How much does an abortion cost? From $0 to $3,275

Filed Under: Costs, Health plans, Patients

abortion cost

(Updated 2022) How much does an abortion cost? It can vary: from $0 to over $3,000 or more depending on, among other factors, how long you’ve been pregnant, how you’re paying and, increasingly, where you live.

With the Supreme Court’s decision to strike down Roe v. Wade guaranteeing abortion for all Americans on June 24, this question is that much more important. Insurance policies have different coverages. Different states treat abortion differently, including how late state providers are allowed to do abortions, or if they are at all, and under what circumstances.

A medication abortion is usually less expensive than a surgical abortion, and medication abortions now make up more than half of all U.S. abortions.

Abortion is also fairly common. About 3 in 10 U.S. women have an abortion by age 45. Over a third of women getting abortions are white.  Over half are 20-somethings. Almost half make incomes under the federal poverty level. Most are already mothers. Cost matters to many of these women.

Abortion is probably the most politically charged medical procedure in American history. With the Supreme Court’s decision to overturn Roe v. Wade,  the ability to get an abortion is uncertain. Also more than half of the states have made it clear they are certain or likely to ban abortion without Roe v. Wade, as this Guttmacher Institute essay documents.

The situation is changing with developments on the federal level and on the state level. Also we have given our best information, but — like a lot of things online — events on the ground may have overtaken our reporting. Please remember that the situation is changing rapidly. Therefore some of the sites referenced here may not be up-to-the-second — so you should doublecheck all facts at the source.

In the end, abortion cost primarily hinges on the following factors:

  • What kind: medical (abortion pill) or surgical
  • How long the pregnancy has lasted
  • What kind of insurance, Medicaid or other funding
  • Where you live

For some portion of the first trimester, women can choose between a medical abortion (a.k.a. the abortion pill) and a surgical abortion. Depending on the state, women can take the abortion pill until they are nine weeks pregnant. Some states prohibit its use after seven weeks (though women are getting around these regulations by ordering pills to another address, having a friend send pills, and other means). A medical abortion from a clinic often consists of a physical exam, two separate pills, Mifepristone and Misoprostol (which provoke expulsion from the uterus) and a follow-up appointment — though increasingly pregnant people are using online guidance to do it themselves at home (see resources below).

The abortion pill is safest and most effective early in the first trimester, or 12 weeks. PlanCpills, a source for finding abortion medications, says it’s best in the first 11 weeks. AidAccess, another source for finding medications, says it’s up through the 10th week.

The process takes anywhere from a few hours to a few days, depending on how far apart the pills are taken and how long the body takes to abort after the second pill. If the pills come from a clinic, patients must often agree to have a surgical abortion when medical abortions don’t work, which happens less than one percent of the time. Planned Parenthood has a chart recording the effectiveness of the abortion pill — the later you take it, the less effective it is.

After those first weeks, surgical abortion is generally the only choice. During the first 16 weeks of pregnancy, women get what’s called an aspiration abortion. A dilation and evacuation procedure is standard between 16 and 21 weeks. For the later-term abortions, it’s more complicated.

Here’s a thorough National Abortion Federation rundown of medical abortion. Here is a Planned Parenthood page on in-clinic abortion procedures and a page on the abortion pill. Here is the Miscarriage and Abortion hotline, with information on the process.

Many states have limits on when abortions can be performed. The Guttmacher Institute has a list of state abortion limits. The landscape is changing fairly quickly, with new legislation.

The F.D.A. ruled in December that pills can be mailed to patients, so they don’t have to get them in person. But conservative states are moving to limit access — just as abortion advocates are moving quickly to maintain access. See “Getting abortion pills in the mail” below.

How much does an abortion cost?

Abortion pills in the mail can cost as little as $110 from AidAccess.org PlanCPills says the abortion pill can cost $40 to $600, with the high end being a procedure in a clinic.

We found cash or self-pay first-trimester surgical abortion fees generally range from around $300 to $1,200.

