How many IVF clinics are there in each US state?
The CDC’s 2022 Final clinic file lists 511 fertility clinics in the United States and Puerto Rico. Of those, 449 clinics in 49 states and the District of Columbia reported their 2022 cycles to the CDC and are open or reorganized; those are the clinics with success rates and a page on this site. They are concentrated: California (85), New York (44) and Texas (44) hold 173 of them, 38.5%, and 40.0% of all the cycles they reported. Nine states have a single reporting clinic, seven (counting DC) have two, and Wyoming has none in the CDC list.
How many IVF clinics does each state have?
Clinics that reported 2022 cycles to the CDC and are open or reorganized, by the state of the clinic’s address, with each state’s share of the 433,498 ART cycles those 449 clinics reported. Counts are from the CDC 2022 Final services and profiles and success-rate files; shares are calculated here.
| State | Reporting clinics | Share of cycles |
|---|---|---|
| California | 85 | 16.5% |
| New York | 44 | 15.7% |
| Texas | 44 | 7.8% |
| Florida | 26 | 4.3% |
| Illinois | 21 | 5.2% |
| New Jersey | 14 | 4.8% |
| Washington | 12 | 2.3% |
| North Carolina | 11 | 2.1% |
| Pennsylvania | 11 | 2.8% |
| Virginia | 11 | 1.8% |
| Arizona | 10 | 1.6% |
| Georgia | 10 | 2.3% |
| Ohio | 10 | 2.3% |
| Missouri | 9 | 1.6% |
| Colorado | 8 | 2.6% |
| Massachusetts | 8 | 4.1% |
| Michigan | 8 | 1.6% |
| Connecticut | 7 | 1.9% |
| Indiana | 7 | 1.0% |
| Tennessee | 7 | 1.1% |
| Nevada | 6 | 0.7% |
| Wisconsin | 6 | 0.6% |
| Alabama | 5 | 0.5% |
| Hawaii | 5 | 0.5% |
| Kansas | 5 | 0.7% |
| Maryland | 5 | 4.2% |
| Minnesota | 5 | 1.4% |
| Kentucky | 4 | 0.3% |
| Louisiana | 4 | 0.7% |
| Oregon | 4 | 1.0% |
| South Carolina | 4 | 1.0% |
| Utah | 4 | 1.4% |
| Mississippi | 3 | 0.2% |
| Oklahoma | 3 | 0.2% |
| District of Columbia | 2 | 0.2% |
| Delaware | 2 | 0.4% |
| Iowa | 2 | 0.5% |
| Nebraska | 2 | 0.5% |
| New Mexico | 2 | 0.2% |
| Vermont | 2 | 0.2% |
| West Virginia | 2 | 0.1% |
| Alaska | 1 | under 0.1% |
| Arkansas | 1 | 0.1% |
| Idaho | 1 | 0.3% |
| Maine | 1 | 0.2% |
| Montana | 1 | 0.1% |
| New Hampshire | 1 | 0.1% |
| North Dakota | 1 | 0.1% |
| Rhode Island | 1 | 0.2% |
| South Dakota | 1 | 0.1% |
| Wyoming | 0 | none |
Puerto Rico has four clinics in the CDC list (three open, one that did not report); they are not covered on this site.
Which states have the fewest IVF clinics?
Nine states have exactly one clinic that reported 2022 cycles: Alaska, Arkansas, Idaho, Maine, Montana, New Hampshire, North Dakota, Rhode Island and South Dakota. Seven, counting DC, have two: Delaware, the District of Columbia, Iowa, Nebraska, New Mexico, Vermont and West Virginia. Wyoming has no clinic in the CDC’s 2022 list at all.
A single clinic can still be busy. Idaho’s one reporting clinic recorded 1,143 cycles and Rhode Island’s 991, while the only clinic in Alaska, Katie Ostrom MD, LLC in Homer, recorded 55. Clinics in states with fewer than three reporting clinics do not get a separate state page here, because a table of one or two rows would only repeat their clinic pages; all of them appear on the A to Z list of clinics, which ends with a section grouped by state. Mississippi and Oklahoma, with three reporting clinics each, are the smallest states with a page of their own.
Does a state with more clinics do more IVF?
Not necessarily. Clinic counts and cycle counts diverge sharply:
- Maryland has 5 reporting clinics and 4.2% of the cycles (18,313), almost as many as Florida’s 26 clinics (18,797). One Maryland practice location reported 12,989 cycles on its own.
- Massachusetts has 8 clinics and 4.1% of the cycles (17,609), more than Washington (12 clinics, 10,082 cycles) or Pennsylvania (11 clinics, 11,936).
- New York City alone has 24 reporting clinics with 39,229 cycles, more than every state except California and New York itself.
A count of clinics is a rough proxy for choice and travel distance, not for capacity. Note also that the counts follow the clinic’s address, not where its patients live: a clinic near a state line may treat many patients from the neighbouring state, and the CDC clinic file does not say where patients came from.
Why might a clinic be missing from the count?
Every count above is of clinics that reported. The CDC describes its clinic tool as covering “all reporting fertility clinics in the United States”, and its file also lists clinics that did not report: 53 in the 50 states and DC were marked as non-reporters for 2022, and 5 more had closed. On this site, non-reporting and closed clinics with a usable address appear as plain rows with address and phone on their state’s page, without success rates, since there are none to show.
The data are also not current. The CDC’s own caution is that “data are from ART cycles performed more than 1 year ago.” The 2022 release is the latest final one, so a clinic that opened in 2023 or later is not in it, and a clinic that has since merged or moved still appears under its 2022 name and address.
How to use the state counts
- Open your state’s page for every reporting clinic with its CDC rates and the number of retrievals behind them; California, New York and Texas have the longest lists.
- In a one- or two-clinic state, check the clinics in the nearest neighbouring states as well; the A to Z list carries the small states in its by-state section.
- Compare two or three candidates in the comparison tool, band by band, with their cycle counts.
A short list of nearby clinics says nothing about their quality, and a long one says nothing about yours. The CDC’s advice is that patients “should consult a doctor to discuss their treatment options.”
Related guides
- How to read CDC IVF success rates: what each row on a clinic page measures.
- IVF success rates by age across clinics: how far clinics spread around the national rate in each age band.
- Questions to ask a fertility clinic about costs: what to ask once you have a short list.
Sources
- CDC: ART Success Rates (clinic-specific rates for all reporting US fertility clinics)
- CDC: How to Interpret ART Success Rates (data are from cycles performed more than 1 year ago)
- data.cdc.gov: 2022 Final ART Services and Profiles (dataset ix4g-rt8v; clinic list, status, total cycles)
- data.cdc.gov: 2022 Final Assisted Reproductive Technology (ART) Success Rates (dataset cchw-gdwa)