $55,000–$70,000+.
WWS does not publish average match times, and its IP cost range explicitly excludes fertility clinic fees — families should request a full-journey cost estimate during consultation to understand the true total. The agency’s national scope means surrogate matching is not limited to Connecticut residents, which broadens intended parent (IP) options but may mean some surrogates match with out-of-state families.
Best For: Connecticut intended parents who want the deepest local legal expertise available — particularly those who value having a reproductive attorney managing their journey rather than coordinating with one externally. Also strong for international intended parents pursuing Connecticut birth journeys.
Reproductive Possibilities (RP) is a New Jersey-based agency with deep tri-state experience in Connecticut surrogacy, founded by Melissa Brisman — herself an intended parent who used surrogacy and who is also a reproductive law attorney. RP has active clinic relationships across the Connecticut market, including New England Fertility in Stamford, Park Avenue Fertility in Fairfield, and Illume Fertility in Norwalk.
The agency publishes first-time Connecticut surrogate compensation in the $55,000–$60,000 range, with higher pay for experienced carriers. RP’s model emphasizes keeping journeys local: the agency prioritizes matching Connecticut intended parents with Connecticut or tri-state surrogates to minimize travel costs and build closer IP-surrogate relationships throughout the journey.
RP does not publish a full IP total journey cost online — families should request a detailed cost breakdown during the free consultation. The agency’s compensation floor is lower than some competitors; surrogates who want a higher guaranteed minimum should compare against Golden Surrogacy and Physician’s Surrogacy before deciding.
Best For: Connecticut intended parents who want a tri-state agency with strong local clinic relationships and a founder who has been through both the legal and personal sides of surrogacy. Surrogates seeking a geographically anchored, attorney-supported program near New England fertility clinics.
Golden Surrogacy has served Connecticut surrogates and intended parents for over a decade, operating across New Haven, New London, Hartford, Greenwich, and surrounding communities. The agency is best known for its compensation guarantee: a $70,000 minimum for first-time surrogates — and a firm commitment to never using “up to” or “between” language that obscures the actual figure.
Pre-pregnancy payments to surrogates total $12,500 before confirmation, and all intended parent funds are held in third-party escrow before any medical procedures begin. Golden was co-founded by former intended parents and includes multiple former surrogates on its team.
Golden does not publish IP total costs or average match times — intended parents should request a full breakdown during the initial consultation. The agency coordinates remotely for Connecticut families, with no in-state office.
Best For: Connecticut surrogates who want the clearest guaranteed compensation minimum among agencies in this comparison. Intended parents who want a co-founder team with lived IP experience and strong statewide matching reach.
Fertility Source Companies (FSC) is a nationally operating agency with an active Connecticut program and published state-specific figures on both sides. First-time Connecticut surrogates earn a $65,000 base, paid in eight monthly installments from confirmed fetal heartbeat, plus $1,500 bonuses at medical and legal clearance. Total IP journey costs run $160,000–$175,000, with the $30,000 agency fee structured in milestone-tied installments.
FSC’s Connecticut program is supported by established clinic partnerships across the state, including New England Fertility in Stamford, Park Avenue Fertility in Fairfield, Illume Fertility in Norwalk, and the Center for Advanced Reproductive Services. All coordination runs through FSC’s national case management team.
FSC has no physical Connecticut office — coordination is fully remote. Its total cost range ($160,000–$175,000) is higher than some competitors; families on tighter budgets should compare closely against other agencies on this list.
Best For: Connecticut intended parents who want clearly published total journey costs and active clinic relationships across the state. Connecticut surrogates who want a structured pay model with published milestone bonuses.
Circle Surrogacy is one of the oldest surrogacy agencies in the United States, founded in 1995 and headquartered in Boston — the closest major national agency to Connecticut. The agency serves families from 70+ countries, with strong regional familiarity in New England law and Connecticut’s Parentage Act framework.
Circle’s Circle Surrogate Promise program is a standout feature for Connecticut surrogates: Circle financially backs intended parents so that surrogate escrow accounts are always funded, and Circle takes on liability for certain medical billing issues. Connecticut surrogacy compensation is customized and not published publicly — figures are discussed during intake.
Circle does not publish Connecticut-specific compensation ranges or IP total costs. The agency’s strength is depth of legal experience and surrogate financial protections — not published cost transparency. Families who need upfront cost data before engaging will find Fertility Source Companies or Worldwide Surrogacy Specialists more immediately transparent.
Best For: Connecticut intended parents with international backgrounds or complex multi-jurisdiction parentage needs. Connecticut surrogates who want the strongest escrow protection and medical billing safeguards available from a regional agency.
American Surrogacy is headquartered in Olathe, Kansas, with an active Connecticut program and one of the widest published pay ranges in the state: first-time Connecticut surrogates can earn $55,000–$90,000+, with experienced surrogates eligible for more. 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. A sensible CT total journey budget should assume $185,000 or above, per American Surrogacy’s own published guidance.
American Surrogacy has no physical Connecticut office — all coordination is remote. Surrogate screening relies on contracted medical professionals rather than an in-house clinical team, which is a meaningful distinction for families evaluating medical oversight.
Best For: Connecticut 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.
Connecticut’s surrogacy framework is governed by the Connecticut Parentage Act (C.G.S. §§ 46b-450 through 46b-553), enacted as Public Act 21-15 and effective January 1, 2022. Here is what every intended parent and surrogate candidate needs to understand before beginning a Connecticut journey.
Connecticut’s 2022 statute provides strong protections — but it sets no minimum standards for the agencies that coordinate journeys under it. Because any entity can operate as a surrogacy agency in Connecticut without a license, quality varies widely. These five criteria reliably separate strong agencies from weak ones in this market.
This comparison was built on direct research into each agency’s publicly available materials, published compensation and cost data, Connecticut legal affiliations, and verifiable state presence. Five criteria were applied consistently across all seven agencies.
We assessed whether each agency employs practicing physicians in a clinical oversight role versus outsourcing all medical judgment to contracted fertility clinics. In-house OB/GYN leadership was weighted heavily because it directly affects surrogate health outcomes — and because Connecticut’s statute places no minimum bar on agency medical qualifications.
We assessed each agency’s demonstrated familiarity with C.G.S. §§ 46b-521–46b-538, experience filing pre-birth order petitions under § 46b-531, and the depth of in-house vs. referred legal resources for handling Connecticut’s required court hearing process.
We documented whether agencies publish verifiable Connecticut-specific surrogate compensation figures and whether those figures are true guaranteed minimums or maximums that most surrogates fall below. Agencies that publish clear, guaranteed first-time surrogate floors received higher marks.
We reviewed whether agencies publish total journey cost ranges — not just agency fee lines — so intended parents can evaluate full financial exposure before engaging. Agencies with all-inclusive or flat-rate pricing and published total cost figures were scored higher than those requiring an intake call before any numbers are shared.
We recorded published average match times where available and assessed physical Connecticut presence — whether an agency maintains a Connecticut office versus coordinating remotely. We also evaluated regional presence in the tri-state area as a proxy for familiarity with Connecticut-specific fertility clinic infrastructure and legal networks.
Connecticut’s 2022 Connecticut Parentage Act gives families a clear, codified path to parentage — but the law does not govern the agencies that coordinate those journeys. That vetting is entirely on you.
Gestational surrogacy is one of the most medically sophisticated ways a family can be built — and one of the most human. The best surrogacy agencies in Connecticut bring that weight to the table: legal expertise built specifically around Connecticut’s required court hearing, physician oversight at the screening level, and financial transparency before you sign anything.
Connecticut surrogates ready to take the first step, and intended parents ready to explore their options — both paths start below. No agency fees are owed until your match is confirmed.
Connecticut surrogates earn $60,000+ flat-rate with a $1,250 pre-screening bonus. Intended parents get Fixed and Flat pricing from $145,000 with no agency fees until match confirmed.
Preterm delivery rate 50% below the national average. Average match: ~1 week. No fees until match confirmed.
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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.
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.
| Agency | HQ / NV Presence | Surrogate Pay (NV) | Est. IP Total Cost | Match Time | Physician-Led? | Nevada-Based? |
|---|---|---|---|---|---|---|
| Physician’s Surrogacy | San Diego, CA / National | Starting at $75,000+ | From $145,000 (Flat-Rate) | ~1 week avg. | Yes — OB/GYNs | No (national) |
| Gestational Concepts | Las Vegas, NV | Up to $50,000 (published) | Not published | Not published | No | Yes |
| Adoption & Surrogacy Choices of NV | Reno + Las Vegas, NV | Up to $60,000 | $108,000–$156,000+ (excl. IVF) | ~18 months total | No | Yes |
| Golden Surrogacy | Nevada (statewide) | $70,000 minimum | Not published | Not published | No | Yes |
| Fertility Source Companies | National / NV program | $65,000 base | $160,000–$175,000 | Not published | No | No |
| ConceiveAbilities | Chicago, IL / Las Vegas presence | Not published (NV) | $197,500 (All-In program) | 2–3 months avg. | No | No |
| American Surrogacy | Olathe, KS / Serves NV | $55,000–$110,000+ (NV) | Not published | 1–4 months | No | No |
* IP total cost estimates include agency fees, surrogate compensation, medical/IVF, legal, escrow, and insurance — figures excluding IVF are noted. Totals vary by surrogate experience, insurance coverage, and number of transfer cycles; request a full breakdown from each agency.
Quick Facts
HQ: San Diego, CA (serves Nevada families nationally)
Surrogate compensation: starting at $75,000+ for Nevada (HC state tier)
Intended parent cost: Flat-Rate Surrogacy program — four tiers from $145,000
Match time: Average 1 week (vs. 6–12 month industry standard)
Physician-led: Yes — the only agency in the U.S. managed by onsite practicing OB/GYNs
Screening pass rate: ~8% (more than 90% of applicants screened out)
Medically Cleared Program: Eliminates the 3–5 week post-match screening wait
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.
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.
