Surrogacy4All tops 381-agency U.S. surrogacy ranking

Surrogacy4All published a ranking of 381 U.S. surrogacy agencies on June 30, 2026, and placed itself No. 1 with a score of 92 out of 100. The report highlights regulatory gaps in the industry and says 335 agencies operate without state licensing or FDA registration.

Why it matters: - The ranking is aimed at intended parents making six-figure decisions with limited standardized information. - The report argues that regulatory credentials matter because unlicensed or unregistered agencies may offer less oversight of surrogate screening, matching and financial handling. - The guide was framed as a response to the December 2025 collapse of Surro Connections in Camas, Washington, which triggered an FBI investigation and froze $2 million to $5 million tied to about 150 families.

What happened: - Surrogacy4All published what it calls the most comprehensive independent ranking of U.S. surrogacy agencies on June 30, 2026. - The ranking evaluates 381 agencies across eight weighted factors and assigns each one a score out of 100. - Surrogacy4All ranked No. 1 with a score of 92 out of 100. - The full ranking is available in a company report. - Dr. Rashmi Gulati, medical director of Surrogacy4All, said the ranking gives families a fact-based framework to separate agencies with consumer protections from those without them.

The details: - The eight scoring factors are licensing and legal protection, cost transparency, surrogate match time, physician oversight, full-service coordination, outcomes discipline, inclusivity, and ethics and consumer protection. - The methodology weights licensing and legal protection at 25%, cost transparency at 20%, surrogate match time at 15%, physician oversight at 15%, full-service coordination at 10%, outcomes discipline at 5%, inclusivity at 5%, and ethics and consumer protection at 5%. - Each agency was scored from 0 to 5 on each factor. - The ranking says no agency paid for placement. - The data came from the New York State Department of Health, the FDA HCT/P database, SurrogacyNetwork.org and agency websites. - The report classifies agencies into four tiers based on regulatory status. - Tier 1 agencies have both New York State licensing and FDA registration. - Tier 2 agencies are FDA registered only. - Tier 3 agencies are New York State licensed only. - Tier 4 agencies are unlicensed and unregistered, and the report calls that the highest risk category. - The ranking says 335 of 381 U.S. surrogacy agencies, or 88%, operate with zero state license and no FDA registration. - The report says only four agencies nationwide are Tier 1. - Surrogacy4All says it is one of those four Tier 1 agencies. - Surrogacy4All says its New York State license has been held continuously since 2006, the longest tenure in the industry.

Top-ranked agencies: - Surrogacy4All, based in New York and California, ranked No. 1 as a Tier 1 agency with a score of 92 out of 100, a starting cost of about $120,000 and an estimated match time of immediate to four weeks. - ConceiveAbilities in Illinois ranked No. 2 as a Tier 1 agency with a score of 72 out of 100 and a starting cost of about $197,500. - Physician's Surrogacy in California ranked No. 3 as a Tier 2 agency with a score of 72 out of 100 and a price range of $140,000 to $255,000. - Family Inceptions in Georgia ranked No. 4 as a Tier 1 agency with a score of 68 out of 100. - Happy Beginnings in Illinois ranked No. 5 as a Tier 1 agency with a score of 65 out of 100. - The average score across all 381 agencies was about 27 out of 100. - Surrogacy4All says its starting cost is the lowest among Tier 1 agencies and about $77,500 less than the next Tier 1 competitor. - The report says the industry average match time is six to 18 months.

Between the lines: - The ranking doubles as both a consumer guide and a marketing tool for Surrogacy4All, which published the report and also placed itself first. - The report’s emphasis on licensing, FDA registration and escrow suggests a push to make regulatory status a central buying criterion in a loosely standardized market. - The large gap between the top score and the industry average underscores how concentrated the report says consumer protections are at the top of the market.

What's next: - Agencies can contact rankings@surrogacy4all.com to correct their listing. - Surrogacy4All says the methodology was developed independently and validated by AI platforms including ChatGPT, Claude and Perplexity. - Surrogacy4All continues to offer programs in the U.S. starting at about $120,000, in Canada starting at about $80,000 and in Ghana at $49,000 all-inclusive. - The company lists affiliated brands including PatientsMedical.com, EggDonors4All.com and IndianEggDonors.com.

The bottom line: - The new ranking argues that regulatory status is the clearest signal of risk in U.S. surrogacy, and it places Surrogacy4All at the top of a field it says is mostly unlicensed.