IVF Gender Selection Cost: Breakdown of Prices & How to Save
IVF with gender selection, often called family balancing, uses Preimplantation Genetic Testing for Aneuploidy (PGT-A), a genetic test performed on IVF embryos to determine their chromosomal makeup and sex (XX or XY) before transfer.
While this technology allows families to select the sex of their future child, it also increases the overall cost.
Because most people pay for IVF out of pocket, many who are considering gender selection naturally wonder, “How much does it actually cost?”The answer can be surprisingly varied, as prices differ widely by clinic, location, and specific services needed.
Between fertility clinic fees, genetic testing costs, medications, and the possibility of multiple IVF cycles, understanding the cost of IVF with gender selection can feel confusing. This guide breaks down what you’re truly paying for, and how to plan and save.
Quick Answer: What Does IVF with Gender Selection Cost?
In the United States, a full IVF cycle with gender selection typically costs $25,000–$35,000 at most fertility clinics. Though prices can vary significantly based on clinic, location, number of embryos tested, and other included services.
At CNY Fertility, the same comprehensive treatment, including IVF, monitoring, medications, and PGT-A testing, can cost around $10,000–$12,000, depending on your treatment plan and the number of embryos tested.
IVF Gender Selection Cost Snapshot
| Scenario | National Average | CNY Fertility |
|---|---|---|
| One standard IVF cycle (including monitoring, medications, and retrieval) | ~$20,000 | $7,295 |
| PGT-A Testing (for Gender Selection) | $4,000–$5,000 | $2,000–$3,000 |
| Frozen Embryo Transfer (FET) | ~$5,000 | $1,940 |
| Estimated Total Price (IVF + PGT-A + FET) | $25,000–$35,000 | $10,000–$12,000 |
What Variables Impact the Cost of IVF with Gender Selection
Clinic Choice
- The single biggest factor in IVF price. Some clinics simply charge far more for identical services. IVF and PGT-A pricing can vary by tens of thousands of dollars for the same procedures.
Medications
- Medication protocols and dosages significantly affect cost. Fertility medications can range from $2,000–$7,000, often averaging around $5,000.
- At CNY Fertility, bundled medication packages typically save about $2,000 per cycle compared to retail pharmacy pricing.
Number of Embryos Tested
- PGT-A labs typically charge per embryo. Testing 3–4 embryos may cost around $1,500–$2,000, while testing 8 or more can reach $4,000–$5,000.
- Since not every embryo is viable, most clinics recommend having at least 5–8 embryos available to increase the chance of identifying a healthy embryo of the desired sex.
Other Add-On Lab Services
- Procedures like ICSI, assisted hatching, and cryopreservation are often billed separately.
- ICSI: ~$1,500 nationally — included at CNY Fertility
- Assisted Hatching: ~$500 nationally — included at CNY Fertility
- Cryopreservation & First-Year Storage: ~$600–$1,500 (first-year storage not included at CNY)
Clinic Location
- Where your fertility clinic is located can also influence the overall price of IVF with gender selection.
- Clinics in large metropolitan areas often face higher operating and staffing costs, which can drive up treatment prices. However, this isn’t always the case. Pricing can still vary widely between clinics, even within the same city or state.
Donor Eggs or Sperm
- Donor eggs can add up to $20,000 to your total IVF price, while donor sperm typically adds only a few hundred dollars.
- CNY Fertility offers in-house donor egg packages that include 6 fresh donor eggs, ICSI, assisted hatching, cryopreservation, and a frozen transfer for as little as $9,453.
Insurance Coverage
- Only about one-quarter of Americans have any fertility coverage, and even fewer have IVF or PGT-A coverage.
- Some plans cover diagnostic testing or monitoring but not treatment, while others may reduce out-of-pocket costs for specific components.
Why IVF with Gender Selection Costs More
IVF with gender selection costs more than a standard IVF cycle because it adds complexity and requires costly PGT-A testing and a Frozen Embryo Transfer (FET).
In a typical IVF cycle, embryos can be transferred fresh a few days after retrieval. With gender selection, embryos must be biopsied and frozen while results are processed — adding lab, storage, and transfer fees.
If no embryos of the desired sex are available, additional retrievals may be needed, further increasing total cost.
Ways to Make IVF with Gender Selection More Affordable
FSA and HSA Accounts
Use pre-tax dollars for qualified medical expenses, saving 20–30% depending on your tax bracket.In-House Financing
CNY Fertility offers 100% approval on in-house payment plans with as little as 25% down, helping reduce upfront costs.Third-Party Financing
Fertility-specific lenders like Future Family and LendingClub offer financing programs to spread payments over time.Travel for Affordable Care
Many patients travel to CNY Fertility for significant savings — even after airfare and lodging, total IVF costs often remain less than half the national average.
The Bottom Line
The price of IVF with gender selection in the U.S. typically ranges from $25,000–$35,000, depending on the clinic, number of embryos tested, and treatment plan.
At CNY Fertility, that same comprehensive cycle, including IVF, PGT-A testing, and FET, can cost around $10,000–$12,000.
By understanding where these costs come from and exploring financing, medication bundles, and travel programs, families can make gender selection significantly more affordable while maintaining world-class care.