Nevada’s statute is the Silver State’s foundation. Physician’s Surrogacy is the clinical structure built on top of it — with onsite OB/GYNs that no other agency serving Nevada employs.
Nevada surrogates start at $75,000+ — the HC-tier floor. 10,000+ candidates screened annually. Only ~8% pass.
The pool Nevada families draw from is among the most rigorously vetted in the country.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
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.
We assessed whether each agency employs practicing physicians in a clinical oversight role versus outsourcing all medical judgment to contracted fertility clinics. Onsite OB/GYN leadership was weighted heavily — Nevada’s statute places no minimum bar on agency medical qualifications, so the difference matters entirely in practice.
We documented whether agencies publish verifiable Nevada-specific surrogate compensation figures and whether those figures are true take-home pay or inflated totals including reimbursable expenses. Agencies publishing guaranteed first-time minimums received higher marks than those listing maximums or vague ranges.
We reviewed whether agencies publish total journey cost ranges — not just agency fee lines — so intended parents can evaluate full financial exposure before engaging. Agencies with all-inclusive or flat-rate pricing and published totals scored higher than those requiring an intake call before any numbers are shared.
We assessed each agency’s demonstrated familiarity with NRS 126.500–126.810, pre-birth order filing practice under NRS 126.720, the notarization-in-Nevada requirement, and connections to Nevada-licensed ART attorneys with active gestational surrogacy practice.
We recorded published average match times and assessed physical Nevada presence — whether an agency maintains a Las Vegas or Reno office versus coordinating remotely. Both factors affect how quickly a journey can begin and how practically supported Nevada families are during the process.
We assessed whether each agency has documented experience coordinating Nevada journeys where the surrogate and intended parents live in different states — including proper sequencing of notarized agreement execution in Nevada. This is a common scenario unique to Nevada’s legal framework.
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.
Nevada surrogates and intended parents both deserve physician-led oversight, pricing transparency, and a match within weeks — not months.
Nevada surrogates start at $75,000+ — the highest HC-tier floor. Average match: 1 week. Preterm birth rates 50% below the national average.
Colorado’s legal protections for surrogacy are among the most clearly written in the country — but the law can only take you so far. Once you’ve confirmed the state is a safe place to pursue a gestational journey, the harder question is which agency you trust with every step between application and delivery.
With world-class fertility clinics clustered around Denver, pre-birth parentage orders granted routinely by Colorado courts, and compensated surrogacy explicitly recognized in statute, the Centennial State draws families from across the United States and internationally.
Physician’s Surrogacy, the nation’s only OB/GYN-managed surrogacy agency, matches and supports Colorado families through a physician-designed screening protocol and a Flat-Rate Surrogacy program that eliminates the hidden-fee model common at other agencies.
For an intended parent weighing agency options — or a woman in Denver, Boulder, or Colorado Springs exploring what it takes to become a surrogate — the agency you choose will shape every step of the journey.
This guide compares the seven best surrogacy agencies serving Colorado in 2026. Each entry covers surrogate compensation, intended parent costs, match timelines, physician oversight, and Colorado-specific presence — so you can make a confident, informed decision before you begin.
Here is a quick comparison of the seven agencies reviewed in this article. Surrogate pay figures reflect published first-time surrogate compensation ranges. IP total cost estimates reflect full journey costs including agency fees, surrogate compensation, medical, legal, and insurance — not agency fees alone. All figures are as of 2026.
| Agency | HQ / CO Presence | Surrogate Pay (CO) | Est. IP Total Cost | Match Time | Physician-Led? | Colorado-Based? |
|---|---|---|---|---|---|---|
| Physician’s Surrogacy | San Diego, CA / National | Starting at $67,000+ | From $145,000 (Flat-Rate) | ~1 week avg. | Yes — OB/GYNs | No (national) |
| Bright Futures Families | Aurora, CO (CO-based) | $50,000–$65,000 (GC-set) | $150,000–$200,000+ | Not published | No | Yes |
| Golden Surrogacy | Colorado-based | $70,000 min. | Not published | Not published | No | Yes |
| Fertility Source Companies | National / Denver presence | $65,000 base | Not published | Not published | No | No |
| ConceiveAbilities | Chicago, IL / Denver office | Not published (CO) | $197,500 (All-In program) | 2–3 months avg. | No | No |
| Circle Surrogacy | Boston, MA / Serves CO | Not published (CO) | Not published | Not published | No | No |
| American Surrogacy | Olathe, KS / Denver team | $55,000–$90,000+ (CO) | Not published | 1–4 months | No | No |
* IP total cost estimates include agency fees, surrogate compensation, medical/IVF, legal, escrow, and insurance. They do not represent agency fees alone. Exact costs vary by surrogate experience, insurance coverage, number of transfer cycles, and individual journey circumstances. Contact each agency for a personalized cost estimate.
Quick Facts
HQ: San Diego, CA (serves Colorado families nationally)
Surrogate compensation: starting at $67,000+ for Colorado
Intended parent cost: Flat-Rate Surrogacy program — four tiers from $145,000
Match time: Average 1 week (vs. 6–12 month industry standard)
Physician-led: Yes — the only agency in the U.S. managed by practicing OB/GYNs
Screening pass rate: ~8% (more than 90% of applicants screened out)
Medically Cleared Program: Eliminates the 3–5 week post-match screening wait
Physician’s Surrogacy is the only surrogacy agency in the United States managed by a team of practicing OB/GYNs — and that distinction has direct, measurable consequences for Colorado families. Preterm birth rates among Physician’s Surrogacy carriers run 50% below the national average.
For Colorado intended parents, that clinical advantage combines with unmatched logistics. The physician-designed screening protocol accepts roughly 8% of applicants — meaning the pool Colorado families draw from has already cleared one of the most rigorous pre-screening processes in the industry. You can learn more about what makes this approach different from a standard agency model.
The agency’s specialists in maternal-fetal medicine, neonatal care, and OB/GYNs conduct peer-to-peer consultations with a surrogate’s delivering OB — a coordination step no other agency can replicate. Colorado’s IVF clinics, including CCRM and Shady Grove’s Denver locations, work alongside this structure without friction.
The Flat-Rate Surrogacy model eliminates the itemized-fee approach common elsewhere. Intended parents choose from four transparent program tiers — Surrogacy Flat Rate ($145,000), Physician Plus ($193,000), Surrogacy Livebirth Guarantee ($208,000), or the All Inclusive Bundle ($255,000) — with no agency fees due until a match is confirmed. See a full breakdown of how much surrogacy costs for intended parents.
Colorado surrogates receive a flat-rate package starting at $67,000+, plus a $1,250 screening completion bonus. Experienced surrogates can earn more. Learn more about surrogate compensation and what’s included in the flat-rate model.
The trade-off most Colorado families note is geographic: Physician’s Surrogacy is headquartered in San Diego, not Denver. All clinical coordination connects with Colorado’s IVF clinics remotely — a model that works smoothly for most journeys but may feel different from a local storefront experience.
For families who prioritize medical authority, pricing transparency, and matching speed over a local office, Physician’s Surrogacy is the strongest option available to Colorado intended parents and surrogates today.
Best For: Colorado intended parents who want physician-managed oversight, the fastest possible match, and a fully transparent flat-rate pricing model. Also ideal for Colorado surrogates who want a flat-rate compensation package with a pre-match screening bonus.
No other agency on this list puts practicing OB/GYNs in charge of surrogate screening. That one difference produces measurably safer outcomes — and a 1-week average match time no local Colorado agency comes close to.
Preterm birth rates 50% below the national average. 10,000+ candidates screened annually. Only 8% pass.
The pool Colorado families draw from is already one of the most rigorously vetted in the country.
Bright Futures Families — formerly operating locally as Colorado Surrogacy — is the most established Colorado-based full-service surrogacy agency in the state. The agency is co-founded by Ellen Trachman, a Colorado attorney and founding partner of Trachman Law Center specializing in surrogacy law, giving Bright Futures a legal foundation most agencies do not have built in.
The team is composed largely of former surrogates and professionals with direct third-party reproduction experience. The agency operates a regional model, serving primarily domestic intended parents across Colorado and partner regions.
Bright Futures holds memberships in SEEDS (Society for Ethical Egg Donation and Surrogacy), ASRM (American Society for Reproductive Medicine), and multiple Colorado LGBTQ+ and military family organizations. Agency fees are structured in installments, with no fees before a match is confirmed.
The agency does not publish match time averages or an IP total cost figure publicly. The compensation model, while transparent, means base pay varies by individual surrogate rather than following a posted rate. Colorado surrogates who want a guaranteed minimum figure may prefer an agency that publishes one.
Best For: Colorado families who want a locally rooted agency with deep legal expertise, a team of former surrogates, and a relationship-first matching philosophy. Strong choice for LGBTQ+ intended parents and U.S.-only journeys.
Golden Surrogacy is a Colorado-based agency that has focused on in-state matching for over a decade, serving surrogates and intended parents across Denver, Aurora, Colorado Springs, Boulder, Fort Collins, Loveland, Greeley, and surrounding communities. The agency publishes one of the most straightforward compensation guarantees in the state: a $70,000 minimum for first-time surrogates, with the founders publicly committed to never using vague “up to” marketing language.
The agency was co-founded by former intended parents — a background that shapes its service model and makes it particularly attentive to the emotional dimensions of the process on the IP side. Golden Surrogacy requires all funds to be placed in escrow before medical procedures begin. The agency does not adjust surrogate compensation based on location, insurance status, or employment.
Golden Surrogacy does not publish IP total journey costs or average match times publicly, which limits true comparison against agencies that provide full cost breakdowns. The agency’s scope remains primarily Colorado and nearby states — which limits the volume of intended parents available for matching but supports closer geographic relationships.
Best For: Colorado surrogates who want a strong guaranteed minimum compensation and a locally rooted agency with a decade of in-state experience. Also a solid option for Colorado intended parents who want a founder-led, community-focused agency.
