2026 Surrogacy Agency Comparison
9 Best Surrogacy Agencies in the U.S. for 2026
Surrogacy agencies differ in size, cost structure, published outcomes, and what protections they offer if a journey doesn't go as planned. We compared nine established U.S. agencies across six factors intended parents can verify themselves.
Best Surrogacy Agencies Compared
Agency size, published success rate, program type, program benefits, and surrogate return rate — all drawn from each agency's own published materials.
Agency | Size / Style | Success Rate | Program Type | Program Benefits | Return Rate | Best Known For |
|---|---|---|---|---|---|---|
01 Circle Surrogacy | Large / Corporate | 99.2% | Fixed (Journey Protection Program) | $189,500 flat fee; unlimited transfers; agency-fee refund if no baby | 50%+ | Large full-service platform; strong LGBTQIA+ track record |
02 Hatch Fertility | Mid-size / Premium | 99.5% | All Inclusive (Fixed Fee Program) | Unconfirmed | 78% | Established egg donation and surrogacy specialist |
03 Giving Tree Surrogacy | Mid-size / Boutique | 98% | Both — Fixed (Family Forward Guarantee) and Variable (Standard Program) | $180,000 fixed cost; unlimited rematches; agency-fee refund; 3–6 month match; $149,500 Standard program | 66% | Fast matching; fixed and variable program choice; high-touch support |
04 ConceiveAbilities | Large / National | Unconfirmed | All Inclusive (All-In Program) | $197,500 flat fee; unlimited medical rematches; limited refund | 56% | Compatibility-focused surrogate matching |
05 Growing Generations | Mid-size / Premium | 99.4% | Variable | Tiered pricing from ~$213,000 | Unconfirmed | Premium service; long LGBTQIA+ history |
06 American Surrogacy | Large / National | Unconfirmed | Variable | Limited-risk program from ~$202,500+ | Unconfirmed | National reach; short matching timelines |
07 West Coast Surrogacy | Small / Boutique | Unconfirmed | Variable | Pricing from ~$190,000 | Unconfirmed | Highly personalized boutique support |
08 Physician's Surrogacy | Large / Medical | Unconfirmed | Fixed and Flat Rate | Guarantee tiers ~$213,000–$260,000; no fees until matched | Not published | Physician-led, medically integrated model |
09 Northwest Surrogacy Center | Mid-size / Family-owned | Not published | Guarantee Program | ~$190,950; baby guarantee or agency fee + unused surrogate pay refund | Not published | Attorney-led, family-owned agency |
Program pricing, guarantees, and published metrics can change. Confirm current terms, eligibility requirements, and exclusions directly with each agency.
A note on reading these numbers
Agencies do not report metrics using standardized definitions. A 99% agency-reported success rate is not automatically equivalent to another agency's 99% figure, and one agency's fixed-cost program may include services another excludes. Treat published figures as the beginning of a conversation rather than a like-for-like ranking.
The Six Factors We Compared
Rather than a proprietary score, we used six factors intended parents can independently investigate.
01
Agency size & operating style
Large agencies offer broader infrastructure; boutique agencies emphasize direct relationships and smaller caseloads. Neither is a measure of quality.
03
Program type
Fixed-cost programs set a predetermined price. Variable programs start from an estimate that shifts as the journey progresses.
05
Surrogate return rate
How many surrogates come back for another journey — though some agencies count sibling journeys, others count referrals.
02
Published success rate
The share of journeys an agency reports resulting in a baby — useful, but defined differently by each agency.
04
Program benefits
What the program actually protects against: extra transfers, rematching, repeat screening, or a refund if no baby results.
06
What they're known for
The concrete differentiator behind the marketing: infrastructure, matching speed, physician involvement, or specialization.
The 9 Agencies at a Glance
Key figures for each agency. Full breakdowns on the individual profile pages.
01
Circle Surrogacy
Large / Corporate · Boston, MA
Success rate - 99.2%
Program - $189,500 fixed
Return rate - 50%+
3,400+ families served, ~400 clinic partners, intended parents in ~70 countries. Strong LGBTQIA+ and international track record.
04
ConceiveAbilities
Large / National · Chicago, IL
Success rate - Unconfirmed
Program - $197,500 all-in
Return rate - 56%
Matching built around compatibility rather than availability. Reports a 97% success rate at first introduction.
07
West Coast Surrogacy
Small / Boutique · California
Success rate - Unconfirmed
Program - $190K–$240K
Return rate - Unconfirmed
The clearest boutique model here. Publishes an estimated journey range with transparent category-by-category cost breakdowns.
02
Hatch Fertility
Mid-size / Premium · Los Angeles, CA
Success rate - 99.5%
Program - All inclusive
Return rate - 78%
Operating since 1991 with 8,000+ journeys facilitated. Combines egg donation and surrogacy in a premium fertility model.
05
Growing Generations
Mid-size / Premium · Los Angeles, CA
Success rate - 99.4%
Program - From ~$213,000
Return rate - Unconfirmed
Founded 1996, 2,400+ babies. Four service tiers rather than one fixed program, with a long LGBTQIA+ family-building history.
08
Physician's Surrogacy
Large / Medical · Physician-managed
Success rate - Unconfirmed
Program - $145K–$260K
Return rate - Not published
OB/GYN involvement in screening and medical oversight. Three fixed tiers, from flat rate to an all-inclusive bundle with donor eggs.
03
Giving Tree Surrogacy
Mid-size / Boutique · Irvine, CA
Success rate - 98%
Program - $180K fixed / $149.5K std
Return rate - 66%
One of the few agencies offering both fixed and variable programs. Published 3–6 month average match time with high-touch support.
06
American Surrogacy
Large / National · Leawood, KS
Success rate - Unconfirmed
ProgramFrom - $202,500+
Match time - 1–6 months
Nationwide surrogate recruitment with one of the shortest published average match times in this comparison.
09
Northwest Surrogacy Center
Mid-size / Family-owned
Success rate - Not published
Program - $190,950
Return rate - Not published
30+ years, attorney-led and family-owned. Guarantee Program refunds agency fee plus unused surrogate compensation in qualifying cases.
Choosing a Surrogacy Agency Based on Your Priorities
There is no single metric that answers every question. Start from what matters most to you.
Large organizational infrastructure
Circle Surrogacy and other national providers offer dedicated internal departments and broad clinic networks.
Program type
Fixed-cost programs set a predetermined price. Variable programs start from an estimate that shifts as the journey progresses.
Surrogate return rate
How many surrogates come back for another journey — though some agencies count sibling journeys, others count referrals.
A smaller boutique environment
West Coast Surrogacy and Giving Tree Surrogacy emphasize direct relationships and individualized case management.
Program benefits
What the program actually protects against: extra transfers, rematching, repeat screening, or a refund if no baby results.
What they're known for
The concrete differentiator behind the marketing: infrastructure, matching speed, physician involvement, or specialization.
The most useful comparison is the one that identifies which agency's structure, financial model, and published results most closely align with your priorities.
Frequently Asked Questions
This comparison is based on publicly available agency information in 2026, including agency websites, program descriptions, and published statistics. Program pricing, guarantees, and published metrics change — confirm current terms, eligibility requirements, and exclusions directly with each agency before signing an agreement.