IVF costs explained
An IVF cost estimate is usually a list of line-items — some standard, some optional, some just vague. Here is what each of the 44 most common ones actually means, in plain words, and whether it's usually inside the package or charged on top.
Core treatment steps
Initial / OPD consultation
Core stepA paid appointment with the fertility specialist.
Often a one-off up front; ask whether follow-up visits are included.
Follicular monitoring (scans + bloods)
Core stepThe repeat scans and blood tests during stimulation that track your follicles.
Sometimes inside the package, sometimes charged per visit — ask which.
Egg retrieval / ovum pick-up
Core stepThe procedure to collect the eggs.
Usually the core of the package; the OT/anaesthesia lines may or may not be separate — check.
Embryo transfer (fresh)
Core stepPlacing an embryo into the uterus.
Usually inside the package; a separate FET is a different, later cycle.
Frozen embryo transfer cycle
Core stepA separate later cycle to transfer a frozen embryo — its own charge, with its own meds and scans.
Ask what the FET fee covers (thaw? meds? scans?).
Consultations & tests
Baseline hormone / blood panel
Consult / testBlood tests that check your baseline hormones before treatment.
Commonly billed separately from the cycle; ask what's included.
AMH test
Consult / testA blood test estimating your egg reserve.
Usually a one-off separate test.
Semen analysis
Consult / testA lab test of sperm count, motility and shape.
Usually separate; a repeat may be charged again.
HSG / tubal patency
Consult / testAn X-ray/scan checking whether the fallopian tubes are open.
A separate diagnostic; may be done before deciding on IVF vs IUI.
Hysteroscopy
Consult / testA camera check (sometimes minor surgery) of the uterine cavity.
A separate procedure with its own OT/anaesthesia — ask if those are extra.
Pre-treatment viral screening
Consult / testMandatory blood tests (HIV/hepatitis etc.) required before lab procedures.
A standard, usually-separate pre-treatment panel.
Medications
Ovarian stimulation injections
MedicationThe daily injections that grow multiple eggs.
The single biggest and most variable cost — imported brands cost far more than Indian ones. Ask for your expected dose and brand in writing.
Antagonist / agonist injections
MedicationInjections that stop you ovulating too early.
Usually part of the medication bill; brand and number of days vary.
Trigger shot
MedicationThe final injection that matures the eggs before retrieval.
A small but essential line; brand varies.
Progesterone / estrogen support
MedicationHormones that support the uterine lining after transfer (and build it for an FET).
Ongoing for weeks; more of it is used in a medicated FET.
Optional add-ons
ICSI
Add-onInjecting a single sperm directly into each egg.
Established for male-factor infertility, but sometimes applied routinely — see the evidence, and ask whether you need it.
See the evidence on ICSIIMSI
Add-onSelecting sperm under very high magnification.
A limited-evidence add-on — see the evidence.
See the evidence on IMSIPICSI
Add-onSelecting sperm by how they bind to a dish.
A limited-evidence add-on — see the evidence.
See the evidence on PICSIAssisted hatching
Add-onThinning the embryo's outer shell before transfer.
A limited-evidence add-on — see the evidence.
See the evidence on Assisted hatchingEmbryoGlue
Add-onA transfer medium said to help the embryo stick.
See the evidence (bodies disagree on this one).
See the evidence on EmbryoGlueTime-lapse imaging
Add-onA special incubator that films the embryos.
A limited-evidence add-on — see the evidence.
See the evidence on Time-lapse imagingPGT-A
Add-onScreening embryos for the right number of chromosomes before transfer.
Usually billed separately, often per embryo plus a lab fee — see the evidence, especially by age.
See the evidence on PGT-AEndometrial receptivity test (ERA)
Add-onA test timing the window for transfer.
A limited-evidence add-on — see the evidence.
See the evidence on Endometrial receptivity test (ERA)MACS / microfluidics sperm sorting
Add-onExtra sperm-selection techniques.
A limited-evidence add-on — see the evidence.
See the evidence on MACS / microfluidics sperm sortingSperm DNA fragmentation test
Add-onA test of sperm DNA damage.
A test with limited routine value — see the evidence.
See the evidence on Sperm DNA fragmentation testEndometrial scratch
Add-onLightly scratching the uterine lining before a cycle.
A limited-evidence add-on — see the evidence.
See the evidence on Endometrial scratchLab & embryology
Embryology / fertilisation lab charge
Lab / embryoThe lab work of fertilising eggs and growing embryos.
Often inside the package — check it isn't also charged separately.
Blastocyst culture
Lab / embryoGrowing the embryos to day 5 before transfer.
An established step (not a limited-evidence add-on), but often already inside the package — check you're not paying twice.
See the evidence on Blastocyst cultureEmbryo freezing / vitrification
Lab / embryoFreezing spare embryos for future use.
Usually a separate one-time charge, often per batch; ask whether it's per embryo or per session.
Embryo thawing
Lab / embryoThawing a frozen embryo for an FET.
Usually charged as part of the FET cycle — check it isn't double-counted.
Storage
Annual embryo / sperm storage
Storage · RecurringA yearly fee to keep frozen embryos or sperm.
This repeats every year — ask how many years (if any) are included before it starts.
Facility & procedure fees
OT / theatre charge
Facility feeThe operating-theatre fee for the retrieval.
Often bundled into the retrieval charge — ask whether this is on top of it.
Anaesthesia
Facility feeSedation for the egg retrieval.
Commonly part of the retrieval/OT charge — ask if it's separate.
Day-care / admission / nursing
Facility feeShort-stay/room and nursing charges around the procedure.
Ask whether a stay is actually needed and what it includes.
Consumables / disposables
Facility feeSingle-use materials used during procedures.
If there's no breakdown, ask what this covers — it can overlap with the lab/OT charges.
Admin & fees
Registration / file charge
AdminA one-time administrative fee to open your record.
Small and usually one-off.
Package / programme fee
AdminA bundled price meant to cover the core cycle.
The key question is what's inside it vs. added below — compare itemised, not headline.
GST / taxes
AdminGovernment tax added to some charges.
Ask whether quoted prices already include GST or add it on top.
Donor & third-party
Donor eggs
Donor / third-partyUsing eggs from a donor.
A separate, significant cost — and it falls under the ART Act's donor consent, eligibility and record rules. See our rights/eligibility guide.
Donor sperm
Donor / third-partyUsing sperm from a donor/bank.
Separate cost, and covered by the ART Act's donor rules. See our rights/eligibility guide.
Surrogacy-related charges
Donor / third-partyCharges tied to a surrogacy arrangement.
Governed by the Surrogacy Act (altruistic-only) with strict eligibility and consent rules — this is a legal process, not just a line item. See our rights/eligibility guide.
IUI
IUI / intrauterine insemination
IUIPlacing prepared sperm directly into the uterus — a simpler, cheaper treatment than IVF.
Priced per cycle; monitoring/trigger/meds may be extra.
Sperm wash / preparation
IUIPreparing and concentrating sperm for IUI or IVF.
Usually a separate small charge on an IUI quote.
Vague / catch-all
Miscellaneous / other charges
VagueAn unlabelled catch-all with no breakdown.
Ask your clinic to itemise exactly what this covers before paying it.
Last reviewed .