Fertility Source Companies (FSC) is a nationally operating agency with an established Colorado program and active partnerships with leading IVF clinics in Denver, Boulder, Colorado Springs, Fort Collins, and beyond — including CCRM’s multiple Colorado locations and Shady Grove’s Denver center. FSC publishes a clearly stated first-time surrogate base compensation of $65,000 in Colorado, paid in eight installments after fetal heartbeat confirmation, with additional milestone bonuses of $1,500 at medical clearance and $1,500 at legal clearance.
FSC’s case management model assigns dedicated coordinators throughout the journey. The agency’s clinic relationships in Colorado give it practical logistical advantages — surrogates can access FSC’s partner clinics throughout the state rather than traveling to a single location.
FSC does not publish a total IP journey cost figure. The agency’s national scale means coordinators may carry larger caseloads than smaller local agencies. For those who prioritize established clinic relationships and a nationally vetted surrogate database, FSC offers strong infrastructure in Colorado.
Best For: Colorado intended parents who want a nationally established agency with direct clinic partnerships across the state. Colorado surrogates who want a clearly published base compensation figure and structured milestone bonuses.
ConceiveAbilities is one of the largest and most experienced surrogacy agencies in the United States, operating since 1996 with a Denver office serving Colorado families directly.
The agency has built its national reputation on structured matching — its Matching Matters™ system evaluates personality, communication style, values, and expectations alongside clinical criteria — and on its All-In Surrogacy Program, a fixed-fee IP model priced at $197,500. That program bundles most journey costs including unlimited rematches, maternity insurance, lost wages coverage for a surrogate’s spouse, and extra transfer cycles.
ConceiveAbilities has particular depth in Colorado, citing over 25 years of relationships with the state’s fertility and obstetrical community. The agency claims a 97% first-introduction match success rate through its Matching Matters™ process, though Colorado-specific match times average two to three months.
At $197,500, ConceiveAbilities’ All-In program sits at the higher end of the national cost range. The 2–3 month average match time extends the journey timeline compared to faster-matching programs. Families who prioritize financial predictability and maximum coverage against unexpected costs may find the All-In structure worth the premium.
Best For: Colorado intended parents who want financial certainty, an all-inclusive cost structure, and a nationally established agency with a direct Denver presence.
Circle Surrogacy is one of the longest-running surrogacy agencies in the United States, operating since 1995 and serving intended parents from more than 70 countries.
The agency’s legal expertise is its most cited advantage — Circle has built a national reputation for handling complex multi-country parentage situations and navigating state-specific legal requirements with confidence. Colorado families benefit from Circle’s familiarity with the state’s Surrogacy Agreement Act, pre-birth order processes, and voluntary acknowledgment procedures at the hospital.
Circle serves Colorado from its national staff network across Boston, New York, California, North Carolina, Washington D.C., and London. Its MatchMade™ system focuses on relationship compatibility alongside clinical criteria — an approach Circle credits for healthier long-term IP-surrogate relationships.
Circle does not publish Colorado-specific surrogate compensation ranges or IP total cost figures publicly. The absence of a Colorado office means local families work with a remote coordination model from day one. Circle is most compelling for Colorado intended parents whose journey involves international legal complexity or who have received referrals from Circle’s international network.
Best For: Colorado intended parents with international backgrounds or complex multi-jurisdiction parentage needs, and Colorado surrogates interested in matching with international families.
American Surrogacy is a nationally operating agency headquartered in Olathe, Kansas, with an active Colorado program and a Denver-area team. The agency publishes Colorado-specific surrogate compensation data, citing first-time surrogate pay ranging from $55,000 to $90,000+ and experienced surrogate compensation from $60,000 to $110,000+ depending on track record and journey circumstances. The agency’s published IP match time is 1–4 months from initial contact.
American Surrogacy markets its Limited Risk Program, which covers unlimited matching in cases involving multiple failed embryo transfers, refunds for unused fees if no embryos remain, and a Parent Protection Fee designed to reduce financial exposure to unexpected journey variations. The agency serves intended parents regardless of marital status, sexual orientation, or genetic relationship to their child.
American Surrogacy’s total IP journey cost is not published for Colorado. The agency is not physician-led, which means surrogate medical screening relies on contracted medical professionals rather than an in-house clinical team. Colorado surrogates and intended parents who want in-house physician oversight should compare this agency carefully against Physician’s Surrogacy’s OB/GYN-led model before deciding.
Best For: Colorado surrogates who want a clearly published state-specific pay range with an experienced surrogate premium. Intended parents who want financial risk mitigation through the Limited Risk Program structure.
Colorado’s surrogacy legal framework is among the most comprehensive and clearly codified in the United States. Unlike states that rely on case law or unwritten judicial preferences, Colorado enacted specific statutory protections through the Colorado Surrogacy Agreement Act, signed by Governor Polis on May 6, 2021, and codified as C.R.S. § 19-4.5-101 et seq. Here is what every intended parent and surrogate candidate needs to know before starting a Colorado journey.
For broader context on how Colorado compares to other states, see our surrogacy laws by state guide.
Colorado’s legal framework protects the contractual side of the surrogacy relationship — but it does not regulate the agencies that coordinate those journeys. Because Colorado has no state licensing requirement for surrogacy agencies, the quality of medical oversight, financial handling, and surrogate support varies widely. Here are five factors that reliably separate strong agencies from weaker ones in Colorado’s market.
This comparison was built on direct research into each agency’s publicly available materials, published compensation and cost data, legal affiliations, and Colorado-specific program presence. The evaluation framework used five criteria applied consistently across all seven agencies.
We evaluated whether each agency employs practicing physicians in a clinical oversight role versus coordinating with external medical professionals on a per-case basis. In-house physician oversight — specifically OB/GYN leadership — was weighted heavily because it directly affects surrogate safety outcomes and preterm birth rates.
We assessed whether agencies publish verifiable Colorado-specific surrogate compensation figures and whether those figures represent true take-home pay or inflated totals that include reimbursable expenses. Agencies that publish clear, first-time surrogate minimums received higher marks.
We reviewed whether agencies publish total journey cost ranges — not just agency fee lines — so intended parents can evaluate full financial exposure. Agencies with all-inclusive or flat-rate pricing models received credit for transparency; those without published figures were noted.
We assessed each agency’s demonstrated knowledge of Colorado’s Surrogacy Agreement Act (C.R.S. § 19-4.5-101 et seq.), pre-birth order filing experience, and connections to Colorado ART attorneys with active practice under the 2021 statute.
We recorded published average match times where available, and assessed physical Colorado presence — whether an agency maintains a local office or coordinates all Colorado journeys remotely. Both factors affect how quickly a journey can begin and how closely families are supported during matching.
We evaluated post-match support structures, coordinator caseloads where disclosed, and post-delivery support timelines. Agencies with structured surrogate wellness programs and clear post-delivery follow-up received higher marks on this criterion.
Colorado gives every intended parent and surrogate a legally secure foundation — a codified statute, routinely granted pre-birth orders, and an inclusive framework that extends equal protection regardless of sexual orientation, marital status, or genetic relationship. What the law cannot give you is the right agency. That remains a decision requiring direct comparison of medical oversight, compensation structure, match speed, and the depth of legal expertise your journey will draw on.
Gestational surrogacy is one of the most medically sophisticated ways a family can be built — and one of the most human. The agency that stands apart in Colorado — and nationally — is the one that keeps physicians at the center of that process rather than outsourcing clinical judgment to coordinators. When you’re comparing the best surrogacy agencies in Colorado on those terms, Physician’s Surrogacy’s OB/GYN-managed model, one-week average match time, and Flat-Rate Surrogacy program stand apart from what any other agency on this list can offer.
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 Colorado, you now have the information to ask all three.
Colorado surrogates and intended parents both deserve physician-led oversight, pricing transparency, and a match within weeks — not months.
Physician’s Surrogacy averages a 1-week match time and holds preterm birth rates 50% below the national average — no other agency in Colorado offers both.
Illinois is widely regarded as one of the most surrogacy-friendly states in the country — and the agencies serving it reflect that reputation. The Illinois Gestational Surrogacy Act (750 ILCS 47/), on the books since 2005, makes surrogacy contracts fully enforceable by statute. That is something most states simply cannot offer. In December 2025, Governor JB Pritzker signed the Equality for Every Family Act (HB2683), removing the genetic-link requirement for intended parents and expanding access for all family types.
Chicago is where the strongest legal framework and the most active surrogate market in the Midwest meet. Unlike Georgia, where permissibility rests on the absence of prohibition, or New York, where surrogacy was illegal until 2021, Illinois built a clear legal foundation for surrogacy two decades ago — and has been strengthening it ever since.
This guide compares seven of the best surrogacy agencies in Illinois for 2026, evaluated for both intended parents and surrogates. Physician’s Surrogacy appears first — we’re transparent about that — and every other agency has earned its placement based on verifiable facts.
Here is a quick comparison of the top agencies, followed by a full breakdown of each. Surrogate pay figures reflect published first-time surrogate compensation. IP total cost estimates reflect full journey costs including agency fees, surrogate compensation, medical, legal, and insurance. All figures are as of 2026.
| Agency | HQ / IL Presence | Surrogate Pay (IL) | Est. IP Total Cost | Match Time | Physician-Led? | Chicago-Based? |
|---|---|---|---|---|---|---|
| Physician’s Surrogacy | San Diego, CA / National | Starting at $60,000+ | From $145,000 (Flat-Rate) | ~1 week avg. | Yes — onsite OB/GYNs | No (national) |
| ConceiveAbilities | Chicago, IL (HQ) | Up to $75,000+ | ~$197,500 (All-In) | 2–6 months | No | Yes (HQ) |
| Golden Surrogacy | Northbrook, IL | $70,000+ minimum | $35K–$45K agency fee + surrogate pkg | 4–12 months | No | Yes (suburban Chicago) |
| Circle Surrogacy | Boston, MA / Serves IL | Up to $70,000+ | ~$189,500 (guarantee) | 30 days–9 months | No | No |
| Illinois Center for Surrogacy | Chicago, IL (West Loop) | Included in all-in package | $100,000–$160,000+ (all-in) | Not published | Partial (clinic-affiliated) | Yes (West Loop) |
| Fertility Source Companies | National / IL program | ~$65,000 base (IL) | Not published | Not published | No | No |
| American Surrogacy | Olathe, KS / Serves IL | $55,000–$110,000+ | $187,500–$202,500+ | 1–4 months | No | No |
* Surrogate pay figures reflect publicly available compensation for first-time carriers. IP total costs include agency fees, surrogate compensation, medical/IVF, legal, escrow, and insurance. Golden Surrogacy’s agency fee is separate from the surrogate compensation package — total IP cost varies by journey. Contact each agency for a personalized estimate.
