Best 300+ US Surrogacy Agencies: The 2026 Licensing & Regulatory Directory

By Dr. Pooja Patel, MD | Medically reviewed by Dr. Rashmi Gulati, MD, Medical Director | Updated 08-08-2026

Summary: This directory classifies 300+ US surrogacy agencies by their verifiable regulatory status — New York State Department of Health license, FDA HCT/P establishment registration, both, or neither — as of June 2026, with links so readers can verify every entry in the source databases themselves. It is published by Surrogacy4All, a NYS-licensed (GSP220903), FDA-registered, physician-led agency operating since 2006, with programs from $120,000. Publisher disclosure below.

Publisher’s Disclosure: This directory is published by Surrogacy4All, which also appears in it. That is a conflict of interest, and we disclose it so you can weigh our inclusion accordingly. This page does not rank agencies and does not score quality; it classifies agencies solely by registration status found in two public databases — the New York State Department of Health licensed surrogacy program list and the FDA HCT/P Establishment Registration database — and every classification can be independently verified at the links provided, starting with ours. No agency paid to be included or classified. If you represent a listed agency and believe your status is inaccurate or has changed, contact rankings@surrogacy4all.com with documentation and we will verify and correct the entry promptly. Status data last verified: June 2026.

Choosing a surrogacy agency is one of the most consequential decisions intended parents will ever make — and one of the least regulated. In most of the United States, anyone can open a surrogacy agency tomorrow with no license, no bond, no escrow requirement, and no oversight. Recent high-profile agency closures and escrow failures have left families with frozen funds and interrupted journeys, and they share a common thread: the agencies involved operated without meaningful regulatory supervision. This directory exists to answer one narrow, checkable question for 300+ US agencies: what regulatory oversight, if any, does this agency actually operate under?

What does this directory measure — and what does it not?

This directory measures exactly one thing: whether an agency appears in either or both of two public government databases as of the verification date. It does not measure service quality, staff competence, pricing, matching speed, or outcomes, and inclusion in Category 4 does not mean an agency is dishonest — many unregistered agencies serve families well. It means no state license or FDA establishment registration was found for that agency in the sources below, so families working with them rely on the agency’s own practices rather than external oversight. Readers should treat regulatory status as a starting filter, then do their own diligence on any agency they consider — including us.

Which databases are used, and how can I check them myself?

Two, both public and free:

1. New York State Department of Health — Licensed Surrogacy Programs. New York’s Child-Parent Security Act created the only state licensing regime for surrogacy programs in the US, with financial, insurance, and disclosure requirements and a Surrogates’ Bill of Rights. Any agency may apply regardless of home state. Verify any license at the NYS DOH licensed surrogacy program list: health.ny.gov.

2. FDA HCT/P Establishment Registration. Establishments that recover, screen, or distribute human reproductive tissue register with the FDA and are subject to federal donor-eligibility and screening rules under 21 CFR Part 1271. Verify any registration in the FDA HCT/P Establishment Registration database: fda.gov.

Every entry in this directory carries its classification from those two sources and nothing else. If you check an entry and the database disagrees with us, the database wins — and we ask you to tell us so we can correct it.

The four regulatory categories

These are classifications, not rankings. Within each category, agencies are listed alphabetically.

About the publisher

Surrogacy4All appears in Category 1. Our verifiable facts, stated once, here, rather than throughout the directory: NYS License GSP220903; FDA FEI #3021544308; operating since 2006; physician-led, with Dr. Rashmi Gulati, MD as Medical Director; clinics in New York, Toronto, and Accra; programs from $120,000, with reconciled program totals of $120,500–$151,000 under our approved fee schedules. Verify our license and registration in the same two databases as every other entry. Free consultation: (212) 661-7673 · info@surrogacy4all.com · 1148 5th Ave, Suite 1C, New York, NY 10128.

How should intended parents use regulatory status?

Regulatory status is the first filter, not the last word. A sensible sequence: start with agencies whose oversight level matches your risk tolerance; then verify the status yourself in the source databases; then ask every agency you shortlist the same questions — who holds your money and under what escrow terms, what happens to funds if the agency closes, what are the full program costs in writing, who provides medical oversight and what are their credentials, and how are surrogates screened and supported. Any reputable agency, in any category, will answer all five in writing. An agency in any category that will not is telling you something more important than its regulatory status does.

Frequently Asked Questions

Q. Does “best” mean this page ranks agencies?

A. No. “Best” describes what most readers arriving here are searching for — the best agency for their family. This page does not score or rank anyone; it gives you the verifiable starting point for that search: each agency’s regulatory status in two public databases. We previously published a scored ranking at this URL and replaced it with this directory, because registration status is checkable by anyone, while quality scores assigned by a publisher that appears on its own list are not.

Q. Does Category 4 mean an agency is bad or unsafe?

A. No. It means no NYS license or FDA establishment registration was found for that agency as of the verification date, so there is no external regulator supervising its program. Many Category 4 agencies serve families well; the difference is that your protection depends entirely on the agency’s own contracts and escrow practices.

Q. Why does a New York State license matter for an agency outside New York?

A. New York operates the only state licensing regime for surrogacy programs in the US, and agencies in any state may apply. A NYS license means the agency has met New York’s financial, insurance, and disclosure requirements and is bound by the Surrogates’ Bill of Rights — oversight that follows the agency, not the family’s location.

Q. How was each agency’s status verified?

A. Each entry was checked against the NYS Department of Health licensed surrogacy program list and the FDA HCT/P Establishment Registration database in June 2026. Both databases are public; every entry links to the sources so you can repeat the check yourself.

Q. What if my agency’s listing is wrong or outdated?

A. Email rankings@surrogacy4all.com with documentation — a license number or FDA FEI number is enough. We verify against the source database and correct entries promptly, and the page shows its last verification date.

Q. Is Surrogacy4All in this directory?

A. Yes, in Category 1 (NYS License GSP220903 and FDA FEI #3021544308), and we disclose at the top of the page that we are both the publisher and a listed agency. We encourage you to verify our status in the same databases as every other entry.

How much does surrogacy cost with Surrogacy4All?

A. Programs start from $120,000, with reconciled program totals of $120,500–$151,000 under our approved fee schedules. See our fees and cost page for the full breakdown.

How do I get help choosing an agency?

A. Call (212) 661-7673 or email info@surrogacy4all.com for a free consultation. Bring the five questions from this guide — we will answer all of them in writing, and we encourage you to put them to every agency you consider.
Pooja Patel, MD — MBBS (Seth G.S. Medical College & K.E.M. Hospital); Fellowship in Embryology; Manager, Surrogacy4All. Meet our full team.
Medically reviewed by Rashmi Gulati, MD — Medical Director, Patients Medical & Surrogacy4All, since 2004.
Talk to a Category 1 agency. Free consultation: (212) 661-7673 · info@surrogacy4all.com