12 Best Surrogacy Agencies in the U.S. (2026)

Finding the right surrogacy agency is one of the most important decisions you will make on your path to parenthood. Whether you are a same-sex couple, a single parent, or an intended parent who cannot carry a pregnancy, gestational surrogacy through IVF has made it possible for thousands of families to welcome a child into their lives.

But the journey is complex. There are medical protocols to coordinate, legal agreements to navigate, surrogates to screen, and emotional milestones to prepare for. The right agency carries you through all of it — clearly, honestly and with genuine care.

This guide covers what to look for before you choose an agency and reviews 12 of the best surrogacy agencies currently operating in the United States.

What to Look for in a Surrogacy Agency

Before comparing agencies, know which factors matter most for your specific situation.

• Licensing and Accreditation: Not all states regulate surrogacy agencies. New York is currently the only state that licenses surrogacy programs. An agency operating under a state license offers a layer of legal accountability that unlicensed agencies cannot. Look for FDA registration, ASRM membership and RESOLVE affiliation as additional trust markers.
• Surrogate Screening Standards: A thorough surrogate screening process includes medical evaluation, psychological assessment, background checks, and legal review. The quality of this screening directly affects the safety and outcome of your journey. Ask agencies what percentage of surrogate applicants they accept — selective agencies typically accept 1–10% of all applicants.
• Transparent Pricing: Surrogacy costs in the U.S. typically range from $120,000 to $350,000 depending on the agency. Search for companies that disclose their fee structure in full upfront and clearly detail each cost before signing. Inconsistent estimates and hidden costs are indications of fraud.
• Dedicated Case Management: Throughout your journey, you need a single point of contact who knows your file, answers your questions, and coordinates between the fertility clinic, surrogate, legal team, and escrow provider. Ask each agency how cases are staffed.
• LGBTQ+ and International Inclusivity: The best agencies serve all types of intended parents — couples, singles, LGBTQ+ individuals, and international families. If you fall into any of these categories, confirm the agency has established experience and legal support for your situation.
• Physician- or Attorney-Led Operations: Some agencies are led by physicians or reproductive attorneys, which provides a higher standard of medical and legal oversight. This is rare — fewer than a handful of U.S. agencies operate under direct physician leadership.

How We Evaluated These Agencies

Each agency was assessed on six key criteria using publicly available information, including agency websites, licensing records, published policies and pricing information.

Evaluation Criteria	Weight	Why It Matters
Surrogate Screening & Qualification	25%	Rigorous screening reduces medical and legal risk for everyone
Parent Support & Journey Coordination	20%	Consistent, knowledgeable guidance protects the journey
Legal & Ethical Standards	20%	Transparent agreements and ethical practices protect intended parents
Transparency of Pricing & Process	15%	Clear costs prevent financial surprises mid-journey
Experience & Expertise	10%	Track record matters in a high-stakes process
Journey Compatibility	10%	Inclusive programs serve diverse families effectively

The 12 Best Surrogacy Agencies in the U.S.

1. Circle Surrogacy

• Website: circlesurrogacy.com
• Location: Boston, Massachusetts
• Founded: 1995; Database: Surrogates and Egg Donors
• Best For: International intended parents seeking an experienced, full-service agency with a large surrogate network.

Founded by attorney John Weltman — himself a father through surrogacy — Circle Surrogacy has nearly 30 years of experience supporting families from across the U.S. and around the world. The agency maintains dedicated coordinators at every stage of the journey, from matching and fertility treatment through legal agreements, pregnancy milestones, and birth.

Circle is particularly strong for international intended parents, with comprehensive programs that address the legal, medical and logistical needs of families coming from outside the U.S. Combined with one of the nation’s largest egg donor databases and rigorous surrogate screening, Circle offers a well-established pathway to parenthood.

2. Surrogacy4All

• Website: surrogacy4all.com
• Location: New York, NY
• Founded: 2006
• Database: Surrogates and Egg Donors
• Best For: Intended parents seeking a physician-led, licensed, and affordable full-service agency with fast surrogate matching.

Surrogacy4All is one of the very few physician-led surrogacy agencies in the United States. Founded in 2006 and headquartered in New York City, the agency operates under New York State Surrogacy Program License #GSP220903 — the only state in the U.S. that formally licenses surrogacy programs. It is also FDA-registered, Health Canada compliant, and a member of ASRM, RESOLVE, and Path2Parenthood.

