Choosing a surrogacy agency is one of the most significant decisions Intended Parents will ever make. Cost is often the deciding factor, but headline numbers don’t always tell the whole story. Some agencies list only partial fees (agency + surrogate), while others provide all-inclusive, physician-led estimates.
The 2025 Surrogacy Agency Rankings analyzed 100 agencies nationwide
The 10 Lowest-Cost Surrogacy Agencies in 2025
1. Southern Surrogacy – $95K (Unlicensed, Partial Estimate)
- Advertised lowest cost at $95,000
- Excludes IVF, medications, and insurance (+$40K–$60K)
- Actual cost closer to $130K–$150K
- Risk: Unlicensed & unregistered
2. Alcea Surrogacy, LLC – $110K (NYS Licensed)
- Boutique agency, founded 2019
- Transparent estimates, NYS licensed
- Smaller scale, limited surrogate pool
- Average wait time: 3 months
3. Surrogacy4All.com – $118K (Physician-Owned, Fully Licensed & FDA Registered)
- Physician-owned, FDA registered, NYS licensed
- Transparent, all-in pricing
- Minimal surrogate wait time (0 months on average)
- Backed by PatientsMedical.com for medical oversight
- Best value among affordable agencies
4. Await Surrogacy LLC – $120K (Licensed)
- Adoption-agency roots, founded 2018
- Licensed, transparent
- Strong surrogate pool, zero wait time
5. Reproductive Possibilities, LLC – $120K (Attorney-Led, Licensed)
- Established 1995
- Attorney-led, strong compliance record
- Average surrogate wait: 12 months
6. Surrogate Steps, LLC – $120K (Licensed, Boutique)
- Founded 2013, NYS licensed
- Boutique-style support
- Average wait: 6 months
7. Worldwide Surrogacy Specialists – $121K (Licensed)
- Licensed, established 2004
- Transparent program
- Average wait: 12 months
8. Simple Surrogacy, LLC – $122K (Licensed)
- Established 2002
- Strong reviews (4.9 Google rating)
- Wait time: 12 months
9. Brownstone Surrogacy – $125K (Licensed)
- Newer agency (founded 2021)
- Boutique support, 9-month match time
- High Google rating (5.0)
10. Creative Family Connections – $125K (Licensed)
- Established 2001, experienced staff
- Transparent breakdown
- 6-month match wait
Sticker Price vs. Reality
The difference between $95K and $125K agencies is often an illusion. Why?
- IVF adds $20K–$30K
- Medications add $5K–$10K
- Insurance adds $20K–$40K
By the end, most families spend $130K–$160K, regardless of whether they chose a $95K or $120K agency.
That’s why physician-led, transparent agencies like Surrogacy4All are recommended as best value.
Why Licensing & Regulation Matter
Unlicensed agencies may appear cheaper, but they:
- Lack legal safeguards
- Provide weaker insurance oversight
- Have less accountability if complications arise
Tier 1 agencies (NYS Licensed + FDA Registered)—like Surrogacy4All—offer the highest level of safety
Expert Quote
“Transparency and regulation are more important than sticker price. Families choosing unlicensed agencies often face surprise costs later.”
– Dr. Rashmi Gulati, Patients Medical
Testimonials
“We considered Southern Surrogacy for $95K but discovered IVF wasn’t included. Surrogacy4All gave us a clear $118K estimate with no surprises.” – Neha & Arjun, NJ
“Alcea felt too small for our needs. Surrogacy4All had a broader network and physician oversight, which made us feel secure.” – Michael & Andrea, NY
“We wanted affordability without sacrificing safety. Surrogacy4All was the right balance.” – Carlos & Maria, TX
FAQs
Q1: Is Southern Surrogacy really the cheapest option?
Ans: On paper, yes—but once hidden costs are added, it’s similar to mid-tier agencies.
Q2: What makes Surrogacy4All stand out?
Ans: Licensed, FDA registered, physician-owned, with transparent pricing and minimal wait time.
Q3: How do boutique agencies compare?
Ans: Boutique agencies (like Alcea) can offer personalized support but may have smaller surrogate pools.
Suggestions Linking
- True Cost of Surrogacy in the USA – Breaking Down the Numbers
- Why “Cheap” Surrogacy Isn’t Always the Best Choice
- Licensed vs. Unlicensed Surrogacy Agencies – Why It Matters
- Surrogacy Costs by State – Where Is It Most Affordable?
Next Steps
If you’re comparing surrogacy agencies, don’t be misled by partial estimates. Work with a team that puts transparency first.
Contact Surrogacy4All.com today: 1-212-661-7177 | info@surrogacy4all.com

Dr. Kulsoom Baloch
Dr. Kulsoom Baloch is a dedicated donor coordinator at Egg Donors, leveraging her extensive background in medicine and public health. She holds an MBBS from Ziauddin University, Pakistan, and an MPH from Hofstra University, New York. With three years of clinical experience at prominent hospitals in Karachi, Pakistan, Dr. Baloch has honed her skills in patient care and medical research.




