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Posted on June 10, 2025

By Dr. Veera Saghar

Choosing a surrogacy agency is more than a business decision—it’s a leap of faith toward your dream of parenthood. With hundreds of agencies out there, how do you know who to trust? We created this guide to help you cut through the noise and focus on what truly matters: safety, success, transparency, and compassion.

Summary:

The Following 2025 Best Surrogacy Agencies in the USA ranking is based on a rigorous, data-driven analysis of clinical success rates, surrogate match times, cost transparency, medical oversight, client satisfaction, and legal support.

Choosing the right surrogacy agency is one of the most important decisions your patients—or your clinic—will ever make. Our 2025 Surrogacy Agency Rankings cut through the marketing fluff to compare what really matters: success rates, waiting times, costs, and clinical oversight. These metrics will  help you evaluate safety, trust, transparency, and speed—so you can make an informed decision and move confidently toward parenthood.

Table 1:

Why Each Surrogacy Agency Metric in Below Analysis  Matters to Intended Parents

Column What It Means Why It Matters to Intended Parents
Agency Name of the surrogacy agency Allow parents to identify, research, and compare different providers, 84 better known Agencies are listed out of about 300+ agencies in the USA.
NYS Licensed Whether the State of New York licenses the agency A NYS license shows the agency meets stringent state regulatory and legal requirements — a strong sign of compliance.                     39 Agencies are licensed by NYS.
License Number Official New York license registration ID Verifiable proof of the agency’s legal operation and authorization — promotes trust and accountability
FDA Registered Indicates if the agency is registered with the U.S. Food and Drug Administration Ensures the agency complies with federal health and safety standards for handling embryos, donors, and tissue transfers.         7 Agencies are FDA registered
Google Ranking Average rating from Google reviews (typically out of 5 stars) It shows real-world client satisfaction and agency reputation; often influences initial decision-making.                                         Average rating around 4.5/5.0
Year Founded The year the agency began operations Longer-established agencies are more experienced, more stable, and often have refined processes and deeper surrogate pools.     46 out of 84 agencies have more than 10 years in business
Surrogate Match Time Estimated time (in months) to match with a surrogate Critical to family planning; long delays can be discouraging — faster match = faster path to parenthood.                                                 10 Agencies had matches at a time of 1 month or less, with an industry  average match time of 6 to 10 months.
Journey Cost Estimated total cost of the surrogacy journey (not including optional extras) Cost transparency is essential. IPs need realistic expectations and budget planning — agencies with surprise fees lose trust.    Agency costs ranged from $110,000 to $350,000 for the surrogacy journey, with an average cost of around $160,000 to $180,000.
Owners/Team Key info about leadership (e.g., physician-led, surrogate-run, corporate) Physician-led or prior surrogate-run teams often reflect more empathy, ethics, and medical insight than purely corporate operators.  Out of 84 agencies ranked,                                                      The 3 Agencies that are Physician led, FDA Certified and NYS Licensed are ranked highest as Tier 1.

30 agencies are run by former IPs or Surrogates and are ranked next.

36 agencies are run by Corporate Operators, including  14 by attorneys, 20 by US Entrepreneurs, and 11 by Chinese Entrepreneurs.

 Balances 200+agencies for whom information was not easily available on the internet are not included in this ranking.  If you wish to add your agency to future rankings, please send your agency details to rankings@srrogacy4all.com .

The following ranking chart provides a transparent evaluation of surrogacy agencies, categorized into four tiers based on licensing and regulatory compliance:

surrogacy agencies

TABLE 2  

2025 SURROGACY AGENCY  INDUSTRY RANKINGS

Surrogacy Agency Rankings by Tier

Data source: Websites of surrogacy agencies, FDA, State of New York, Google Ratings, and Internet 

Agency

Name

NYS

 

License
No.
FDA

 

