Samantha Giermek
Founder, Made in the USA Surrogacy
“Samantha Giermek is the founder of Made in the USA Surrogacy, a Sacramento-based surrogacy agency dedicated to connecting intended parents with compassionate surrogates across the United States.”
How Much Does Surrogacy Cost in California?
If you're an intended parent exploring surrogacy in California, one of the first things you need to understand is the cost — and the honest truth is that surrogacy is a significant financial commitment. We believe in being upfront about the numbers, because you deserve to plan with clarity rather than discover hidden costs halfway through the process.
Here's a transparent look at what surrogacy actually costs in California and where that money goes.
The Total Picture
The total cost of a surrogacy journey through Made in the USA Surrogacy typically ranges from $140,000 to $150,000. This includes surrogate compensation, agency fees, legal costs, insurance, and pregnancy-related expenses. IVF costs — egg retrieval, embryo creation, and transfer procedures — are separate and paid directly to your fertility clinic.
That number can move higher or lower depending on your specific circumstances. Factors like whether you need multiple embryo transfers, whether the surrogate is local or requires travel, whether you need a surrogacy-specific insurance policy, and whether complications arise during the pregnancy all affect the final cost.
Let's break down the major categories.
Surrogate Compensation and Benefits
This is the largest single component of surrogacy costs. At our agency, base compensation for first-time surrogates is $60,000 and $65,000 for experienced surrogates. On top of that, the benefits package includes monthly allowances, maternity clothing, housekeeping support, childcare coverage, travel expenses, lost wages, and additional compensation for specific situations like carrying multiples or a C-section delivery.
When you add the base compensation and the full benefits package together, the total surrogate compensation typically ranges from $75,000 to $95,000.
This is money well spent. Your surrogate is committing her body, her time, and her emotional energy for over a year. She's navigating hormone injections, medical appointments, pregnancy, and delivery — all while managing her own family and career. Fair compensation honors that commitment.
Agency Fees
The agency fee covers the coordination, matching, screening, case management, and support services that hold the entire journey together. This includes surrogate recruitment and qualification, the matching process, case management throughout the pregnancy, coordination between the IVF clinic, attorneys, escrow company, and both parties, and ongoing support for the surrogate and the intended parents.
Agency fees in California range widely — from about $25,000 to $50,000 or more, depending on the agency and the level of service provided. At Made in the USA Surrogacy, your agency fee covers your entire journey, including rematching if necessary.
Legal Costs
Both you and your surrogate will have independent legal representation. Your reproductive attorney will draft the gestational surrogacy agreement, and your surrogate's attorney will review it on her behalf. Legal costs typically range from $8,000 to $15,000 for both parties combined.
This also includes the parentage order — the legal document that establishes you as the baby's parents. In California, pre-birth parentage orders are available, meaning your names go on the birth certificate from the start. This is one of the major legal advantages of surrogacy in California.
Insurance
If your surrogate's existing health insurance doesn't cover surrogacy pregnancies — which is common — you'll need to purchase a surrogacy-specific insurance policy. These policies typically cost between $15,000 and $30,000, depending on the coverage and the provider.
Your agency will review the surrogate's existing insurance early in the process to determine whether a new policy is needed, and the cost will be factored into your overall budget.
Escrow Management
All financial transactions between intended parents and the surrogate are managed through a third-party escrow company. This protects both parties — the surrogate knows her compensation is secured, and you know funds are being disbursed according to the contract. Escrow fees are typically a few thousand dollars.
IVF Costs (Separate)
IVF costs are paid directly to your fertility clinic and are not included in the surrogacy budget above. A single IVF cycle typically costs $15,000 to $30,000, depending on the clinic and whether you need donor eggs or sperm. If multiple cycles or transfers are needed, costs increase accordingly.
If you already have frozen embryos, you'll skip the IVF cycle and only pay for the embryo transfer procedure, which is significantly less expensive.
Why California?
California is consistently one of the most popular states for surrogacy, and the cost reflects that. But there are real reasons the premium is justified. California has the strongest surrogacy legal protections in the country — pre-birth parentage orders, fully enforceable surrogacy contracts, and established case law that protects both intended parents and surrogates. The state also has a deep infrastructure of IVF clinics, reproductive attorneys, and experienced surrogacy agencies.
For international intended parents, California's legal clarity is especially valuable. The parentage process is streamlined, and the legal protections are recognized internationally.
Planning Financially
We understand that $140,000–$150,000 is a life-changing amount of money. Many intended parents have already spent significant amounts on fertility treatments before turning to surrogacy. If cost is a concern, we're happy to discuss the breakdown in detail and help you plan. Some intended parents use a combination of savings, financing, and employer fertility benefits to fund their journey.
The investment is significant. But for the families who go through it, having a child they've been dreaming about for years is something no dollar figure can fully capture.
If you'd like a detailed, personalized cost estimate for your situation, we're here to walk through it with you.