Quick Facts
HQ: San Diego, CA (serves Illinois families nationally)
Surrogate compensation: starting at $60,000+ for Illinois (LC state tier)
Intended parent cost: Flat-Rate Surrogacy program — four tiers from $145,000
Match time: Average 1 week (vs. 6–12 month industry standard)
Physician-led: Yes — the only agency in the U.S. managed by onsite practicing OB/GYNs
Screening pass rate: ~8% (more than 90% of applicants screened out)
Medically Cleared Program: Eliminates the 3–5 week post-match screening wait
Illinois’s Gestational Surrogacy Act sets the strongest statutory baseline in the country — enforceable contracts, mandated escrow, and a court-free parentage process. What the law doesn’t touch is the clinical model.
The statute requires surrogate qualifications and mandates escrow, but it doesn’t require that any physician employed by the agency review a surrogate’s records or consult on her care. That gap between legal compliance and clinical accountability is exactly where Physician’s Surrogacy operates differently from every other agency serving the state.
Onsite board-certified obstetricians design the surrogate screening protocol, monitor clinical communications after every appointment, and conduct peer-to-peer consultations with a surrogate’s managing OB anywhere in Illinois when complications arise. The agency is headquartered in San Diego and serves intended parents and surrogates nationwide. The Advisory Board includes specialists in maternal-fetal medicine, neonatal care, and OB/GYNs.
Illinois surrogates never travel to California. All pre-screening and prenatal care are coordinated with local Chicago-area fertility clinics, including the Fertility Centers of Illinois and CCRM Chicago. Learn more about surrogate compensation and what’s included in the flat-rate package.
The one limitation worth noting: Physician’s Surrogacy focuses exclusively on gestational surrogacy and does not offer egg donation services within the same program.
Best For: Illinois intended parents who want the only physician-led agency serving the state, the fastest matching timeline nationally, and flat-rate pricing with no fees until match. Chicago-area surrogates who want onsite physician oversight, a flat-rate compensation package, and escrow protection that exceeds statutory minimums.
The Gestational Surrogacy Act protects the contract. Physician’s Surrogacy protects the pregnancy — with onsite OB/GYNs that no other agency serving Illinois employs.
10,000+ candidates screened annually. Only ~8% pass. Preterm birth rates 50% below the national average.
The pool Illinois families draw from is among the most rigorously vetted in the country.
ConceiveAbilities was founded in 1996 and is headquartered in Chicago — making it the only major national agency on this list with its principal office in Illinois. The agency has over 25 years of surrogacy experience in the Chicago market, with deep relationships at the Fertility Centers of Illinois, Northwestern Medicine, and other Chicago-area IVF programs.
For Chicago-area surrogates, ConceiveAbilities actively recruits locally and provides Illinois-specific community resources: care packages with Chicago-area vendor items, and connections to local mom communities including Chicago North Shore Moms and MamaTribe Chicago.
ConceiveAbilities’ All-In program at $197,500 sits at the higher end of this list’s IP costs. The trade-off is the deepest Chicago-specific infrastructure of any agency here — 25 years of Illinois relationships that national programs operating from outside the state have not replicated. Matching speed of 2–6 months is slower than Physician’s Surrogacy but faster than the industry average.
Best For: Illinois intended parents who want a Chicago-headquartered agency with deep local market knowledge and competitive first-time surrogate compensation. Chicago-area surrogates who want local matching, community connection, and a program with deep Chicagoland roots.
Golden Surrogacy is a state-licensed Illinois surrogacy agency headquartered in Northbrook — 20 miles north of downtown Chicago. Founded in 2011 by Adam and Frank Golden, a married gay couple who built their own family through surrogacy, it carries a perspective that institutionally run programs rarely replicate.
Golden holds an Illinois Gestational Surrogacy Program License (Certificate No. GS211004), carries a BBB A+ rating, and reports a 99% clinic approval rate for matched surrogates. Operating as a boutique program, every case receives direct, principal-level attention.
Golden’s boutique scale is both its strength and its one constraint — approximately 35 births on record means the agency operates at depth over volume. For intended parents who want principal-level attention and a founding team with lived surrogacy experience, that is a feature, not a flaw.
Best For: LGBTQ+ intended parents and anyone who values a Chicago-area agency founded by intended parents, with high surrogate clinic approval rates and genuine boutique attention. Illinois surrogates who want a locally licensed agency, the ability to negotiate compensation, and a consistent care team throughout.
Circle Surrogacy was founded in 1995 by John Weltman, a lawyer and gay dad whose own children were born through surrogacy. The agency serves Illinois intended parents and surrogates across Chicago, Aurora, Rockford, and all Illinois communities, and has operated here under the Gestational Surrogacy Act since its passage in 2005.
Circle’s core advantage in Illinois is its legal and financial infrastructure. Attorneys on staff are experienced with the Illinois administrative parentage process, including the pre-delivery filing requirements with the Illinois Department of Public Health and the delivery hospital.
Circle is a non-medical agency — clinical oversight runs through the intended parents’ IVF clinic. Its strength in Illinois is the combination of a three-decade legal track record under the Gestational Surrogacy Act, a financial guarantee structure, and a surrogate support program that goes beyond what Illinois statute requires.
Best For: Illinois intended parents who want a cost-guarantee program, legal expertise in the Illinois administrative parentage process, and a 30-year track record. Chicago-area surrogates who want guaranteed pay, dedicated mental health support, and a nationally recognized program that has served Illinois since the Gestational Surrogacy Act was passed.
The Illinois Center for Surrogacy is a division of Chicago IVF, a multi-location fertility clinic headquartered in Illinois. It is the only surrogacy program on this list that operates from within a fertility clinic — giving it a structural advantage no pure agency can replicate: intended parents and surrogates have direct access to onsite physician care, embryo transfer services, and IVF coordination under one roof.
The program operates out of Chicago IVF’s West Loop office and serves domestic and international intended parents. It publishes three all-in financial packages that bundle surrogate matching, surrogate compensation, required medical screening for both IPs and the surrogate, egg retrieval, embryo transfer, psychological evaluations, insurance review, and medications into a single fixed price — with no hidden line items. That pricing structure is notably transparent for a clinic-based program.
The Illinois Center for Surrogacy’s clinic-integrated model is its clearest differentiator — but it also means the program is primarily IP-centric. Standalone surrogate compensation figures are not published publicly, which limits direct comparison for surrogates evaluating agencies side by side. The all-in pricing also does not break out legal fees or certain additional transfer cycles, so intended parents should confirm what is and isn’t covered during their consultation.
Best For: International intended parents who want a Chicago-based, clinic-integrated program with all-inclusive pricing and minimal travel. Illinois intended parents who want onsite IVF and surrogacy coordination under one medical roof. Surrogates interested in a physician-supported program with a high clinic approval rate.
Fertility Source Companies (FSC) is a nationally operating agency with an active Illinois program and established working relationships with Chicago-area IVF clinics, including the Fertility Centers of Illinois. FSC publishes one of the few clearly stated Illinois-specific surrogate pay figures among national agencies: approximately $65,000 base compensation for first-time Illinois surrogates, paid in monthly installments after fetal heartbeat confirmation.
The agency’s Illinois program covers Chicago, Aurora, Joliet, Naperville, and surrounding communities. FSC’s national surrogate database gives Illinois intended parents access to a pool of pre-screened candidates beyond the local Chicago market — useful when specific matching preferences make local-only matching slower.
FSC does not publish total IP journey costs or average match times for Illinois publicly, which limits direct comparison with agencies that provide full cost transparency. The agency’s national scale means coordinator caseloads may be larger than boutique local programs — something to weigh for intended parents who prioritize high-touch case management.
Best For: Illinois intended parents who want a nationally established agency with direct Illinois clinic partnerships and a broad surrogate pool. Illinois surrogates who want a clearly published state-specific compensation figure and a nationally experienced support team.
American Surrogacy is a national agency that actively serves Illinois intended parents and surrogates. The agency is fully conversant with the Gestational Surrogacy Act’s requirements and has updated its intake and contracting process to reflect the Equality for Every Family Act changes that took effect in December 2025.
American Surrogacy offers three program tiers, giving Illinois intended parents more budget flexibility than most single-program agencies. Its matching speed of 1–4 months is among the fastest on this list — a result of a large pre-screened surrogate database and a streamlined intake process.
American Surrogacy’s three-tier structure gives intended parents genuine flexibility — particularly the Independent Program for families who have already identified a surrogate and need coordination support rather than full matching. The Foundation Program carries more financial risk if the journey doesn’t proceed smoothly; the Limited Risk Program offers stronger cost protection.
Best For: Illinois intended parents who want program flexibility, faster-than-average matching, and three clear pricing tiers. Illinois surrogates who want nationally benchmarked compensation, escrow-backed pay, and an experienced case management team.
Illinois’s 750 ILCS 47/ is one of the most detailed and protective surrogacy statutes in the United States. It doesn’t just permit surrogacy — it defines the conditions under which contracts are enforceable, sets minimum surrogate qualifications, and establishes a streamlined administrative path to parentage that bypasses the courts entirely.
For broader context on how Illinois compares to other states, see our surrogacy laws by state guide. Here is what the statute means in practice in 2026.
