How Much Does Fertility Testing Cost?

Which tests a basic fertility workup includes

The American Society for Reproductive Medicine's patient guide to diagnostic testing lists the core tests: a semen analysis, a check that the fallopian tubes are open (HSG or saline infusion sonogram), a transvaginal ultrasound of the uterus and ovaries, ovarian reserve testing such as AMH or a day 2 to 5 FSH, and other blood tests such as TSH and prolactin. It notes a semen analysis is necessary even if the partner has had children before.

So the honest answer to "how much does fertility testing cost" is: it depends on how many of these you buy, and whether you buy them one at a time. Here is what each one costs on public price lists.

AMH and hormone test cost

AMH is a snapshot of ovarian reserve, not a fertility verdict. See AMH levels by age and the AMH test page for how to read a result.

Semen analysis cost

A full analysis reports volume, count, motility and morphology; quick home screens report much less. Compare the options in at-home semen analysis and the male fertility test.

Pelvic ultrasound and tubal test cost

Ultrasound is the hardest price to pin down, because it depends on whether a hospital or an office does it and who reads it. As a reference point, Medicare's 2026 national payment for a transvaginal pelvic ultrasound (CPT 76830) in an office is $117.57, as calculated by FeeBase from the CMS physician fee schedule. That is what Medicare pays, not a cash price, and hospital charges can be higher.

Tubal tests cost more. Duke Fertility Center's self-pay guide lists a hysterosalpingogram at $478 to $800 and a saline infusion sonogram at $830 to $1,200. What a pelvic ultrasound looks for is explained in fertility ultrasound and follicle count.

What a full workup costs when you pay test by test

Add up the lines on a single public price list and the total climbs fast. On Duke Fertility Center's self-pay guide, a new patient consult ($245), AMH ($78 to $108), FSH ($68 to $98), LH ($68 to $98), estradiol ($95 to $125) and a semen analysis ($225 to $250) come to $779 to $924. That is before any ultrasound, tubal test or infection screening, which Duke lists at $800 to $1,500, and Duke notes that outside fees, such as lab, radiology and facility charges, can be added.

At-home kits look cheaper one at a time, but each one covers one partner and one question, and none comes with a clinician who reads both partners' results together.

Does insurance cover fertility testing?

Sometimes. Coverage depends on your plan and your state. RESOLVE: The National Infertility Association counts 15 states with IVF insurance mandates and 25 states with laws that provide some insurance coverage of infertility, and notes that employers who self-insure are exempt from these state laws. Several of the state laws it summarizes require coverage for the diagnosis of infertility. Call your insurer and ask whether diagnostic fertility testing is covered, for both partners, before you book.

Direct-to-consumer lab tests such as Labcorp OnDemand and Quest list HSA and FSA cards as accepted.

One price for both of you: Gala Fertility

Gala Fertility skips the line-by-line math. One price covers both partners, with no hidden fees, no surprise lab bills and no extra cost for tests:

• Your shared intake, reviewed by a licensed clinician
• Her bloodwork at a Quest lab: AMH, FSH, estradiol, LH, prolactin and TSH, plus preconception screening
• Her pelvic ultrasound at a location near you
• His semen analysis with a kit sent home, and his bloodwork if your clinician indicates it
• Every result reviewed, then explained on one video visit together
• Medication shipped each cycle if prescribed, a check-in after every cycle, up to six cycles, and messages with your care team

IUI, IVF and other in-person care at a clinic you are referred to are not included. The program is for male-female couples with both partners 18 or older, across the US; the at-home semen analysis kit does not ship to Alaska or Hawaii. Couples there can still join and have his kit delivered to another address they have in the continental US. You start with a $29.99 introductory video meeting with our care team. If you both agree, your plan starts and the $29.99 is credited to your first cycle.

See what each test measures in fertility blood tests, how a couple's workup is run in at-home fertility testing for couples, and when to test in how long to try before fertility testing. Ready? Start together.

More Gala Fertility guides

• AMH levels by age
• At-home semen analysis
• How long to try before fertility testing
• letrozole vs. Clomid
• letrozole for fertility
• Clomid prescription online
• trying to conceive with PCOS
• are at-home fertility tests accurate
• trying to conceive on a GLP-1
• male infertility causes
• does insurance cover fertility testing
• AMH test cost
• semen analysis cost
• best at-home fertility tests
• fertility insurance by state

Sources

1. ASRM / ReproductiveFacts.org. Diagnostic testing for infertility. Revised 2023.
2. Labcorp OnDemand. Women's Fertility AMH Test ($139). Checked 2026-11-11.
3. Quest Diagnostics (questhealth.com). AMH Marker Test ($135 + $6) and Ovarian Reserve panel ($219). Checked 2026-11-11.
4. Duke Fertility Center. Estimating self-pay costs. Checked 2026-11-11.
5. OHSU Center for Women's Health. Fertility lab charges. Checked 2026-11-11.
6. Fellow. Mail-in semen analysis kit ($199). Checked 2026-11-11.
7. Legacy. Sperm testing kit (from $145). Checked 2026-11-11.
8. YO Home Sperm Test. 3-test kit ($99.95). Checked 2026-11-11.
9. FeeBase. CPT 76830, pelvic ultrasound, transvaginal: 2026 Medicare rate from CMS RVU files. Checked 2026-11-11.
10. RESOLVE: The National Infertility Association. Insurance coverage by state. Checked 2026-11-11.

This article is for general information and is not medical advice. Talk to a licensed provider about your own health.