The average cost of surrogacy for intended parents in Manchester ranges from $100,000 - $200,000+.
Building your family in New England means planning around some of the highest regional healthcare costs in the country.
Talk to a surrogacy specialist to build a clear, actionable financial plan and keep your journey moving forward.
Manchester Surrogacy Cost Breakdown
To complete a successful journey, you need to know where your funds are going when you make your budget. A complete American Surrogacy journey generally falls between $100,000 - $200,000+.
- IVF and clinic costs* (intended-parent city-driven): $15,000–$30,000+ in Manchester.
- Surrogate compensation (agency-, experience- and surrogate-location-driven): $70,000–$110,000+.
- Agency support (agency-driven): $30,000–$40,000.
- Legal fees (state-driven): $8,000–$12,000.
- Accounting and escrow (service/vendor-driven): $1,500–$2,000.
- Insurance (surrogate- and state-driven): $10,000–$30,000.
- Prenatal care and delivery (surrogate-location-driven): $8,000–$15,000.
*Not included in American Surrogacy’s cost.
What Surrogacy Costs Are Actually Local to Manchester?
When you partner with a Manchester fertility center, only your direct medical procedures and the logistics of flying your surrogate to New Hampshire are tied to the local economy.
You do not pay New England rates for every step of the process. Your local market dictates the clinical side of your budget, while the surrogate’s location affects other expenses.
IVF and Fertility Clinic Costs in Manchester
Expect to pay your chosen Manchester IVF clinic between $15,000 and $30,000+ for the medical phases of surrogacy. These payments go directly to your medical provider.
- Base cycle fee: $10,000–$15,000.
- Medications: $4,000–$8,000.
- Donor egg or sperm (if applicable): $10,000–$20,000+.
- Embryo creation and monitoring: $3,000–$5,000.
- PGT (Preimplantation Genetic Testing, if applicable): $3,000–$6,000.
- Freezing and storage: $500–$1,000 annually.
Surrogate Travel to Your Manchester Fertility Clinic
Bringing your surrogate to Manchester for medical clearance and the embryo transfer costs approximately $1,000 to $2,500 per required trip.
If the surrogate doesn’t live nearby, you will cover her travel expenses to your New Hampshire clinic.
- Round-trip airfare: $300–$800.
- Hotel per night: $150–$250.
- Gas (if driving): $50–$150.
- Meals and per diem: $50–$100 per day.
- Companion travel: $300–$800.
- Clinic day incidentals: $50–$100.
Costs Based on Where Your Surrogate Lives
Your gestational carrier's zip code—not yours—dictates the bulk of your pregnancy-related expenses. Her local market determines her base compensation, insurance premiums and delivery bills.
Surrogate Compensation
Total compensation packages range from $70,000 to $110,000+, covering base pay, maternity clothing, incidentals and lost wages.
Because New England has a high cost of living, local surrogates require higher base compensation. If you do match with a carrier inside the Manchester metro, plan for her compensation to sit at the higher end of our range.
Surrogate Insurance
Securing medical insurance for surrogacy costs between $10,000 and $30,000 nationally.
These numbers depend on the insurance regulations in your surrogate's home state and her existing healthcare policy.
- New insurance premium: $400–$1,200 monthly.
- Deductible: $2,000–$8,000.
- Out-of-pocket maximums: $5,000–$12,000.
- Copays and coinsurance: Variable by plan.
- Specialist or maternity care expenses: $1,000–$3,000.
- Separate surrogacy-friendly policy when necessary: $10,000–$25,000.
Prenatal Care and Delivery
National averages for OBGYN care and hospital delivery run between $8,000 and $15,000.
Your surrogate will attend doctor appointments and give birth in her own community. This means you pay her local healthcare rates.
- Prenatal visits: $1,000–$3,000.
- Ultrasounds and labs: $1,000–$2,500.
- Hospital delivery: $5,000–$10,000.
- Deductible and coinsurance: Matches policy limits.
- Pregnancy or delivery complications: Case-specific variations.
- C-section (when applicable): Adds $3,000–$5,000.
Will Surrogacy Cost More If My Surrogate Lives Out of State?
Expanding your surrogate search outside of New Hampshire is a strategic move that saves you time and often balances your budget if she lives in an area with lower cost-of-living.
American Surrogacy's proactive national recruitment strategy helps intended parents secure a match in just 1 - 6 months on average.
How American Surrogacy Helps Intended Parents Budget for a Multi-State Journey
You need to know your investment is secure even if an unexpected medical setback occurs.
Our Limited Risk Program ensures you can keep moving forward by providing rematching after qualifying disruptions. This protects you from paying repeated agency fees and keeps your family-building timeline on track.

Get a Personalized Surrogacy Cost Estimate in Manchester
Stop guessing about costs and start building a concrete plan.
Fill out our quick form or call 1-800-367-2362 to get a personalized budget estimate and take the next step in your surrogacy journey today.