Illinois’s strong statutory framework raises the floor for everyone. Every agency here must comply with the Gestational Surrogacy Act’s escrow mandate, independent counsel requirement, and surrogate qualifications. What separates the best surrogacy agencies in Illinois from the rest are factors the law doesn’t address. See also: choosing a surrogacy agency.
These seven agencies were evaluated on criteria specific to Illinois’s surrogacy environment — including the Equality for Every Family Act requirements that took effect in December 2025. Read our broader guide to top agency selection criteria for a framework that applies nationally.
Illinois law mandates no physician oversight at the agency level. Onsite OB/GYN oversight — which only Physician’s Surrogacy provides — fills a gap the Gestational Surrogacy Act does not address, and directly affects pregnancy outcomes and surrogate safety.
HB2683 (December 2025) changed the genetic-link requirement, updated the infertility affidavit standard, and mandated Illinois-licensed counsel for surrogates. Agencies operating on pre-2026 contracts are out of compliance with current Illinois law.
The Fertility Centers of Illinois, Northwestern Medicine, CCRM Chicago, and InVia Fertility are among the most active gestational carrier programs in the Midwest. Agencies with established workflows at these clinics coordinate embryo transfers and prenatal monitoring more efficiently.
Illinois mandates escrow before medical treatment begins — but not how it is funded. Agencies that fund escrow fully upfront provide stronger protection. Ask every agency to describe their escrow structure before signing any agreement.
Illinois has welcomed LGBTQ+ and international intended parents since 2005. The Equality for Every Family Act strengthened those protections in December 2025. Agencies with two decades of Illinois-specific LGBTQ+ parentage experience received additional weight.
Illinois statute does not regulate how compensation is structured — only that it sits in escrow before treatment begins. We distinguished between flat-rate packages (one guaranteed total, disclosed upfront) and variable base-plus-addons models, which affect predictability for both surrogates and intended parents.
Illinois offers something genuinely rare in American surrogacy law: a clear, tested, enforceable statutory framework that protects all parties, eliminates court involvement, and mandates escrow from day one. No other state makes the parentage process as administratively clean when all requirements are met before delivery.
What the Gestational Surrogacy Act doesn’t govern is the clinical quality of the journey. It doesn’t require the agency to employ physicians. It doesn’t set standards for surrogate monitoring between clinic appointments. It doesn’t address what happens when a complication arises at 28 weeks at a hospital the agency has no prior relationship with.
When you’re comparing the best surrogacy agencies in Illinois on those terms, the one that stands apart is the one that closes that clinical gap — not just the legal one. Among agencies serving the state, only Physician’s Surrogacy employs onsite OB/GYNs who protect the pregnancy the same way the statute protects the contract.
The Gestational Surrogacy Act protects your contract. Physician’s Surrogacy protects your pregnancy. No commitment, no fees until your match is confirmed.
Average match: 1 week. Preterm delivery rate 50% below the national average. No other agency serving Illinois offers both.
Choosing between the best surrogacy agencies in Florida starts with a question most comparison guides skip: who is clinically accountable when something goes wrong mid-pregnancy? Florida has world-class fertility clinics from Tampa and Orlando to Miami and Jacksonville. Its legal framework explicitly permits compensated gestational surrogacy.
On paper, everything is in place for a straightforward journey. But Florida also has something that complicates the picture for anyone thinking carefully about pregnancy safety.
A six-week abortion ban created real uncertainty in the state’s reproductive healthcare environment. Hurricane season runs June through November — the same months many surrogate pregnancies reach their second and third trimesters.
These aren’t minor footnotes. For a surrogate in Sarasota or an intended parent in Miami, they’re the questions that should be asked before signing with any agency.
Which agency has the clinical infrastructure to monitor complications in real time? Whose OBs are actually available when something needs a peer-to-peer call with a managing physician at a Florida hospital? What happens to a surrogacy contract if a surrogate faces a pregnancy complication in a state where hospital delay has become well-documented?
This guide compares the best surrogacy agencies in Florida for 2026 — evaluated from both the surrogate and intended parent perspective. Physician’s Surrogacy appears first because we wrote this guide, and we disclose that plainly. Every other agency earned its placement based on verifiable, sourced facts.
Here is a quick comparison of all seven agencies, followed by a full breakdown of each.
| Agency | HQ / FL Presence | Surrogate Pay (FL) | Est. IP Total | Match Time | Physician-Led? | LGBTQ+ / Single IP |
|---|---|---|---|---|---|---|
| Physician’s Surrogacy | San Diego, CA (serves FL) | $67K+ (first-time) | From $145,000 | ~1 week | Yes — in-house OBs | Yes |
| Eggceptional Fertility | Florida-based | $60K–$80K+ | ~$120K–$150K+ | Not disclosed | No | Yes |
| Golden Surrogacy | Florida-based | $70K+ published min. | Not disclosed | Not disclosed | No | Yes |
| Circle Surrogacy | Boston, MA (serves FL) | Up to $70K+ | ~$189K (guarantee) | 30 days–9 months | No | Yes (strong FL track record) |
| American Surrogacy | National (serves FL) | $55K+ (first-time) | $187K–$202K+ | 1–4 months | No | Yes |
| ConceiveAbilities | Chicago, IL (serves FL) | Up to $75K | ~$197K (All-In) | 2–6 months | No | Yes |
| Advocates For Surrogacy | Florida-based | Not publicly disclosed | On consultation | Not disclosed | No | Yes (long-standing LGBTQ+ focus) |
* Surrogate pay reflects publicly stated compensation. Intended parent totals vary by program tier, IVF needs, embryo transfer attempts, and legal fees. Always confirm the full package breakdown before committing to any agency.
Quick Facts
Physician’s Surrogacy is the only surrogacy agency in the United States managed by in-house, practicing OB/GYNs. Florida surrogates earn a flat-rate package starting at $67,000+ (first-time). Programs for intended parents start at $145,000 with no agency fees until a match is confirmed. Average match time: approximately one week.
The question most Florida surrogates don’t think to ask is this: when a complication comes up mid-pregnancy — not a crisis, just an unusual result from a routine appointment — who calls your managing OB? At most agencies, the answer is a case coordinator. Their job is to schedule and communicate. They are not clinicians.
At Physician’s Surrogacy, the answer is a board-certified OB/GYN employed by the agency itself. That physician reviews clinical communications after every appointment, can consult peer-to-peer with a surrogate’s managing physician in Tampa or Miami or Jacksonville, and is equipped to weigh in on decisions that a coordinator is simply not qualified to make.
In Florida specifically, where the six-week abortion restriction has created documented delays in prenatal care at hospitals statewide, having a clinical authority in your corner from the start is not a premium feature. It’s the kind of protection that makes a concrete difference when something doesn’t go according to plan.
Florida surrogates work with local clinics and managing OBs in their own city. No travel to California is required for pre-screening or prenatal care.
One honest note: Physician’s Surrogacy is a gestational surrogacy agency and does not provide egg donation services within the same program. Intended parents who need both egg donation and surrogacy will need to coordinate egg donation through a fertility clinic or a separate provider.
Best For: Florida surrogates who want the strongest medical safety program available, guaranteed pay in escrow before the journey starts, and physician-designed screening that doesn’t leave clinical decisions entirely to the IVF clinic. Intended parents who want flat-rate pricing with nothing hidden, fast matching, and the only in-house OB/GYN oversight available anywhere in the state.
Ready to learn more about Physician’s Surrogacy?
Florida surrogates start at $67,000+. No agency fees for intended parents until match is confirmed.
Eggceptional Fertility is a Florida-native agency with over a decade of in-state experience. The team works within Florida’s specific legal and medical environment — familiar with local reproductive attorneys and fertility clinic networks across Miami, Tampa, and Orlando.
For intended parents who want combined egg donation and gestational surrogacy in one program, Eggceptional’s integrated model is one of the more streamlined local options available. A flat agency fee of $30,000, paid in installments, makes the cost structure more transparent than many national programs.
Eggceptional’s compensation range is genuinely competitive for a Florida-native agency. The trade-off versus national programs is a smaller active surrogate pool and no physician-led oversight structure — clinical decisions remain with the intended parents’ IVF clinic.
Best For: Intended parents who want a Florida-rooted agency with deep local knowledge, a flat fee structure, and integrated egg donation and surrogacy services. Surrogates in Miami, Tampa, or Orlando who prefer high-touch local support and competitive pay without working through a large national program.
Golden Surrogacy was founded by intended parents (not attorneys or agency operators) who completed their own surrogacy journey and built a program around what they wish they’d had. That perspective shapes how the agency handles matching, communication, and the parts of the surrogacy experience that standard agency workflows tend to flatten into logistics.
Golden publishes a minimum compensation guarantee of $70,000 for all first-time Florida surrogates, one of the highest published floors among Florida-native agencies. Surrogates also have the option to negotiate their compensation, a degree of flexibility that’s rare in larger programs.
Golden’s $70,000 published minimum is a real number. The gaps worth asking about directly: total IP costs, matching timelines, and post-delivery support protocols are not publicly disclosed. Ask about all three before committing.
Best For: Florida surrogates in Jacksonville, Tampa, or Miami who want a local, relationship-first program with competitive pay and room to negotiate. Intended parents who want a Florida-native team founded by people who know the journey from their own experience.
Circle Surrogacy was founded in 1995 by a lawyer and gay dad who built his own family through surrogacy. Headquartered in Boston, Circle has been serving Florida intended parents and surrogates for over 30 years — with a particularly strong track record for LGBTQ+ families working through Florida’s specific parentage order process.
Florida’s legal pathway for LGBTQ+ and unmarried intended parents is workable but requires genuinely experienced Florida ART legal counsel. Circle’s in-house legal team has handled this specific pathway for decades, which is a meaningful differentiator in a state where county-level practice still varies.
Circle is a non-medical agency. Clinical oversight comes from the intended parents’ IVF clinic. The agency does not employ physicians. Its differentiated strength is legal infrastructure, financial protection, and a three-decade track record — particularly for LGBTQ+ families in a state where the legal pathway requires real expertise.