What sets Surrogacy4All apart is the depth of medical oversight built into every stage of the journey. Surrogate screening, embryo transfer protocols, and pregnancy monitoring are all reviewed by board-certified reproductive medicine specialists — not coordinators. This physician-directed model is rare among U.S. agencies and provides intended parents with a level of medical accountability that most agencies cannot match.

• Surrogate Matching: Most intended parents are matched with a pre-screened surrogate within 2 to 4 weeks — significantly faster than the industry average of 6 to 18 months at larger agencies.
• Pricing: Full gestational surrogacy programs start from $120,000, with a flat agency fee of $38,500 and no re-match fee. All costs are itemized before any agreement is signed. For comparison, many investor-backed agencies charge $250,000 to $350,000 for comparable programs.
• Escrow Protection: All intended parent funds are held independently by SeedTrust, a licensed third-party escrow provider. Payments to the surrogate follow a fixed schedule and every transaction is visible to intended parents in real time.
• Rates of Success: Internal results show around 65percent live births at the time of one embryo transfer, and as high as 90% cumulative success after the second transfer in case of admissible journeys.
• The People They serve: Couples and single parents, LGBTQ+ people, and families of international origin from 25+ countries, including India, China and across Europe.

Key Credentials:

• NY State Licensed — GSP220903
• FDA Registered — FEI 3021544308
• California Licensed — CTB00082276
• Health Canada Registered — 000119

3. Hatch Fertility

• Website: hatch.us
• Location: Los Angeles, California
• Founded: 1991
• Database: Surrogates and Egg Donors
• Best For: First-time or LGBTQ+ intended parents seeking highly selective surrogate screening and end-to-end case management.

Hatch Fertility, formerly known as the Egg Donation & Surrogacy Program, was the first egg donor agency established in the United States. With over 30 years of experience, Hatch has built a reputation for exceptional surrogate screening — accepting only around 5% of all applicants. Every surrogate completes comprehensive medical, psychological, legal, and background screening before being matched.

Intended parents work with a dedicated case manager throughout the entire journey, from matching and IVF coordination to legal milestones and birth planning. Many team members at Hatch are former surrogates or egg donors, giving them first-hand understanding of the journey. Many intended parents return for sibling journeys with the same surrogate — a strong indicator of the trust and relationships built throughout the process.

4. The Fertility Agency

• Website: thefertilityagency.com
• Location: Los Angeles, California
• Founded: 2004
• Database: Surrogates and Egg Donors
• Best For: Intended parents seeking a compassionate, highly personalized matching experience.

Founded by individuals who experienced infertility themselves, The Fertility Agency (TFA) brings a unique level of empathy to the surrogacy process. Over more than 20 years, the agency has helped build over 1,100 families through both surrogacy and egg donation.

Each member of the staff at TFA has experienced or assisted a client facing fertility issues. This experience is evident in each client interaction. Parents who are planning to have children receive individualized assistance from the initial match to the legal process, communication with clinics, and the preparation for birth. TFA’s decades-long relationships with fertility clinics and reproductive lawyers across the country ensure the smooth and well-managed process.

5. Same Love Surrogacy

• Website: samelovesurrogacy.com
• Location: Los Angeles, California
• Founded: By three gay fathers with 25+ years combined industry experience
• Database: Surrogates and Egg Donors
• Best For: LGBTQ+ intended parents seeking personalized guidance from a team with lived family-building experience.

Same Love Surrogacy was founded by three gay fathers who each built their own families through surrogacy and egg donation. That personal experience shapes everything about how the agency operates — from the way it communicates with intended parents to the emotional support it builds into each journey.

The agency runs a surrogate wellness program that includes acupuncture, nutritional counseling, and birth coaching, reflecting a holistic commitment to surrogate wellbeing that goes beyond standard care. It works closely with fertility clinics, reproductive attorneys and mental health professionals to coordinate every stage of the process.

6. ConceiveAbilities

• Website: conceiveabilities.com
• Location: Chicago, Illinois
• Founded: 1996
• Database: Surrogates and Egg Donors
• Best For: Intended parents who prioritize a structured, highly compatible surrogate match.

ConceiveAbilities has spent nearly 30 years building one of the most recognized matching programs in the surrogacy industry. Its proprietary Matching Matters® system is designed to identify deeply compatible matches — and 97% of intended parents are matched with the very first surrogate profile they receive.

