PGD and IVF Costs - What is the cost for preimplantation genetic diagnosis - PGD and PGS, preimplantation genetic screening?
How much does PGD cost?
IVF cycle with blastocyst biopsy and Genesis24 – aCGH PGS
Self pay package cost – $16,000 + meds
- Ovarian stimulation monitoring
- Anesthesia for egg retrieval
- Egg retrieval procedure
- Fertilization by ICSI and culture of the embryos
- Trophectoderm biopsy of blastocysts
- Vitrification (freezing) of the embryos
- PGS testing by Genesis Genetics
- Frozen embryo transfer cycle
Services not included
- Pre-IVF screening
- Pregnancy testing and early pregnancy monitoring
- Consultations with a doctor
Preimplantation genetic diagnosis involves testing done on embryos from in vitro fertilization prior to transferring to the uterus. The testing is done to check for a specific genetic abnormality (a disease like cystic fibrosis), or, more commonly, to determine if the embryos are chromosomally normal (aneuploidy screening, PGS).
There are several variables involved in the cost of PGD
- The cost of in vitro fertilization at the PGD clinic
- The cost of IVF medications
- Embryo biopsy procedure costs at the PGD clinic
- Chromosomal and/or genetic analysis costs – the PGD testing
Average preimplantation genetic testing costs in the US
- IVF costs – in the US the average cost for IVF with ICSI is about $12,000 to $13,000
- The average cost for in vitro fertilization medications is $3000 to $4000
- Embryo biopsy charges are about $1000 to $2200
- Aneuploidy testing (for chromosome normality) with PGG is $1800 to $5000
- For single gene defects (such as cystic fibrosis), there are additional costs involved.
|Average PGS IVF Costs|
|Price at Our Clinic|
|IVF-ICSI with fresh transfer cost|
|IVF medication costs||About $3500 or more||About $3500 or more|
|Embryo biopsy cost||$1500||Packaged in|
|Embryo freezing cost||$800||Packaged in|
|PGS test cost||$3500||Packaged in|
|FET cycle cost||$3000-$5000||Packaged in|
|IVF PGS cycle with one FET included|
|$20,000 + meds||$17,950 + meds|
- IVF with preimplantation genetic testing (with meds) and a subsequent frozen embryo transfer usually costs about $17,000 – $25,000 in the US
- This is depends on the cost of the in vitro fertilization and also on the amount of medications needed for IVF ovarian stimulation
- Since in vitro fertilization pricing varies between IVF-PGD centers and because the dose of meds for IVF varies, the total cost for IVF and preimplantation genetic testing will vary
- The biggest variables with PGD costs for a self-pay patient (no IVF insurance coverage) are the cost of in vitro fertilization and IVF medication costs
- IVF medication costs are determined by how the ovaries respond to the drugs.
- A young, thin woman with a good antral follicle count and good ovarian reserve would be on lower doses of stimulation medications (therefore, a lower cost)A heavier woman with a high BMI, or with advanced age or reduced ovarian reserve needs higher doses – so medications could be as much as $6000
Insurance coverage for IVF and PGD
Some couples have insurance coverage for in vitro fertilization. However, it is rare for insurance to cover chromosomal or genetic testing(PGS or PGD) in our experience.
IVF/ICSI cycle with day 5 embryo biopsy and Genesis24 – aCGH PGS
IVF success rates and PGD
Another concern with preimplantation genetic diagnosis costs is the IVF success rate of the clinic doing the in vitro procedures. This is something couples that do PGD testing may not think about.
If the IVF clinic has low success rates, then an unsuccessful cycle even at a low cost does not get the couple the desired outcome for a lower cost.
Consumers of infertility services in the US have a huge benefit in the SART and CDC IVF success rates reports
Every year these reports are published on the web and detail individual IVF clinic success rates by age
These reports allow couples considering IVF (with or without PGD) to check success rates of nearby clinics before deciding which clinic to use.
Costs for preimplantation genetic screening with trophectoderm biopsy
- There are additional fees involved with trophectoderm biopsy because it is a 2 step process
- First a fresh IVF cycle and biopsy and freezing of the embryos
- Then a frozen embryo transfer cycle is done later
- The embryos must be frozen with this technique because current technology requires about 24 hours for turn-around of test results – too long for a fresh transfer