Google
Rank
Founded Match
Time
Cost Team
Months $000
TIER 1                (NYS LICENSED & FDA REGISTERED)
Conceive Abilities ✔️ GS211003 ✔️ 4.1 1996 15 197 Entrepreneur
Family Inceptions International LLC ✔️ GS221019 ✔️ 4.9 2008 5 180 Former surrogate
Happy Beginnings LLC ✔️ GS211001 ✔️ 4.9 2005 1 180 Entrepreneur
Surrogacy4All.com ✔️ GSP22090 ✔️ 4.9 2006 0 120 Physician owned
TIER 2                         (ONLY FDA REGISTERED)
CCRM Fertility ✔️ 4 1987 12 150 Physician owned
Coast to Coast Surrogacy ✔️ zero reviews 2022 6 180 Entrepreneur
fertile.com/ RSMC ✔️ 3.6 1995 12 190 Physician owned
TIER 3            (ONLY NYS LICENSED)
Abundant Beginnings Company ✔️ GS221022 4.7 2013 0 150 Former Intended Parents
Alcea Surrogacy, LLC ✔️ GS211005 4.4 2019 3 110 Former surrogate
Angels Creation Reproductive Center ✔️ GSP220901 4.2 2015 2 150 Chinese Investor
Await Surrogacy LLC ✔️ GSP230901 5 2018 0 120 Former Adoption Agency
Babytree Surrogacy, Inc ✔️ GSP240201 5 2014 1 130 Chinese Investor
Bright Futures Families, LLC ✔️ GS221018 4 No Info No Info 150 Attorney
Brownstone Surrogacy LLC ✔️ GS221023 5 2021 9 125 Attorney
Circle Surrogacy, LLC ✔️ GS211008 4 2014 No Info No Info Former surrogate
Compass Family Journeys, LLC ✔️ GSP230101 3.1 2022 No Info 130 Former surrogate
Creative Family Connections LLC ✔️ GS221024 4.7 2001 6 125 Attorney
Egg Donor & Surrogate Solutions, LLC ✔️ GS211006 4.9 2007 10 150 Former surrogate
Extraordinary Conceptions ✔️ GSP240701 4.3 2005 6 160 Private Owner
Family Creations LLC ✔️ GSP230801 4 2006 1 155 Entrepreneur
Family Makers Surrogacy Agency, LLC ✔️ GSP221001 4.9 2015 3 150 Former Intended Parents
Family Source Consultants, LLC ✔️ GSP241102 4.6 2007 3 130 Entrepreneur
Genesis Rising LLC d/b/a Genesis Rising Surrogacy Center ✔️ GS211012 5 2012 3 180 Entrepreneur
Golden Surrogacy LLC ✔️ GS211004 4.8 2013 9 160 Gay couple founders
Growing Generations, LLC ✔️ GSP240601 4.9 1996 9 350 Entrepreneur
Guided Surrogacy ✔️ GSP241101 4.2 2013 6 200 Gay couple founders
Hope Through Surrogacy, Inc. ✔️ GS221020 zero reviews No Info No info No info Chinese Investor
Joy of Life Surrogacy ✔️ GSP250101 5 2017 No info 160 Former fertility clinician
Love & Beyond Consulting, LLC ✔️ GS211016 zero reviews 2021 5 150 Chinese Investor
New York Surrogacy Center, LLC ✔️ GS211000 5 2020 No info 170 Attorney
Nodal Health, Inc. ✔️ GSP230301 zero reviews No Info No Info No Info computer matching
Reproductive Possibilities, LLC ✔️ GS211007 3.2 1995 12 120 Attorney
Rite Options Surrogacy Inc. ✔️ GS211009 5 2011 3 160 No Information
Roots Surrogacy ✔️ GSP220902 4.8 2015 4 155 Former surrogate
Same Love Surrogacy ✔️ GS221021 4.4 2014 4 200 Gay couple founders
Simple Surrogacy, LLC ✔️ GS211011 4.9 2002 12 122 Former surrogate
Surrogacy Journey Consulting, LLC ✔️ GS211013 zero reviews 2021 6 150 Attorney
Surrogate Steps, LLC ✔️ GS211010 5 2013 6 120 Attorney
SurrogateFirst ✔️ GS211014 4.6 2018 3 180 Former Intended Parents
Vermont Surrogacy Network LLC ✔️ GS211017 4.3 2014 12 130 Former surrogate
Worldwide Surrogacy Specialists LLC ✔️ GS211002 4.7 2004 12 121 Attorney
Your Fertility Advocate, Inc. ✔️ GS211015 5 2020 3 180 Attorney
TIER 4 (UNLICENSED AND UNREGISTERED AGENCIES)
Accel Conceptions 5 2019 No Info No Info Entrepreneur
ACRC Global 4.6 2015 3 170 Chinese Entrepreneur
All Families Surrogacy 4.7 2020 12 160 Entrepreneur
All love surrogacy 5 2023 4 150 Entrepreneur
Babies Made ith Love 4.3 2013 3 No Info Former Intended Parents
Blossom California Fertility 5 2019 4 No Info Entrepreneur
California Baby Consulting zero reviews 2018 No Info 180 Chinese Entrepreneur
Canadian Surrogacy Options 2.5 1992 18 No Info Entrepreneur
Carrying Hope 5 2019 No Info 180 Former Surrogate
Center for surrogacy parenting 4 1980 No Info 200 Therapist
Creative Conceptions 3.9 1995 6 150 Former Surrogate
Creative Family Connections 4.7 2001 8 180 Attorney
Donate o r Surrogate 2.3 2006 No Info No Info Former model
Dreamweaver Surrogacy zero reviews No Info No Info No Info Former Surrogate
Eggceptional Fertility 4.8 2008 2 No Info Entrepreneur
ElevateBaby 4.7 No Info No Info No Info Egg Donor Agency
Fairfax Surrogacy 5 1984 6 180 Entrepreneur
Family Choice Surrogacy 5 2017 No Info No Info Former Intended Parent
Family Formers 4.8 2011 8 No Info Entrepreneur
Fertility Source 4.6 2003 12 180 Professional Management
First Step Fertility 4.8 2022 No Info No Info No Info
Gestacy 5 2017 No Info No Info Attorney
Gift of Life Surrogacy 3.7 2019 No Info 180 Entrepreneur
Giving Tree Surogacy 4.4 2015 No Info No Info Chinese Entrepreneur
Hatch Egg Donation and Surrogacy 4.4 1990 10 200 Gay couple
IARC Surrogacy 4.8 1982 16 160 Attorney
International Surrogacy Center 5 2012 No Info 150 Former Surrogate
Jbaby Japanese Egg donor and Surrogacy zero reviews 2012 No Info 160 Gay couple
Love and Kindness Surrogacy 1 2019 No Info 160 Chinese Entrepreneur
NewGen Families 5 2021 1 No Info Former Intended Parent
Northwest Surrogacy Center 4.9 1994 10 160 Entrepreneur
One Village Surrogacy zero reviews No Info No Info No Info Former Intended Parents
Oneworld Surrogacy & Egg Donation 5 2015 1 160 Chinese Investor
Pittar Patter Surrogacy 5 2018 No Info No Info French Intended Parent
Road to Baby 4.9 2019 No Info No Info No Info
Shining Light Baby 1 2020 No Info 120 Chinese Entrepreneur
Stronger Together Surrogacy 5 2022 2 170 Former Surrogate
Surro Connections 4.7 2010 6 160 Former Surrogate
Surrogate First 4.8 2018 3 150 Chinese Entrepreneur
The Fertility Agency 4.3 2004 5 120 Former Intended Parent
US Surrogacy LLC 4.5 2014 1 120 Attorney

