Fertility testing is one of the first steps toward understanding your reproductive health, but cost is often the biggest question mark. Prices vary based on which tests you need, where you have them done and how much your insurance plan covers. Not everyone needs every test, and knowing what each one costs ahead of time helps you plan and ask the right questions at your first appointment. This guide breaks down real pricing for the most common fertility tests so you know what to expect before you walk in the door.
What Goes Into a Fertility Workup?
A fertility workup is a series of diagnostic tests that evaluate your reproductive health. The specific tests you need depend on your medical history, age, and how long you’ve been trying to conceive.
For patients with ovaries, testing typically focuses on ovarian reserve (how many eggs remain) and hormone balance. For patients with sperm, testing evaluates sperm count, movement, and shape. Both partners usually undergo testing, since male and female factors each contribute to about half of fertility challenges.
The goal is gathering enough information to create an effective treatment plan without ordering unnecessary tests. For example, a 32-year-old with no known health issues needs different diagnostics than a 40-year-old with irregular cycles or a history of endometriosis.
Hormone Blood Tests and What They Cost
Blood tests form the foundation of most fertility workups. These tests measure hormone levels that affect egg development, ovulation, and overall reproductive health. Here’s what each one measures, why it matters, and typical price ranges:
- AMH (Anti-Müllerian Hormone): $80-$200
AMH is a hormone produced by the small follicles in your ovaries, and it serves as one of the best indicators of ovarian reserve, which refers to how many eggs you have remaining. Lower AMH levels suggest fewer eggs, while higher levels indicate more. This test is particularly useful for predicting how your ovaries might respond to fertility medications during treatments like IVF or egg freezing. Unlike most fertility bloodwork, AMH can be drawn on any day of your cycle, making it convenient to schedule. - FSH (Follicle-Stimulating Hormone): $50-$150
FSH is the hormone your brain releases to tell your ovaries to develop eggs each month. When measured on cycle day 2 or 3 (the second or third day of your period), FSH levels reveal how hard your body is working to stimulate egg development. Elevated FSH often means your body needs to produce more of this hormone to get the same response, which can suggest diminished ovarian reserve. Normal FSH combined with normal AMH is a reassuring sign. - Estradiol: $50-$100
Estradiol is a form of estrogen produced by your developing follicles. It’s typically tested alongside FSH on cycle day 2 or 3 because the two results need to be interpreted together. High estradiol early in your cycle can artificially suppress FSH levels, making your ovarian reserve appear better than it actually is. When both tests are normal, it provides a more complete and accurate picture. - LH (Luteinizing Hormone): $50-$100
LH is the hormone that triggers ovulation, the release of a mature egg from your ovary. Testing LH helps evaluate whether you’re ovulating normally. This test is also useful for identifying polycystic ovary syndrome (PCOS), a common condition where LH levels are often elevated relative to FSH. The ratio between these two hormones can help your provider understand what’s happening with your cycle. - TSH (Thyroid-Stimulating Hormone): $50-$100
Your thyroid gland affects nearly every system in your body, including your reproductive system. Thyroid dysfunction can interfere with ovulation, make it harder to conceive and increase miscarriage risk. TSH measures how well your thyroid is functioning. High TSH suggests an underactive thyroid (hypothyroidism), while low TSH suggests an overactive thyroid (hyperthyroidism). Both conditions are treatable and often improve fertility once addressed. - Prolactin: $50-$150
Prolactin is a hormone typically associated with breastfeeding, but elevated levels in non-pregnant patients can interfere with ovulation and menstrual regularity. This test is often included when patients report irregular periods, missed periods or difficulty conceiving without a clear cause. High prolactin is usually treatable with medication. - Full Hormone Panel: $300-$600
Rather than ordering each blood test separately, most fertility clinics offer bundled hormone panels that include several or all of the tests above. Bundled pricing typically saves $100-$200 compared to paying for each test individually. When comparing clinic costs, ask whether they offer panel pricing and what’s included.
Imaging Tests and Procedures
Beyond bloodwork, fertility evaluation often includes imaging to assess ovarian reserve and uterine health.
- Antral Follicle Count (AFC) Ultrasound: $150-$500
This transvaginal ultrasound counts the small, resting follicles visible on your ovaries at the beginning of your cycle. Combined with AMH, AFC provides a reliable picture of ovarian reserve. Many clinics include this ultrasound in your initial consultation fee. - Transvaginal Ultrasound: $200-$500
Beyond counting follicles, ultrasound evaluates uterine structure, checking for fibroids, polyps, ovarian cysts or other abnormalities that might affect fertility or pregnancy. - Hysterosalpingogram (HSG): $500-$1,500
This X-ray procedure uses contrast dye to determine whether your fallopian tubes are open and your uterine cavity is normal. HSG is one of the more expensive fertility tests and involves some discomfort, but it provides information that can’t be obtained any other way. If your tubes are blocked, IVF bypasses them entirely. - Saline Sonogram (SIS): $400-$1,000
Also called a sonohysterogram, this procedure uses saline to expand the uterus during ultrasound, providing detailed images of the uterine cavity. It’s less invasive than hysteroscopy and doesn’t involve radiation like HSG. - Hysteroscopy: $1,000-$2,500
This procedure uses a thin camera to directly visualize the inside of the uterus. It’s typically reserved for cases where other imaging suggests a problem that needs closer evaluation or treatment.
