体外受精（IVF）の費用はいくら？
In vitro fertilization (IVF) is an assisted reproductive technology where eggs are retrieved, fertilized with sperm in a laboratory, and the resulting embryo is transferred to the uterus. Medicare does not cover IVF.
保険なし
$15,000
保険あり
$5,000
メディケア
$0
全国平均
$6,667
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-21 ·
Sources: American Society for Reproductive Medicine (ASRM) 2025 · Methodology · Editorial standards 概要
In vitro fertilization (IVF) is an assisted reproductive technology in which ovarian follicles are stimulated with injectable hormones, mature eggs are retrieved under transvaginal ultrasound guidance, eggs are fertilized with sperm in the lab, and one or more resulting embryos are transferred to the uterus (fresh or frozen). A single cycle takes roughly 4 to 8 weeks of monitoring, medications, and procedures. The quoted base cycle fee typically covers monitoring ultrasounds and labs, the egg retrieval, anesthesia, laboratory fertilization, embryo culture, and one fresh or frozen transfer — but almost never includes the stimulation medications, which are a large separate cost. Add-ons that stack on top include ICSI (intracytoplasmic sperm injection) for male factor issues, preimplantation genetic testing (PGT-A/PGT-M), embryo freezing (cryopreservation), long-term storage fees, donor eggs or donor sperm, and gestational-surrogate arrangements. Because success rates are age-dependent and cycle-dependent, most patients budget for more than one cycle.
費用に影響する要素
- Medications: injectable gonadotropins are a large separate cost that can rival or exceed the base cycle fee and are usually not bundled into the clinic quote.
- Add-on procedures: ICSI, preimplantation genetic testing (PGT), and assisted hatching each carry their own fees on top of the cycle.
- Freezing and storage: cryopreservation of embryos and annual storage fees add ongoing cost beyond the initial cycle.
- Donor or surrogacy services: using donor eggs, donor sperm, or a gestational carrier multiplies total cost substantially.
- Number of cycles: many patients require 2-3 cycles to achieve a live birth; budgeting for a single cycle underestimates actual spend.
- State coverage mandates: a growing number of states require insurance to cover IVF for eligible patients, which dramatically shifts out-of-pocket exposure.
節約方法
- Check state insurance mandates — roughly 20 states require some level of fertility or IVF coverage for eligible plans, and employer size determines whether the mandate applies.
- Ask your employer whether they offer a fertility benefit (programs through companies like Progyny, Carrot, or Maven are increasingly common).
- Look for clinic-level multi-cycle discount packages or shared-risk (money-back) programs if multiple cycles are likely.
- Ask about specialty-pharmacy patient assistance programs for fertility medications; discount programs exist for many gonadotropins.
- Consider a minimal-stimulation (mini-IVF) or natural-cycle protocol if clinically appropriate — significantly lower medication cost.
- Use HSA or FSA dollars for IVF expenses; contributions to a dedicated HSA during planning years can offset a meaningful share.
保険とカバレッジに関する注意事項
Coverage for IVF is highly variable. A growing set of states (including Massachusetts, Illinois, New York, New Jersey, and others) mandate IVF coverage by commercial insurers, with specific eligibility criteria around age, diagnosis, and prior treatment. Outside those mandates, IVF is often a benefit only if the employer has chosen to include it — increasingly common at large employers. Original Medicare does not cover IVF. Medicaid coverage for IVF is rare. Medications are usually billed under pharmacy benefits (if any), and coverage may differ from the IVF procedure itself. Many patients finance IVF through fertility-specific lenders or use HSA and FSA funds.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- American Society for Reproductive Medicine (ASRM) 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-21. See editorial standards for our fact-checking process and correction policy.
Range: $10,950 to $20,700 · 50 states shown
州別費用
| 州 | 保険なし | 保険あり | メディケア |
|---|---|---|---|
| Mississippi | $10,950 | $3,650 | $0 |
| Arkansas | $11,250 | $3,750 | $0 |
| West Virginia | $11,250 | $3,750 | $0 |
| Alabama | $11,700 | $3,900 | $0 |
| Oklahoma | $11,700 | $3,900 | $0 |
| Kentucky | $12,750 | $4,250 | $0 |
| Louisiana | $12,900 | $4,300 | $0 |
| Iowa | $13,200 | $4,400 | $0 |
| New Mexico | $13,200 | $4,400 | $0 |
| South Carolina | $13,200 | $4,400 | $0 |
| South Dakota | $13,200 | $4,400 | $0 |
| Kansas | $13,350 | $4,450 | $0 |
| North Dakota | $13,350 | $4,450 | $0 |
| Idaho | $13,500 | $4,500 | $0 |
| Nebraska | $13,500 | $4,500 | $0 |
| Tennessee | $13,500 | $4,500 | $0 |
| Indiana | $13,950 | $4,650 | $0 |
| Missouri | $13,950 | $4,650 | $0 |
| Utah | $13,950 | $4,650 | $0 |
| Wyoming | $13,950 | $4,650 | $0 |
| Georgia | $14,100 | $4,700 | $0 |
| North Carolina | $14,100 | $4,700 | $0 |
| Michigan | $14,250 | $4,750 | $0 |
| Montana | $14,250 | $4,750 | $0 |
| Arizona | $14,700 | $4,900 | $0 |
| Ohio | $14,700 | $4,900 | $0 |
| Wisconsin | $14,700 | $4,900 | $0 |
| Maine | $14,850 | $4,950 | $0 |
| Texas | $14,850 | $4,950 | $0 |
| Florida | $15,150 | $5,050 | $0 |
| Minnesota | $15,150 | $5,050 | $0 |
| Illinois | $15,450 | $5,150 | $0 |
| Pennsylvania | $15,450 | $5,150 | $0 |
| Delaware | $15,600 | $5,200 | $0 |
| Nevada | $15,600 | $5,200 | $0 |
| Vermont | $15,600 | $5,200 | $0 |
| Virginia | $15,600 | $5,200 | $0 |
| Colorado | $15,900 | $5,300 | $0 |
| New Hampshire | $15,900 | $5,300 | $0 |
| Oregon | $15,900 | $5,300 | $0 |
| Maryland | $16,500 | $5,500 | $0 |
| Rhode Island | $16,650 | $5,550 | $0 |
| Washington | $16,650 | $5,550 | $0 |
| Connecticut | $18,000 | $6,000 | $0 |
| New Jersey | $18,000 | $6,000 | $0 |
| California | $19,800 | $6,600 | $0 |
| Massachusetts | $19,950 | $6,650 | $0 |
| Alaska | $20,250 | $6,750 | $0 |
| New York | $20,250 | $6,750 | $0 |
| Hawaii | $20,700 | $6,900 | $0 |
よくある質問
保険なしで体外受精（ivf）はいくらかかりますか？
米国での体外受精（ivf）の保険なし平均費用は$15,000です。州によって費用は大きく異なります。
保険は体外受精（ivf）をカバーしますか？
ほとんどの医療保険は、医学的に必要な場合に体外受精（ivf）をカバーします。保険適用時の平均自己負担額は$5,000です。
メディケアは体外受精（ivf）をカバーしますか？
メディケアパートBは通常、医師の処方がある場合に体外受精（ivf）をカバーします。メディケア承認の平均額は$0です。
Elena Bellini による確認 · 最終確認日：2026-04-21
データ出典：American Society for Reproductive Medicine (ASRM) 2025。最終更新：2026-03-01。この情報は教育目的のみであり、医療アドバイスではありません。 本ウェブサイトは情報提供のみを目的としており、医療アドバイスではありません。必ず資格のある医療専門家にご相談ください。