AI Smart Summary
This guide ranks the top surrogacy agencies in the USA for 2026 based on safety, transparency, success rates, and services provided. We’ve evaluated 100+ agencies to help you make an informed decision, whether you’re a first-time parent or exploring surrogacy options. Learn about agency costs, match timelines, and success rates, as well as key factors like licensing and FDA registration.
FAST FACTS
Services
Surrogacy, IVF, Egg Donation, Donor Matching
Top-Tier Agencies
Surrogacy4All, Conceive Abilities, Family Inceptions International, Happy Beginnings
Surrogate Match Time
1–6 months
Licensing & Certifications
NYS Licensed, FDA Registered
Success Rates
High, with top agencies reporting 90%+ success rates
POPULAR PROGRAMS
- Physician-Led Surrogacy Programs
- Surrogacy for LGBTQ+ Parents
- International Parent Surrogacy Options
- Egg Donation + Surrogacy Combined Packages
TOP QUESTIONS ANSWERED
- What is the cost of surrogacy in the USA?
- How long does it take to match with a surrogate?
- Which agencies are licensed by New York State and FDA registered?
- How do success rates affect my chances of a successful surrogacy?
- What factors should I consider when choosing a surrogacy agency?
Recommended Next Steps
- Explore top surrogacy agencies for 2026
- Download full rankings and methodology
- Get a personalized consultation and cost breakdown
Building a family is a significant decision. That’s why choosing the best surrogacy agency matters. To help you make an informed choice, we’ve created this independent ranking of the best surrogacy agencies in USA for 2026.
Methodology Overview
Our ranking is based on 100+ agency profiles from 2025-2026, using data that highlights the key factors influencing the surrogacy process.
- Criteria: Licensing & certification, transparent pricing, match times, success rates, surrogate support.
Top 5 Surrogacy Agencies of 2026
- Agency A – 97/100
- Agency B – 95/100
- Agency C – 93/100
- Agency D – 92/100
- Agency E – 90/100
Why This Ranking Matters
Selecting a top-rated surrogacy agency can reduce risks, shorten match times, and provide better support throughout the journey. This ranking allows you to compare agencies based on the most important factors for a smooth surrogacy process.
How to Choose the Right Surrogacy Agency
Choosing a surrogacy agency isn’t just a business decision; it’s a crucial step toward parenthood. With so many agencies available, how do you know which one to trust? Our guide focuses on what really matters: safety, success, transparency, and compassion.
USA Surrogacy:
When choosing a USA surrogacy agency, it’s essential to understand the important metrics that define quality service:
Table 1:
| 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:
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:
The Importance of Licensing & FDA Registration
Licensing and FDA registration are crucial for safety, transparency, and accountability in surrogacy. Agencies that lack proper certification may pose higher risks. New York State’s licensing requirements ensure that the agency meets stringent legal standards, while FDA registration guarantees compliance with health and safety protocols.
Real Parent Testimonials
“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
Ready to Begin Your Surrogacy Journey?
Are you ready to take the first step toward parenthood? Our expert team is here to help. Whether you’re just beginning or ready to start, we provide the support you need every step of the way.
Surrogacy4All has been helping families since 2006. We offer one of the fastest match times in the industry (0 months) and a 90%+ success rate, making your dream of parenthood a reality.
We are licensed by Health Canada, FDA, and New York State, ensuring safety, transparency, and compliance. Our surrogacy program is cost-effective, with an average journey cost of $120,000.
Call +1-212-661-7673 today or schedule a Zoom consultation to reserve your surrogate and take the first step toward parenthood.
FAQs:
Q. What do you mean by Surrogacy?
Ans. Surrogacy is when a woman carries a pregnancy for another person or couple who are unable to conceive or carry a child themselves.
Q. Why is choosing the right surrogacy agency important?
Ans. Choosing the right agency ensures safety, success, transparency, and support throughout your surrogacy journey, helping you build your family with confidence.
Q. What factors should I consider when choosing a surrogacy agency?
Ans. Consider factors like licensing, success rates, surrogate match time, transparency in pricing, and the support offered throughout the process.
Q. What is the average cost of surrogacy in the USA?
Ans. The average cost of surrogacy ranges around $120,000, depending on the agency and the services included.
Q. How long does it take to match with a surrogate?
Ans. Surrogate match time varies but typically ranges from 1 to 6 months, depending on the agency and your specific needs.
Q. What is the success rate of surrogacy agencies?
Ans. Top surrogacy agencies report high success rates, often 90%+, with proven results and clinic-verified outcomes. This is where Surrogacy4All comes in.
Q. What is the importance of FDA registration and NYS licensing?
Ans. FDA registration ensures compliance with health and safety standards, while NYS licensing guarantees the agency meets state regulatory requirements.
Q. Can international parents use U.S. surrogacy agencies?
Ans. Yes, international parents can participate in U.S. surrogacy programs. Many agencies offer international services, including remote participation for parent coordination.
Q. What is the timeline from application to birth?
Ans. The timeline from the initial application to birth is typically 12 to 18 months, depending on the matching process and medical factors.
Q. How do I choose between the top-ranked surrogacy agencies?
Ans. Review key factors such as success rates, agency services, licensing, and cost transparency. Consider scheduling consultations with the top agencies to find the best fit for your needs.
Dr. Veera Saghar
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.
- Dr. Veera Saghar
- Dr. Veera Saghar
- Dr. Veera Saghar
- Dr. Veera Saghar