Best For: LGBTQ+ and married intended parents in Florida who want in-house legal support with genuine Florida ART experience, a financial guarantee program, and one of the most fully protected surrogate compensation structures available. Florida surrogates who want guaranteed pay secured in escrow and dedicated social work support from match to postpartum.
American Surrogacy is a national agency with Florida-specific experience — including familiarity with the state’s medical necessity requirement and post-birth parentage order process. Three program tiers give intended parents more structural choice than most agencies offer.
American Surrogacy’s three-tier structure works well for intended parents who want budget flexibility. The Foundation Program’s lower upfront cost carries more financial exposure if the journey doesn’t go smoothly.
The Limited Risk Program provides better protection for families who want predictable costs. Neither program includes physician oversight within the agency — clinical accountability remains with the fertility clinic.
Best For: Intended parents who want national program flexibility, faster-than-average matching, and Florida surrogate access through a structured case management team. Florida surrogates who want clear, disclosed compensation terms from the start.
Founded in 1996, ConceiveAbilities is a national agency with nearly 30 years of experience serving Florida surrogates and intended parents. Its Matching Matters® philosophy centers on compatibility — connecting surrogates and intended parents on personality, communication style, and values alongside logistics.
For Florida surrogates specifically, ConceiveAbilities is worth examining for its compensation figures. A published first-time rate of up to $75,000 is among the highest nationally available, well above what most Florida-native agencies publish.
Longer matching timelines than agencies with pre-cleared surrogate pools, and intended parent costs at the higher end of the national range. ConceiveAbilities does not offer physician-led oversight — clinical decisions remain with the fertility clinic throughout the journey.
Best For: Florida surrogates who want maximum first-time compensation and a national agency with a long history of surrogate retention. Intended parents who prioritize long-term compatibility matching and want combined egg donation and surrogacy services in one program.
Advocates For Surrogacy is a Florida-based agency with a long-standing focus on LGBTQ+ intended parents and a client-advocacy approach. The agency’s president, Candace O’Brien, has been supporting LGBTQ+ family building for nearly two decades — relevant experience in a state where the legal pathway for non-married intended parents requires genuine specialist knowledge.
The agency operates as a full-service coordinator: matching, case management, legal referrals, and escrow guidance. Compensation and total IP cost figures are not published publicly and are provided on consultation — which makes direct comparison harder, but the direct conversation approach is part of their model.
The absence of public compensation and cost figures makes Advocates harder to compare without a direct consultation. For surrogates who prioritize knowing their intended parents have been thoroughly vetted before matching, the agency’s approach to IP screening is a genuine differentiator.
Best For: LGBTQ+ intended parents in Florida who want an agency with long-standing specific experience in the Florida LGBTQ+ legal pathway. Florida surrogates who want a smaller, relationship-focused agency where intended parent vetting is treated as a core part of the matching process.
Florida is one of the most legally established states for gestational surrogacy in the country — but it comes with specific legal features that distinguish it from states like California, and two state-specific developments in 2026 that anyone entering a surrogacy journey here needs to understand directly.
Gestational surrogacy in Florida is governed by Florida Statute §742.15 and Florida Statute §63.213. Here is what actually matters:
Florida’s active surrogate pool and established fertility clinic network are real advantages. But they don’t answer the questions that actually matter when something unexpected happens during the pregnancy — which is the moment a surrogacy agency either earns its fees or doesn’t. These five criteria separate strong programs from average ones. (See also: choosing a surrogate agency.)
These seven agencies were selected and evaluated based on criteria that matter specifically for Florida surrogates and intended parents — not just what applies generically to surrogacy nationally. (what the best agencies share.)
Who actually manages the medical process when a routine appointment produces an unusual result? Florida’s statute requires medical screening but doesn’t define its quality. The difference between coordinator-managed care and in-house OB/GYN oversight is most visible when complications arise — and no IVF clinic relationship replaces that gap.
Florida’s medical necessity requirement, post-birth parentage order pathway, LGBTQ+ and single-parent process, and the current abortion restriction environment all require genuine Florida ART legal expertise — not just general surrogacy law familiarity. Agencies whose legal coordination teams have current, active Florida experience scored higher.
Florida has a large active surrogate population, but pool quality and pre-screening depth vary widely across agencies. Programs with structured pre-clearance options can match in days rather than months — a meaningful difference for intended parents who have already waited years for this moment.
Florida surrogate pay spans $55,000–$80,000+ across programs on this list. We weighted agencies that publish full compensation breakdowns upfront and fund escrow before the journey begins. Agencies that disclose figures only on consultation scored lower.
Florida courts grant parentage orders to LGBTQ+ and single intended parents, but through a more complex pathway than in California. Agencies with active Florida legal teams experienced in the specific LGBTQ+ and single-parent parentage process received additional weight in our evaluation.
Surrogacy doesn’t end at birth. We evaluated each agency’s post-delivery support duration, counseling access, and whether clinical follow-up is included. Agencies varied considerably on this — and in Florida, where a surrogate’s managing OB may face constraints in postpartum care under current law, how well the agency supports the surrogate afterward is a real differentiator.
Florida’s large surrogate community, IVF clinic network, and compensated-surrogacy statute give the state genuine advantages. What they don’t give you is certainty about how a complication is handled at 2 a.m. in Orlando, or who is clinically accountable when something in the second trimester needs an OB-to-OB conversation.
Most agencies on this list refer those conversations to the IVF clinic. That’s the standard model — and for an uncomplicated journey, it often works fine.
But in a state with documented delays in prenatal care following the six-week abortion restriction, and where hurricane season runs straight through peak pregnancy months, “usually fine” carries a different weight than it did a few years ago.
For a Florida surrogate, the most protective choice is an agency where a physician-designed screening protocol decided you were a fit candidate — and where an in-house OB reviews every appointment communication.
For intended parents, it’s an agency where clinical accountability doesn’t stop at the fertility clinic door. Gestational surrogacy is one of the most medically sophisticated ways a family can be built — and one of the most human. The agency you choose should treat it like both.
Whether you’re a Florida surrogate who wants clinical oversight you can trust, or an intended parent who’s done waiting — Physician’s Surrogacy is the only agency in the state with in-house OB/GYNs who stay accountable through every stage of your journey.
Preterm delivery rate 50% below the national average. Average match: ~1 week. No agency fees until match is confirmed.
When New York intended parents search for the best surrogacy agencies in New York, they face a question no other state forces in quite the same way: is the agency licensed by the Department of Health?
The Child-Parent Security Act, which took effect February 15, 2021, made New York the first and only state to require surrogacy matching programs to hold a DOH license. Every agency matching surrogates who reside or deliver in New York must meet mandatory screening, escrow, and informed-consent standards — or it is operating illegally.
That baseline is higher than most states.
What separates the best agencies from the rest comes down to what’s above it: physician oversight, match speed, pricing transparency, and NYC clinic familiarity.
This guide covers six agencies. The only one without a NY DOH license is Physician’s Surrogacy, which serves NY intended parents with out-of-state surrogates through a fully compliant structure.
Here is a quick comparison of the six agencies evaluated for New York intended parents, followed by a full breakdown of each.
| Agency | NY Licensed? | Surrogate Pay (NY) | Est. IP Total Cost | Match Time | Physician-Led? | NYC Office? |
|---|---|---|---|---|---|---|
| Physician’s Surrogacy ⚠ | No (out-of-state surrogates) | $60,000+ (out-of-state) | From $145,000 | ~1 week | Yes — in-house OBs | No (national) |
| Circle Surrogacy | Yes | ~$70K+ total | ~$189K (guarantee) | 3–9 months | No | No (Boston HQ) |
| ConceiveAbilities | Yes | Up to $75K+ | ~$197K (All-In) | 2–6 months | No | Yes (NYC presence) |
| Hatch Fertility | Yes (Sept. 2025) | $61K+ (first-time) | $160K–$225K+ | 3–10 months | Partial (clinic partner) | No (national) |
| Family Inceptions | Yes | Not disclosed | Not disclosed | Not disclosed | No | Yes (745 5th Ave) |
| American Surrogacy | Yes (Jan. 2026) | $55K+ (varies) | $187K–$202K+ | 1–4 months | No | Yes (NYC satellites) |
⚠ Physician’s Surrogacy does not hold a NY DOH surrogacy license and does not match NY-resident surrogates. NY intended parents are matched with pre-screened surrogates from surrogacy-friendly states. Surrogate pay reflects the applicable state floor.
Quick Facts
Physician’s Surrogacy is the only surrogacy agency in the United States managed by in-house, practicing OB/GYNs. New York intended parents pay Fixed and Flat pricing with no agency fees until a match is confirmed — programs start at $145,000. Average match time: approximately one week. NY intended parents are matched with pre-screened surrogates from surrogacy-friendly states nationwide.
Here is the question NY intended parents should actually ask: does your agency employ a physician — or does it hand all medical decisions to the IVF clinic?
Every DOH-licensed agency on this list does the latter. They comply with ASRM and ACOG screening guidelines, which the CPSA requires — but a coordinator working alongside a fertility clinic follows those guidelines without any physician on the agency’s payroll. Compliance is not the same as clinical oversight.
Physician’s Surrogacy is different. Board-certified OB/GYNs employed by the agency design the screening protocol, monitor clinical communications after every appointment, and consult peer-to-peer with a surrogate’s managing OB when complications arise. That capability does not exist at any other agency serving New York intended parents.
The trade-off is straightforward: Physician’s Surrogacy does not hold a New York State DOH surrogacy license, so it cannot match surrogates who live or deliver in New York. Instead, NY intended parents are matched with pre-screened surrogates from California, Texas, Florida, and other surrogacy-friendly states.
In practice, this is often an advantage. California and Nevada offer pre-birth orders with no genetic connection requirement and no mandatory residency hearing — legal protections that are simpler to execute than New York’s own parentage process. Your CPSA rights as an intended parent remain intact regardless of where your surrogate lives.
