South Dakota has only a handful of fertility clinics offering services such as IVF, IUI, and fertility preservation—making access to care a challenge for many residents.
In this guide, we’ll walk through the fertility care options currently available within the state and share more affordable alternatives in nearby states for those willing to travel in order to access lower-cost, high-quality treatment.
Fertility Clinics in South Dakota
South Dakota has very few fertility clinics, but there are two primary providers offering advanced reproductive care to individuals and couples looking to grow their families. Below are the in-state options, including services offered and links to learn more.
Located in Sioux Falls, this comprehensive fertility clinic offers a wide range of services, including IVF, IUI, egg and sperm freezing, preimplantation genetic testing (PGT), and tubal ligation reversal. The team specializes in treating conditions like endometriosis, PCOS, male factor infertility, and recurrent pregnancy loss.
Operating a satellite office in Rapid City, this clinic provides personalized fertility care, including IVF, IUI, ICSI, and genetic testing. Rocky Mountain Fertility Center is known for its high success rates and tailored approach to patient care.
How Much Does IVF Cost in South Dakota?
In South Dakota, the cost of in vitro fertilization (IVF) can vary depending on the clinic you choose and the specific treatments you need. Below is a general breakdown to help you estimate potential expenses:
IVF Cycle: The starting cost for a standard IVF cycle, including essential services and medications, typically ranges from $15,000 to $25,000.
Medications: Fertility medications are often billed separately and can add $2,000 to $8,000 to your total cost, depending on your treatment protocol and response to ovarian stimulation.
Additional Services: Procedures such as intracytoplasmic sperm injection (ICSI), preimplantation genetic testing (PGT), embryo freezing and storage, and Frozen Embryo Transfers (FET) may add $5,000 to $15,000 per cycle, depending on your preferences and needs.
Insurance Coverage
South Dakota does not have a state mandate requiring insurance plans to cover IVF or other fertility treatments. Whether or not you’re covered will depend on your specific health insurance policy and whether your employer includes fertility benefits in your plan.
Lower-Cost IVF Options for South Dakota Residents
In South Dakota, only a couple of clinics offer full-service fertility care, and the cost can be a significant hurdle.
CNY also offers discounted rates on common optional treatments tailored to your specific medical needs such as Frozen Embryo Transfers (FET) – Ideal for patients who delay transfer or have frozen embryos from previous cycles. And Preimplantation Genetic Testing (PGT), often recommended for older patients or those with recurrent pregnancy loss.
Monitoring and Travel Costs for South Dakota Patients
Many South Dakota patients complete their early monitoring—like bloodwork and ultrasounds—at a local clinic close to home. When it’s time for egg retrieval and embryo transfer, they travel to one of CNY’s full-service locations.
Local Monitoring: Typically costs between $800 and $1,500
Remote Cycle Coordination Fee: $150 to manage your out-of-town cycle
Even with added expenses for travel, lodging, and meals, many patients complete an entire IVF cycle for under $10,000—a significant savings compared to national and in-state options.
Ready to Learn More?
You can use CNY Fertility’s cost calculator to estimate your total expenses and schedule a consultation to find out if this affordable, travel-friendly option is right for your fertility goals.
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Total to CNY
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Estimated 3rd Party Costs
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Grand Total
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National Average:
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The above calculation is for simulation purposes only. It is reflective of self-pay pricing, includes highly variable estimates paid to CNY and third parties, and national averages obtained through internal research, FertilityIQ, ASRM, and Resolve. Billing through insurance will likely result in substantially different fees. CNY Fertility does not warrant or guarantee any price for services conducted or rendered by a third party and recommends everyone obtain written estimates from any medical facility involved in your treatment as well as verification of coverage from your insurance company prior to beginning treatment.
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South Dakota has very few fertility clinics offering services like IVF, IUI, and fertility preservation to support individuals and couples hoping to grow their families.
As in many states, one of the biggest challenges is cost. IVF can be a significant financial undertaking, and South Dakota does not require insurance plans to cover fertility treatments—meaning most patients pay out of pocket for their care.
For those seeking more affordable options, clinics like CNY Fertility offer high-quality IVF treatment at much lower prices than many local providers. By exploring clinic pricing, researching financing plans, and being open to traveling for care, you may discover a more budget-friendly and flexible way to pursue your family-building goals.
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