Semen Analysis and Male Factor Testing
Testing for patients with sperm is generally less expensive and less invasive than testing for patients with ovaries.
- Semen Analysis: $100-$300
This foundational test evaluates three main parameters: sperm count (how many), motility (how well they move), and morphology (what percentage have normal shape). Results vary naturally between samples, so some providers recommend two analyses a few weeks apart. A normal semen analysis may be all that’s needed. If results are abnormal, additional testing might include: - Male Hormone Panel: $200-$400
Testing FSH, LH and testosterone can help identify hormonal causes of low sperm production. - Genetic Testing: $300-$600
For severe male factor, genetic screening may identify chromosomal issues or conditions like Y-chromosome microdeletions.
Because semen analysis is relatively affordable and provides significant information, most fertility specialists recommend completing it early in the evaluation process rather than waiting.
Additional Tests You Might Need
Depending on your situation, your care team may recommend tests beyond the standard workup:
- Genetic Carrier Screening: $250-$600+
This bloodwork identifies whether you carry genes for inherited conditions like cystic fibrosis, sickle cell disease or Tay-Sachs that could be passed to a child. Expanded panels testing for 100+ conditions cost more than basic panels. - Infectious Disease Screening: $100-$300
Required before fertility treatment, this bloodwork screens for HIV, hepatitis B and C, syphilis, and other infections. Both partners need this testing. - Day 3 vs. Day 21 Progesterone: $50-$150
Progesterone testing mid-luteal phase (around day 21) confirms whether ovulation occurred. This inexpensive test is often included in initial workups for patients with irregular cycles. - Endometrial Biopsy: $500-$1,500
This procedure samples the uterine lining to evaluate receptivity or check for infection. It’s not routine but may be recommended after failed embryo transfers.
Why Prices Vary So Much Between Clinics
You’ll notice wide price ranges throughout this guide. Several factors explain why the same test costs $100 at one clinic and $400 at another:
- Bundled vs. Separate Billing: Some clinics include bloodwork and ultrasound in your consultation fee. Others charge separately for every blood draw, every ultrasound and every interpretation. Clinics that offer transparent, line-item pricing make it easier to see exactly what you’re paying for.
- Hidden Facility and Interpretation Fees: A $200 ultrasound can become $500 after facility fees and professional interpretation fees are added. Look for clinics that give you a complete picture upfront so nothing catches you by surprise.
- Care Model Efficiency: Clinics with streamlined care models keep overhead low and pass those savings on to patients. You can receive excellent diagnostic care without paying top-dollar fees at a premium clinic.
- Geographic Markup: Clinics in high-rent areas often charge more for identical tests. A clinic a few miles outside a major city center may offer the same quality at a fraction of the price.
Before scheduling, ask for a complete cost breakdown including all fees. Clinics that offer straightforward, transparent pricing are more likely to respect your time and your budget throughout the process.
Does Insurance Cover Any of This?
Coverage varies dramatically by state, employer, and specific plan. Here’s what to know:
- Diagnostic Testing Is Often Covered: Even plans that exclude fertility treatment may cover diagnostic workup, especially when your doctor codes it as investigating irregular cycles, hormonal imbalance or other medical concerns rather than “infertility.”
- Mandate States vs. Non-Mandate States: Some states require insurers to cover fertility diagnostics or treatment. Others have no requirements. Research your state’s laws.
- In-Network Matters: Using in-network laboratories and imaging centers can significantly reduce out-of-pocket costs, even with limited fertility coverage.
Questions to Ask Your Insurance:
- What fertility diagnostics are covered under my plan?
- Do I need prior authorization for any tests?
- Are there specific laboratories or facilities I must use?
- Is there a lifetime maximum for fertility-related services?
If you don’t have fertility coverage or your plan excludes these services, knowing upfront helps you budget and find clinics with affordable self-pay rates.
How Open Fertility Makes Testing More Affordable
Cost is one of the biggest barriers to fertility care, and Open Fertility was built to change that. Our affordable approach means more patients can get answers without draining their savings.
Straightforward Solutions at Accessible Prices Open Fertility focuses on straightforward fertility cases with less complexity, keeping costs lower for patients who don’t need extensive workups. Our transparent pricing shows exactly what to expect before you begin.
What Makes Our Approach Affordable:
- Bundled consultation fees — Your first visit includes health history review, fertility goals discussion and pelvic ultrasound for AFC and uterine health, all at one accessible price. No surprise charges for each component.
- No unnecessary testing — We order diagnostics based on your individual situation, not a one-size-fits-all protocol. A 30-year-old with regular cycles doesn’t need the same workup as someone with a complex medical history.
- Care for patients without insurance — Many of our patients are teachers, artists, freelancers, and others without fertility coverage. Affordable pricing means quality care doesn’t depend on your employer’s benefits.
- Flexible financing through PatientFi — Monthly payment plans spread costs over time, making testing and treatment more manageable for your budget.
- Compassionate, patient-centered care — Affordable doesn’t mean impersonal. We prioritize empathy and respect so you feel supported and heard from your first appointment through every step of your care.
Open Fertility breaks down financial barriers so more people can access the fertility care they deserve.
Ready to Learn More?
Understanding fertility testing costs is an important first step. When you’re ready to move forward, Open Fertility offers consultations that include pelvic ultrasound, AFC assessment, and a thorough review of your health history. Learn more about our care model or schedule an appointment when you’re ready to take the next step.