One limitation worth noting: surrogates are matched from other states, so prenatal care and delivery happen in the surrogate’s home state rather than a New York City hospital. If you want your child born at an NYC facility specifically, a DOH-licensed agency with a NY-based surrogate pool may be a better fit.
Physician’s Surrogacy focuses exclusively on gestational surrogacy and does not offer egg donation within the same program.
Best For: New York intended parents who want in-house physician oversight, a preterm delivery rate 50% below the national average, and a match in approximately one week. A strong fit for parents who want their surrogate in a state with simpler pre-birth order requirements, or who cannot afford a 6–12 month wait.
You've already been through enough. The last thing you need is to wonder who's medically accountable for your surrogate's care. At Physician's Surrogacy, that answer is always a board-certified OB/GYN employed by the agency, with full clinical context on your surrogate from the moment she entered the program.
Preterm delivery rate 50% below the national average. Average match: approximately one week. Fixed and Flat pricing from $145,000.
No agency fees until your match is confirmed.
Circle Surrogacy was founded in 1995 by John Weltman, a lawyer and gay dad whose own children were born through surrogacy. It is the longest-tenured full-service agency actively licensed in New York, with over 30 years of national surrogacy experience.
The agency is headquartered in Boston with satellite offices in Los Angeles, the San Francisco Bay Area, Washington D.C., and Cary, North Carolina. It was among the first agencies to obtain a New York State DOH license when the CPSA took effect and has maintained deep relationships with New York City’s top IVF clinics.
Circle is a non-medical agency — clinical oversight comes through the intended parents’ IVF clinic, not agency-employed physicians. Surrogate compensation reaches approximately $70,000+ total when all benefits are included.
Best For: NYC and tri-state area intended parents who want a fully licensed agency with in-house legal expertise, a three-decade track record, and a financial guarantee that absorbs risk on failed transfers and rematches.
ConceiveAbilities was one of the first national agencies to obtain a New York State license when the CPSA took effect. Founder Nazca Fontes was present in news coverage the day compensated surrogacy became legal — the agency had been advocating for the CPSA and was positioned to operate from day one.
ConceiveAbilities maintains direct partnerships with some of New York’s most prominent fertility clinics, including CCRM-NY, NYU Langone Fertility Center, RMA of New York, Shady Grove Fertility in NYC, and Weill Cornell Reproductive Medicine. For NY intended parents, this means smoother IVF coordination than agencies newer to the market.
ConceiveAbilities is a non-medical agency; clinical oversight comes through the intended parents’ fertility clinic. Matching speed runs approximately 2–6 months, and total IP costs are among the higher end on this list.
Best For: New York intended parents who want combined egg donation and surrogacy with strong NYC clinic relationships and an all-inclusive fixed-fee program.
Hatch Fertility was founded in 1991 and received its New York State DOH license in September 2025. Based in Los Angeles, Hatch serves NY intended parents while maintaining full CPSA compliance — including mandatory escrow, NY-licensed legal counsel, and all Surrogate’s Bill of Rights requirements.
The agency’s core strength in New York, as nationally, is its integrated egg donation and surrogacy program. For NYC-based intended parents who need both services, Hatch’s single-program model — with access to one of the largest fresh egg donor databases in the U.S. — reduces coordination complexity considerably.
Physician oversight at Hatch comes through a clinic partnership rather than agency-employed physicians. The broad cost range reflects the variability of combined egg donation and surrogacy journeys.
Best For: New York intended parents who need egg donation and surrogacy in the same program, or who want the financial certainty of an unlimited-transfer guarantee package.
Family Inceptions is a national agency headquartered in Suwanee, Georgia, that holds a New York State DOH license and maintains a satellite office at 745 5th Avenue in Manhattan. The agency was founded by Eloise Drane.
The team is known for building close, personal relationships with surrogates across multi-journey partnerships. For LGBTQ+ intended parents in the NYC metro area, the agency’s explicit prioritization of same-sex couples and single intended parents is a distinctive differentiator.
Family Inceptions publishes less compensation and cost data than other agencies on this list — intended parents need to request a consultation for specifics. The agency’s strengths are surrogate relationships, community-driven support, and LGBTQ+ family-building expertise.
Best For: LGBTQ+ intended parents in the NYC area who want an inclusivity-first agency with a physical Manhattan presence and a personal, relationship-driven approach.
American Surrogacy is a national agency headquartered in Overland Park, Kansas, that received its New York State DOH surrogacy license in January 2026. The agency now maintains satellite offices in Brooklyn, Lake Success, New Rochelle, and Midtown Manhattan.
American Surrogacy offers three flexible program tiers — a structural distinction among the agencies on this list, most of which offer a single fixed-fee model.
American Surrogacy’s newly licensed status means it can now match NY-resident surrogates directly. The trade-off: the agency has less CPSA-specific operational history than competitors licensed in 2021 or 2022.
Best For: New York intended parents who want tiered program flexibility, faster-than-average matching, and local support through multiple NYC satellite offices.
New York’s surrogacy framework, established by the Child-Parent Security Act, is widely considered the strongest in the country. The CPSA was signed in April 2020 and took effect February 15, 2021. In 2025, Governor Hochul signed S.819, making additional amendments to surrogacy agreement requirements and insurance provisions. See also: surrogacy laws by state.
One important nuance: the NY DOH manages birth records for all counties in the state — but not for New York City’s five boroughs. The NYC Department of Health maintains those records separately. Your attorney needs to know this before delivery.
Because all DOH-licensed NY agencies must comply with the CPSA’s baseline protections, the floor here is higher than in most states. What separates the best from average comes down to factors beyond basic compliance. (See also: choosing a surrogacy agency.)
We evaluated these six agencies on criteria specific to the New York intended parent experience — not just national agency metrics.
Does the agency hold a current NY DOH license — or, for agencies serving NY intended parents with out-of-state surrogates, does it operate under a legally compliant structure? This is the baseline filter, not a differentiator.
The CPSA mandates ASRM and ACOG screening guidelines, but does not require the agency to employ physicians. Going beyond legal minimums to in-house OB/GYN oversight is what Physician’s Surrogacy does that no other agency does.
New York City’s fertility clinic network is unmatched nationally. Agencies with physical NYC offices or established partnerships at RMA, NYU Langone, Weill Cornell, and CCRM-NY coordinate care more efficiently for intended parents.
NY law mandates escrow, so escrow itself is not a differentiator. What matters is transparency on total intended parent costs upfront. Agencies that publish clear program pricing and disclose what is and is not included received additional weight.
New York City has one of the highest concentrations of LGBTQ+ and international intended parents in the country. Agencies with decades of experience in parentage under the CPSA for these families received additional weight.
Match timelines among these six agencies range from one week to 10 months. For intended parents who have already waited years through fertility treatments, the speed of matching is a meaningful quality-of-life factor.
New York’s CPSA sets the highest legal bar for surrogacy protection in the country. Every surrogate working with a licensed NY agency gets independent legal counsel, mandatory escrow, full health and life insurance, and the right to make her own healthcare decisions — by law. That floor does not exist in most other states.
What the CPSA does not require is physician oversight at the agency level. It requires compliance with ASRM and ACOG screening guidelines — but a coordinator working with an IVF clinic can follow those guidelines without a single physician on staff.
Gestational surrogacy is one of the most medically sophisticated ways a family can be built — and one of the most human. The gap between legal compliance and clinical excellence is exactly where Physician’s Surrogacy sits above every other agency serving New York intended parents.
Before choosing any agency, review the agency red flags that matter most for intended parents — then see which program is the right fit for your family.
New York law mandates the strongest surrogate protections in the country. Physician’s Surrogacy adds what the law doesn’t require: a board-certified OB/GYN managing your journey from day one — and a match in approximately one week.
Preterm delivery rate 50% below the national average. Programs from $145,000. No fees until match confirmed.
For New York intended parents — no commitment required
If you’re searching for a surrogacy agency in Georgia, you have more workable options than most Southeast states — but fewer guardrails than you might expect. The best surrogacy agencies in Georgia for 2026 range from national programs with physician oversight to a Georgia-native agency with embedded attorneys who know the state’s county-level pre-birth order process firsthand.
Georgia operates on legal permissibility by silence: no statute prohibiting gestational surrogacy, a court system that issues pre-birth parentage orders in most cases, and more than 25 years of compensated surrogacy practice. What the state doesn’t offer is a floor. No mandatory surrogate protections. No required escrow. No clinical oversight standards for the agencies operating here.
That gap shapes everything that follows. Atlanta’s fertility clinic network — anchored by Reproductive Biology Associates (RBA), CCRM Atlanta, Shady Grove Fertility, and the Emory Reproductive Center — gives surrogates and intended parents access to strong reproductive medicine resources. But which agency sits between you and those resources matters enormously in a state where the law leaves that choice entirely to you.
Here is a quick comparison, followed by a full breakdown of each agency.
| Agency | HQ / GA Presence | Surrogate Pay (GA) | Est. IP Total Cost | Match Time | Physician-Led? | GA-Based? |
|---|---|---|---|---|---|---|
| Physician’s Surrogacy | San Diego, CA (serves GA) | $60,000+ (first-time) | From $145,000 (fixed and flat) | ~1 week | Yes — onsite OBs | National |
| Southern Surrogacy | Georgia-based (law firm-owned) | $48,000–$50,000+ | Not publicly disclosed | Not disclosed | No | Yes |
| Circle Surrogacy | Boston, MA (serves GA) | Up to $70,000+ | ~$189,500 (guarantee) | 30 days–9 months | No | National |
| ConceiveAbilities | Chicago, IL (Atlanta focus) | Up to $75,000+ | ~$197,500 (All-In) | 2–6 months | No | National |
| Hatch Fertility | Los Angeles, CA (serves GA) | $61,000+ (first-time) | $160,000–$225,000+ | 3–10 months | Partial (clinic partner) | National |
| American Surrogacy | National (serves GA) | $55,000+ (first-time) | $187,500–$202,500+ | 1–4 months | No | National |
* Surrogate pay figures reflect publicly available compensation. Intended parent costs vary based on program tier, IVF needs, transfer attempts, egg donor requirements, and legal fees.