The agency maintains a highly selective surrogate network and provides comprehensive support before, during, and after pregnancy. Dedicated coordinators work alongside fertility clinics, attorneys and other professionals throughout every stage of the journey.

7. Growing Generations

• Website: growinggenerations.com
• Location: Wheeling, West Virginia
• Founded: 1996 Database: Surrogates and Egg Donors
• Best For: LGBTQ+ intended parents and those seeking one of the most selective surrogate programs in the country.

Growing Generations was established to help gay men become parents through surrogacy and has spent nearly three decades at the forefront of LGBTQ+ family building. The agency accepts only around 1% of surrogate applicants — one of the most selective thresholds in the industry.

Growing Generations has also been a pioneer in expanding access to surrogacy for HIV-positive intended fathers, reflecting a long-standing commitment to inclusive, progressive family building. Intended parents benefit from experienced coordinators, comprehensive legal coordination and a team with deep expertise across third-party reproduction.

8. IARC Surrogacy

• Website: iarcsurrogacy.com
• Location: Maple Grove, Minnesota
• Founded: 1980s
• Database: Surrogates only
• Best For: Intended parents who already have embryos or an egg donor and need a surrogacy-focused agency with strong legal expertise.

IARC Surrogacy is one of the most experienced agencies in the United States, with over 35 years of history in gestational surrogacy. Unlike many agencies, IARC focuses exclusively on surrogacy — making it an ideal choice for intended parents who have already secured an egg donor or have viable embryos and need specialized, surrogacy-only support.

Led by reproductive attorney Steven Snyder since 2003, IARC combines deep legal knowledge with personalized case management. The multidisciplinary team covers legal, medical, financial and emotional support, helping intended parents manage the full complexity of the surrogacy process from a single, experienced point of coordination.

9. Roots Surrogacy

• Website: rootssurrogacy.com
• Location: Lincoln, California
• Founded: By reproductive attorney Cassie Wright
• Database: Surrogates only
• Best For: Intended parents seeking a boutique, attorney-led agency with personalized, relationship-focused support.

Roots Surrogacy is a boutique agency founded by reproductive attorney Cassie Wright. Rather than operating at high volume, Roots is built around meaningful relationships — providing tailored guidance to a smaller number of intended parents at a time.

The agency’s attorney-led foundation gives intended parents a strong layer of legal expertise from the very beginning of the journey. Roots supports couples, single parents, LGBTQ+ individuals, and international families, and places a strong emphasis on close, ongoing communication between intended parents, surrogates, and the agency team.

10. American Surrogacy

• Website: americansurrogacy.com
• Location: Leawood, Kansas
• Founded: 2016
• Database: Surrogates only
• Best For: Intended parents seeking a fully managed, nationwide surrogacy program with dedicated specialist support.

American Surrogacy operates as a full-service gestational surrogacy agency with a national reach. Every intended parent is assigned dedicated specialists who guide them through matching, fertility clinic coordination, legal milestones, financial management and ongoing communication throughout the pregnancy.

The agency works with a nationwide network of fertility clinics, attorneys and mental health professionals to provide a well-connected, structured experience. Its commitment to surrogate screening and transparent process guidance makes it a solid option for families across the country.

11. Elevate Baby

• Website: elevatebaby.com
• Location: Beverly Hills, California
• Founded: 2017
• Database: Surrogates, Egg Donors, and Sperm Donors
• Best For: Intended parents seeking a premium, concierge-level experience with a team that has personal family-building experience.

Elevate Baby was founded by intended parents who built their own family through egg donation and surrogacy — and who started the agency to give others the experience they wish they had received. The result is a concierge-style surrogacy and egg donation service built around empathy, personalization, and close communication.

A dedicated team assists every prospective parent through every step of this process. Elevate Baby also supports international families and has strong connections with fertility clinics as well as reproductive lawyers across the United States. The company’s SEEDS or ASRM affiliations demonstrate an ethical commitment to both donor and surrogacy programs.

12. Ivy Surrogacy

• Website: ivysurrogacy.com
• Location: Diamond Bar, California
• Founded: 2016
• Database: Surrogates and Egg Donors
• Best For: International intended parents and those seeking multilingual support with a transparent, ethics-focused agency.

Professionals with hands-on backgrounds in IVF clinics, nursing, reproductive counseling and fertility case management built Ivy Surrogacy. Every intended parent works with a dedicated case manager from matching through delivery, and the agency offers multilingual support for families from the UK, Canada, Australia, China, and Hong Kong.