These prices were collected by our journalists. While most prices stay relatively consistent, this landscape is changing rapidly because of state and federal developments, and prices change. In every case, you should check with the provider to make sure they’re still open, and still performing abortions, and ask what their price is, rather than assuming that the facility is open and that the prices our journalists collected are still in effect.

A Los Angeles Planned Parenthood office quoted us these prices: $648 for a surgical abortion through 11.6 weeks. Later: $800 at 12.1 to 15.6 weeks, $1,050 at 16 to 17.6 weeks, $1,700 at 18 to 19.6 weeks, $2,225 at 20 to 21.6 weeks, $3,275 at 22 to 24 weeks. Non-surgical abortion (the pill) there is $605.

Planned Parenthood, like many providers we talked to, has a sliding scale based on income. It may not be the least expensive option, though.

Here are  abortion prices for the New York area, and here are abortion prices for the Los Angeles area. Here are  abortion prices for the San Francisco area. And here are  abortion prices for the Dallas-Fort Worth area. Miami area abortion prices range from $350 to $3,500.

In our tables for prices, the “Notes” field will give more detail on what prices are at what term.

There are a number of providers who will not do an abortion after the first trimester. Sometimes this is because of state regulations.

The abortion pill is often but not always cheaper than a surgical abortion. Other points:

  • The Guttmacher Institute found that in 2009, the average cost for a surgical abortion at 10 weeks was $470, of which women paid $451. The average cost of the abortion pill was $490, of which women paid $483.
  • Hospitals and physicians’ offices cost more than clinics. Across the board, prices increase as pregnancy progresses.
  • The National Abortion Federation found that the average price for an abortion (medical or surgical) performed between six and 10 weeks is $350 at an abortion clinic and $500 at a doctor’s office. At 16 weeks, the average price rises to $650 at clinics and $700 at doctors’ offices. At 20 weeks, in states that still allow abortions, the average price exceeds $1,000. By the 24th week, the latest point at which any state permits abortion, the average price exceeds $2,000.

Remember, providers’ prices or may not cover all medical services — additional charges may come from sonograms, blood tests,  prescription medications and anesthesia.

Pro tip: Be sure you’re going to an abortion center. The New York Times reports: “Already, one in 10 Google searches for abortion services in states likely to ban abortion directs users to crisis pregnancy centers — groups that often imply that they provide abortions when their mission is actually to block people from getting abortions.”

Resources for BUYING abortion pills

Here are some resources to buy pills:

AidAccess.org says it is a “committed team of doctors, activists and advocates for abortion rights. The purpose of the website and the service is to create social justice and improve the health status and human rights of women who do not have the possibility of accessing local abortion services.” This Austria-based group supplies abortion pills online on a sliding scale that tops out at $110.  AidAccess says in these U.S. states: Alaska, California, Colorado, Connecticut, DC, Idaho, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, New York, New Jersey, New Mexico, Nevada, Oregon, Rhode Island, Vermont, Virginia and Washington, U.S. doctors can provide abortions with medications by mail for $150. For other U.S. states and other countries, “our European doctors can provide the prescriptions for abortions with the medicines mifepristone and misoprostol. You will be informed about a trustworthy pharmacy in India who will ship the medicines to you by mail.  The delivery of the packages take 1 to 3 weeks after shipment. The cost of this service is 95 Euro or 110 USD. Please let us know if you cannot afford this amount and we will try to find a solution.” Email info@aidaccess.org.

Plan C pills provides up-to-date information about how Americans are accessing abortion pills online. Researchers vet organizations selling medication and test those medications; people who want to buy can search for those vetted providers.

JustThePill.com serves pregnant people in Minnesota, Montana and Wyoming. It is a member of the National Abortion Federation and the Abortion Care Network.

HeyJane.co says it offers virtual care and abortion pills to “people (anyone with a uterus) in New York, California, Washington, Illinois, Colorado, or New Mexico. We’re expanding to more states soon.” People 18 and older with a gestational age of 10 weeks or less are eligible. Text (405) 643-7957.