 

The Illustration below shows a graphical distribution of the agencies in this survey, most being in California, Texas and New York:

Why We Created Tier Rankings

In surrogacy, licensing and/or FDA registration matters.
Without it, there’s no way to know if an agency is real or just a website out to steal your money.
That’s why New York State began licensing surrogacy agencies — and why we highlight licensed, physician-led, FDA-registered programs in Tier 1,Tier 2 and Tier 3.

✅ Safety. ✅ Transparency. ✅ Accountability.

“After years of failed attempts, Surrogacy4All matched us with the most incredible surrogate. Today, we’re parents to a beautiful baby girl. The team walked with us every step of the way.”
— Emily & David, New York

NEXT STEPS

Like to learn more about the ratings and how we can help  towards building your family?

Ready to take the first step toward parenthood?

Whether you’re just beginning or ready to start, our experienced team is here to support you every step of the way.

At Surrogacy4All, we don’t just guide you—we walk beside you. Since 2006, our physician-led team has helped hundreds of families from around the world—including single parents and LGBTQ+ couples—welcome healthy, beautiful babies into their lives.

With one of the fastest match times in the country (0 months) and a 90%+ success rate, you can trust us to turn your dream of parenthood into reality—safely, compassionately, and affordably.

Founded in 2006, Surrogacy4All is a physician-owned and managed surrogacy agency committed to helping couples and individuals worldwide build their families.

We are fully Health Canada licensed, FDA registered, bonded, insured, and licensed by the States of New York and California, ensuring the highest standards of safety, transparency, and compliance.

With a database of over 1,000 pre-screened surrogates and egg donors, we offer one of the most cost-effective surrogacy programs, averaging $120,000 in the USA, and maintain an exceptional 90%+ success rate. All surrogates are thoroughly medically and psychologically screened and evaluated by our in-house physicians before being referred for transfer.

We’ve proudly supported hundreds of Intended Parents—married, single, and LGBTQ+—with compassion, personalized care, and professionalism every step of the way.

Call us today at 1-212-661-7673 to reserve a surrogate or schedule a zoom call and take the first step toward making your dream of parenthood a reality.

Learn more about us at www.Surrogacy4All.com

Why Intended Parents Choose Surrogacy4All

✅ Physician-Owned & Managed
✅ 0-Month Match Time (fastest in the U.S.)
✅ Fully NYS Licensed, FDA Registered, and Health Canada Approved
✅ Over 1,000 Pre-Screened Surrogates Available
✅ Average Cost: $120K — among the lowest in the industry

Dr. Veera Saghar
Physician – Donor Coordinator  veera@surrogacy4all.com

As an Egg Donor Coordinator, she plays a critical role in our company. Her background as a medical graduate from ISRA UNIVERSITY in Pakistan provides us with a solid foundation in the medical sciences. She has seven years of clinical experience practicing in the USA. This has given her firsthand experience when collaborating with patients and their families.

She is responsible for managing the process of egg donation from start to finish. We identify and screen potential egg donors.