Ivy is a New York State licensed agency and also a SEEDS member. It does not charge its fee until the surrogate has passed the psychological and medical tests. This demonstrates its dedication to transparency as well as ethical practices.

Quick Comparison Table

Agency	Founded	Location	Database	Best For	Price Range
Surrogacy4All	2006	New York, NY	Surrogates + Egg Donors	Physician-led, fast matching, affordable	From $120,000
Hatch Fertility	1991	Los Angeles, CA	Surrogates + Egg Donors	Selective screening, LGBTQ+	Not published
The Fertility Agency	2004	Los Angeles, CA	Surrogates + Egg Donors	Personalized matching	Not published
Circle Surrogacy	1995	Boston, MA	Surrogates + Egg Donors	International families	Not published
Same Love Surrogacy	N/A	Los Angeles, CA	Surrogates + Egg Donors	LGBTQ+ parents	Not published
ConceiveAbilities	1996	Chicago, IL	Surrogates + Egg Donors	Surrogate match compatibility	Not published
Growing Generations	1996	West Virginia	Surrogates + Egg Donors	LGBTQ+ specialists, 1% acceptance	Not published
IARC Surrogacy	1980s	Minnesota	Surrogates only	Legal expertise, surrogacy-only	Not published
Roots Surrogacy	N/A	California	Surrogates only	Boutique, attorney-led	Not published
American Surrogacy	2016	Kansas	Surrogates only	Nationwide full-service	Not published
Elevate Baby	2017	Beverly Hills, CA	Surrogates + Donors	Concierge experience	Not published
Ivy Surrogacy	2016	California	Surrogates + Egg Donors	International, multilingual	Not published

How to Choose the Right Agency for Your Journey

No two surrogacy journeys are the same. Your ideal agency depends on your specific needs, budget, location and family-building goals. Here are a few practical questions to ask before you decide:

• Is the agency licensed in a state that regulates surrogacy programs?
• Does the agency publish its full cost structure before you sign anything?
• Who specifically will manage your case — and how many cases do they handle at once?
• What does surrogate screening include, and what percentage of applicants are accepted?
• Does the agency have experience with your specific situation — international, LGBTQ+, single parent?
• Are funds held in independent escrow, or does the agency control them directly?
• Who is the medical point of contact if something goes wrong during pregnancy?

The answers to these questions will quickly separate agencies that are genuinely equipped to support you from those that market well.

Final Words — Why Surrogacy4All Stands Out

Every agency on this list has strengths worth considering. But if you are looking for an agency that combines physician-led medical oversight, state licensing, transparent pricing, fast surrogate matching, and genuine inclusivity for all family types — Surrogacy4All is in a category of its own.

Founded in 2006, licensed by New York State, FDA-registered, and led by board-certified reproductive medicine specialists, Surrogacy4All brings a standard of medical accountability to surrogacy that the vast majority of U.S. agencies do not offer. Programs start from $120,000 — a fraction of what many large agencies charge — with every cost itemized before you commit. Surrogate matching typically takes 2 to 4 weeks, not months or years. And with over 1,000 families served across 25+ countries, the track record is real.

Whether you are a couple, a single parent, an LGBTQ+ individual, or an international family building your future from abroad — Surrogacy4All is built to support you from the first consultation to the moment your baby comes home.

FAQs

Q. How much does surrogacy cost in the U.S.?

A. Surrogacy costs typically range from $120,000 to $350,000. The exact price depends on the agency, medical needs, and legal fees involved. Always ask for a full, itemized breakdown before signing any agreement.

Q. How long does it take to get matched with a surrogate?

A. Matching times vary widely by agency. Some intended parents are matched within 2 to 4 weeks. Others wait 6 to 18 months, depending on surrogate availability and screening standards.

Q. Is surrogacy legal in every U.S. state?

A. No. Surrogacy laws vary by state. Some states fully support gestational surrogacy agreements. Others restrict or limit them. New York is currently the only state that formally licenses surrogacy agencies.

Q. What percentage of surrogate applicants get accepted?

A. Selective agencies typically accept just 1% to 10% of applicants. This low acceptance rate reflects strict medical, psychological, and background screening standards.

Q. Can international intended parents use a U.S. surrogacy agency?

A. Yes. Many U.S. agencies work with intended parents from around the world. Look for agencies with proven experience handling international legal and travel logistics.