Carafem will schedule a video visit and then send pills if you have a mailing address in one of these states: Colorado, Connecticut, Delaware, District of Columbia, Georgia, Illinois, Iowa, Maryland, Massachusetts, Nevada, New Jersey, New Mexico, Rhode Island, Vermont or Virginia.

Choix serves Colorado, California and Illinois.

A Mexican group called Las Libres has been sending abortion pills free of charge with instructions to women in Texas and elsewhere, Insider reported. “Verónica Cruz, the founder of the group Las Libres in Guanajuato, Mexico, told Insider her organization has helped hundreds of Americans access abortion since the beginning of 2022,” Insider wrote.

Resources for knowledge and supplies of abortion pills

Here are some resources for knowledge about medication abortion:

Here’s a thorough National Abortion Federation rundown of medical abortion. Here is a Planned Parenthood page on in-clinic abortion procedures and a page on the abortion pill. Here is the Miscarriage and Abortion hotline, with information on the process.

INeedAnA.com has updated and localized information about whether abortions are legal where you are, and other similar resources.

Abortionpillinfo.org is the website for SASS (Self-Managed Abortion, Safe and Supported), which describes itself as “the US project of Women Help Women, a global nonprofit organization that supports the rights of people around the world to have information about and access to safe abortion with pills.” The site explains: “If a person wants to use abortion pills to end an unwanted pregnancy, with or without a clinician, this website provides information about how to do that.”

The If/When/How Repro Legal Helpline is a resource where “attorneys and advocates provide legal information and support to people navigating complex laws in order to self-determine their reproductive lives.” This includes not only gaining legal access to abortion medications, but also “judicial bypass.” “If you cannot or do not want to involve your parent or guardian, or if they will not give you permission, you can go to court and ask a judge to allow you to get an abortion without having to involve your parent or guardian,” the site says. “This is called judicial bypass.”

The Miscarriage and Abortion hotline has information and resources.

Abortion On Our Own Terms is a collection of resources including how-to guides, animations and other sources of support and information on self-managed abortion brought together by a coalition of national organizations.

Self-Managed Abortion with Pills resource from We Testify describes itself as “an organization dedicated to the leadership and representation of people who have abortions, increasing the spectrum of abortion storytellers in the public sphere, and shifting the way the media understands the context and complexity of accessing abortion care.”

Getting pills in the mail is increasingly easy, as The New York Times reported. Their reporter, Farhad Manjoo, bought pills by mail three times in a year. He did have the pills he bought tested, and they were authentic. He said he paid between $200 and $300 for all three shipments, including expedited shipping. One source, Aid Access, asked him to confirm that he is a woman and pregnant, and he did not because he isn’t and wasn’t.

Are you covered by insurance or Medicaid? Can you get other funding?

The Guttmacher Institute’s  study found that 46 percent of women paid  for their abortions out of pocket, assuming their health insurance wouldn’t cover it.

Actually, abortion is traditionally covered under private health insurance. According to the National Abortion Federation, almost two-thirds of insurance plans cover elective abortions to some degree. The Affordable Care Act, however, explicitly allows states to prohibit private insurance plans from covering abortion.

Many states have passed laws banning abortion coverage in insurance plans purchased through state exchanges.  Two of these states prohibit abortion coverage in the “exception cases”: when pregnancy is life-endangering and when women become pregnant from rape or incest.

Other states have passed laws protecting abortion access. Here’s the Guttmacher Institute’s tracker of state abortion laws on insurance coverage.

Here’s the ACLU map of state abortion laws on insurance coverage.

INeedAnA.com has updated and localized information about whether abortions are legal where you are, and other similar resources.

When does the cash or self-pay price matter?

Abortion isn’t necessarily covered by insurance. Laws vary by state and policy. (See preceding two paragraphs.)

And even if you have abortion coverage through your insurance, the place you choose won’t necessarily take it. Clinics are more likely than private gynecology practices and hospitals to accept insurance and Medicaid, and more likely to offer low-cost services based on household income. Planned Parenthood clinics that perform abortions (not all do!) accept most coverage.