Quick Facts
Physician’s Surrogacy is the only surrogacy agency in the United States managed by onsite, practicing OB/GYNs. Georgia surrogates earn a flat-rate package starting at $60,000 for first-time carriers, with no receipt tracking. Intended parents choose from four fixed and flat program tiers starting at $145,000, with no agency fees until a match is confirmed. Average match time: one week.
Georgia offers no statutory surrogate protections. What the state provides instead is a permissive environment — courts that issue pre-birth orders and allow compensated surrogacy — without any legally mandated oversight standards for the agencies facilitating those journeys.
That gap is exactly where Physician’s Surrogacy operates differently from every other agency serving the state.
Board-certified obstetricians employed by the agency design the screening protocols, monitor clinical communications after every appointment, and consult peer-to-peer with a surrogate’s managing OB in Atlanta, Savannah, Augusta, or anywhere else in Georgia if complications arise. No other agency on this list offers that.
The agency is headquartered in San Diego and serves intended parents and surrogates nationwide. Its Advisory Board includes specialists in maternal-fetal medicine, neonatal care, and OB/GYNs. Georgia surrogates never travel to California — pre-screening and prenatal care are coordinated with local Georgia clinics, including RBA and CCRM Atlanta.
One limitation worth noting: Physician’s Surrogacy focuses exclusively on gestational surrogacy and does not offer egg donation services within the same program.
Best For: Intended parents who want the only physician-led agency serving Georgia, the fastest matching timeline, and fixed and flat pricing across four tiers. Georgia surrogates who want onsite physician oversight, the strongest compensation in the state, and escrow-backed payment protection not legally required here but provided as standard.
Georgia law mandates no clinical oversight for surrogacy agencies. Physician’s Surrogacy is the only program where onsite OB/GYNs design the screening protocol and remain accountable for surrogate health throughout the entire journey — not just the IVF clinic.
fixed and flat programs from $145,000. Average match time: ~1 week. No fees until match confirmed.
Escrow-backed compensation for Georgia surrogates — a protection the state doesn’t require but we provide as standard.
Southern Surrogacy is the only Georgia-native agency on this list — and its structure is genuinely distinctive. The agency is owned and operated by a team of attorneys, meaning in-house legal counsel is part of the program by default, not a referral. For intended parents navigating Georgia’s county-level pre-birth order variability, that embedded legal expertise is a real operational advantage.
Southern Surrogacy serves surrogates and intended parents across the state — Atlanta, Augusta, Columbus, Macon, Savannah, and surrounding communities — and has built multi-year relationships with Georgia ART attorneys and local fertility clinics through years of in-state operation.
Southern Surrogacy’s compensation range reflects its positioning as a regional rather than national program. The trade-off is genuine Georgia-rooted expertise, embedded legal counsel, and local matching — all of which matter practically in a state where pre-birth orders are county-dependent.
Best For: Intended parents who want a Georgia-native agency with embedded legal expertise and local matching. Surrogates in Atlanta, Savannah, Augusta, or surrounding areas who want a highly local program with in-house attorney support.
Circle Surrogacy was founded in 1995 and has served Georgia intended parents and surrogates for over three decades. Its relationships include established connections with RBA, CCRM Atlanta, and other Atlanta-area IVF clinics built through years of in-state operation.
Circle’s core advantage in Georgia is its legal and financial infrastructure. The agency’s in-house attorneys are familiar with Georgia’s pre-birth order process — including county-level variability that makes attorney selection so critical here. Circle’s bonded escrow program has protected funds for more than 5,000 clients nationally. In Georgia, where escrow is not legally required, that protection is entirely voluntary.
Circle is a non-medical agency — clinical oversight comes through the intended parents’ IVF clinic. Its distinctive strength in Georgia is financial protection and legal infrastructure in a state where neither is mandated by law.
Best For: Intended parents in Georgia who want a guaranteed cost program, in-house legal expertise, and a three-decade track record — particularly LGBTQ+ families. Surrogates who want guaranteed pay, dedicated mental health support, and a nationally recognized program with deep Georgia roots.
ConceiveAbilities has made a deliberate investment in the Atlanta market and its surrogate community. The agency actively recruits Georgia surrogates for local matches with Atlanta-area intended parents and has built relationships with Atlanta fertility resources including RBA.
For Georgia surrogates, ConceiveAbilities publishes some of the highest base compensation benchmarks on this list — up to $75,000 for first-time carriers — because the agency applies national benchmarks rather than Georgia-specific rates.
The trade-off for ConceiveAbilities’ high compensation and strong Atlanta network is longer match timelines than agencies with pre-cleared surrogate pools. Total intended parent costs are among the higher end on this list.
Best For: Georgia surrogates who want the highest first-time base compensation and strong local Atlanta community connections. Intended parents in the Southeast who want combined egg donation and surrogacy with compatibility-focused matching.
Hatch Fertility was founded in 1991 and serves Georgia intended parents and surrogates as part of its national program. Based in Los Angeles, Hatch coordinates with Georgia ART attorneys and local fertility clinics while maintaining its integrated egg donation and surrogacy model — a meaningful advantage for Atlanta-area intended parents who need both services under one program.
Physician oversight comes through a partnership with a partner fertility clinic rather than onsite OB/GYNs employed by the agency itself. Hatch has operated in Georgia for many years and understands the state’s pre-birth order process and LIFE Act contracting requirements.
For intended parents who need the integrated egg donation and surrogacy model, Hatch is one of the few national agencies offering both under one program while actively coordinating with Georgia attorneys and clinics.
Best For: Georgia intended parents who need egg donation and surrogacy in the same program, or who want the financial certainty of an unlimited-transfer guarantee package. Surrogates who value working with a highly established national agency staffed by people with firsthand surrogacy experience.
American Surrogacy is a national agency that actively serves intended parents and surrogates in Georgia. Unlike in New York — where American Surrogacy is not licensed to match in-state surrogates — Georgia has no licensing requirement for surrogacy agencies. American Surrogacy operates fully in Georgia for both surrogates and intended parents.
The agency offers three program tiers across different budgets and risk tolerances, from full-service programs with financial protections to a coordination-only option for families who already have a surrogate identified. American Surrogacy is familiar with Georgia’s LIFE Act contracting considerations and county-level pre-birth order variability.
American Surrogacy’s three-tier structure gives intended parents more budget flexibility than most agencies. The Foundation Program carries more financial exposure if the journey doesn’t proceed smoothly — the Limited Risk Program provides better protection for families who want predictable costs.
Best For: Georgia intended parents who want program flexibility and a faster-than-average national agency. Georgia surrogates who want clear, nationally benchmarked compensation terms and an established case management team.
These six agencies were evaluated on criteria specific to Georgia’s surrogacy environment — not just national agency metrics.
Georgia mandates no medical oversight structure for surrogacy agencies. In a state without statutory surrogate protections, onsite OB/GYN oversight — which only Physician’s Surrogacy provides — fills a gap the law leaves open.
County-level pre-birth order variability makes Georgia-specific attorney experience a meaningful differentiator. Agencies with embedded legal counsel or long-standing Georgia attorney relationships move through this process more reliably.
Georgia’s six-week abortion restriction means every surrogacy contract must explicitly address termination. Agencies that proactively align surrogates and intended parents on this issue before matching prevent the most common source of journey breakdown in the state.
Georgia surrogate pay ranges from $48,000 at regional programs to $75,000+ at national agencies. Georgia law mandates no escrow requirement, no insurance minimums, and no compensation disclosure standard — agencies that voluntarily provide all three were weighted positively.
RBA (est. 1983), CCRM Atlanta, Shady Grove Fertility, and ACRM represent the Southeast’s strongest fertility clinic network. Agencies with established workflows at these clinics coordinate embryo transfers and monitoring more efficiently.
Georgia law mandates no escrow requirement — surrogates are not legally protected if an agency mishandles funds. Agencies that voluntarily place all compensation in independent escrow before treatment begins provide meaningful protection the state itself does not require.
Georgia operates on a legal framework of permissibility by silence. There is no Georgia statute specifically governing gestational surrogacy — meaning the state neither explicitly legalizes nor prohibits it. Courts have operated favorably toward surrogacy for over two decades, but that track record is built on equitable arguments and judicial discretion, not statutory rights.
Here is what the legal landscape actually looks like in practice:
Georgia’s permissive-by-silence framework is both an advantage and a responsibility. Without codified protections, the quality of your agency and legal team determines outcomes to a greater degree than in states with statutes. See also our guide to choosing a surrogacy agency and our list of surrogacy agency red flags before you commit. These five criteria matter most in Georgia specifically.
Georgia’s surrogacy environment is permissive in the best way — no prohibitions, cooperative courts, and an established practice of compensated gestational surrogacy going back more than 25 years. What it doesn’t offer is a floor.
There are no mandatory surrogate protections, no required escrow, no minimum insurance standards, and no oversight requirements for the agencies facilitating these journeys. In that context, the choice of agency matters more in Georgia than in almost any other state.
An agency that brings onsite physician oversight, escrow-backed compensation, and genuine LIFE Act contract alignment adds protections the state itself doesn’t mandate. For intended parents, that means a preterm delivery rate 50% below the national average and a matching timeline measured in weeks, not months. For surrogates, it means the strongest compensation in the state and financial protection that the law doesn’t require but your journey deserves.
Gestational surrogacy is one of the most medically sophisticated ways a family can be built — and one of the most human. Georgia gives you the legal room to pursue it. Your agency determines the quality of the care and protection that fills that room.
No prohibitions. Cooperative courts. The strongest compensation in Georgia. The only onsite OB/GYN oversight available in the state. No fees until your match is confirmed.
Average match: ~1 week. Preterm delivery rate 50% below the national average. fixed and flat programs from $145,000.
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