One Brooklyn gynecologist, for example, takes some insurance plans but no Medicaid. Patients cannot get any coverage for the abortion pill, which costs $475. Surgical abortions start at $350, for which insurance is accepted.

If you’re enrolled in Medicaid

Under federal law,  Medicaid must cover abortion in the above-mentioned exception cases, but that’s it. States can choose to expand their Medicaid programs beyond the required federal exceptions.

Currently, in a number of states, Medicaid covers all or most medically necessary abortions. Here’s a state-by-state overview of Medicaid abortion coverage. Medicaid  covers abortion costs only in your state of residence. If your state has weak Medicaid coverage or few abortion facilities, you can go to another state, but you won’t get Medicaid coverage.

If you have low or no coverage

Low-cost clinics, including some branches of Planned Parenthood, charge patients on an income-based sliding-scale fee. Independent abortion care providers may also have sliding scales.

There are also funding organizations that subsidize or cover the cost of abortions for women who can’t afford to pay. The New York Abortion Access Fund provides assistance and lodging to anyone who lives in or is traveling to New York State. The Lilith Fund works to fund abortions. Here’s a map of funding organizations across the country, compiled by the National Network of Abortion funds. There’s a list of several others at the bottom of this post.

People who want to make abortions accessible often choose to donate to a local abortion fund. Here’s a comprehensive list on a Google doc that’s being updated regularly of places to donate to make abortions available.

Auxiliary services to help pay for travel, housing etc.

Additionally, some organizations will help you with auxiliary services. For example, a New York City nonprofit volunteer organization called the Haven Coalition will support women traveling to New York City for abortions.

“Practical support” is a catchall term for things like travel and housing that may be needed in the course of a person’s abortion. This website, Apiary, is an umbrella group collecting practical support information for abortion; on this page, local, regional and other practical support organizations may be found via search.

Many of these organizations also accept donations to help those in need.

Where do you live?

Many states have passed a slew of restrictive laws that are eroding abortion access. Some laws impose prohibitively high operation standards on abortion providers, causing them to shut down. Other laws set mandatory waiting periods and procedures required before women can get abortions.

Here’s the May 2022 update on abortion legislation state by state from the Guttmacher Institute, which is being updated regularly.

Who cares about abortion costs? Here’s a quick blog post about searches for this topic from .edu domains. Yes, a lot of people are interested in this topic.

Getting an abortion: Questions to ask

As we always say, know before you go. Questions to ask:

      • Do I have access to a good decision-making guide? Here’s one from Planned Parenthood and one from the National Abortion Federation.
      • Beware: If a place calls itself a “Crisis pregnancy center,” that’s probably a dead giveaway that it’s one of the many places set up to persuade people not to terminate a pregnancy. Be aware that these places can look very sweet and helpful. There are 2,600 such centers nationwide, according to The New York Times.
      • How far along am I? If I’m past the first trimester, can I get an abortion at a facility near me? If not, where do I have to travel?
      • Do I have insurance? Does my insurance plan cover abortion services? If so, under what circumstances?
      • If I have Medicaid, does my state’s Medicaid program cover my abortion?
      • If I have no coverage, can I afford to pay for the abortion procedure I need?
      • If I can’t pay, how can I get help?
      • Are there sliding-scale fee clinics near me? Can I show proof of income to get an affordable price?
      • Can I find a funding organization to help cover my abortion and, if need be, my travel expenses? See resources below.

If you can’t answer these questions, reach out for help. The National Abortion Federation (NAF) operates toll-free hotlines. For abortion provider referrals, call the NAF referral line 1-877-257-0012.

For general information and questions about financial assistance, call the NAF hotline fund at 1-800-772-9100.

Call Planned Parenthood at 800-230-PLAN.

Here’s how to find your local independent clinic.

Looking for funding? Here is a list of state-based abortion funds.

Here are some local and special-interest organizations.

Special props to Alison Turkos, a reproductive justice activist who made this resource page.