How much does an abortion cost?
How much does an abortion cost?
$350 – $1,000 medication abortion
$500 – $1,000 first-trimester surgical abortion
$1,500 – $3,000+ second-trimester & later procedures
Average abortion cost
The average cost of an abortion in the United States is $508 for a first-trimester procedure, according to the Guttmacher Institute. However, costs vary significantly based on the type of procedure, gestational age, geographic location, and whether you have insurance coverage. Prices can range from as low as $75 to more than $3,000 for later-term procedures.
| Abortion type | Average cost |
|---|---|
| Medication abortion (abortion pill) | $350 – $1,000 |
| First-trimester surgical abortion | $500 – $1,000 |
| Second-trimester surgical abortion | $895 – $2,100 |
| Later-term abortion (after 20 weeks) | $3,000+ |
The single biggest factor affecting cost is how far along the pregnancy is. The earlier the procedure, the lower the price. Other factors like the provider type, your state of residence, and insurance status also play a major role in what you will ultimately pay.
The content of this site is for educational purposes only and does not constitute providing medical advice or services. The information provided should not be used for the diagnosis or treatment of health problems. Always consult with a licensed healthcare professional for advice about any medical concerns.
Medication abortion cost (abortion pill)
A medication abortion, commonly called the "abortion pill," typically costs between $350 and $1,000 without insurance. This option is available up to approximately 10 to 11 weeks of gestation and involves taking two medications (mifepristone and misoprostol) to end the pregnancy.
| Medication abortion scenario | Estimated cost |
|---|---|
| With insurance coverage | $350 – $650 |
| Without insurance (out of pocket) | $560 – $1,000 |
| At a clinic (e.g., Planned Parenthood) | $350 – $800 |
| Through telehealth services | $250 – $500 |
According to a 2022 study examining historical abortion costs from 2017 to 2020, the average self-pay cost for a medication abortion was approximately $560. Prices at clinics tend to be lower than at hospitals or private practices.
The cost of a medication abortion typically includes the consultation, the medications themselves, and any required follow-up visits. Some providers bundle all of these into a single price, while others charge separately for each component.
Telehealth options have become increasingly available in states where they are legally permitted. These virtual consultations, where the medication is mailed to the patient, can sometimes reduce costs to between $250 and $500 because they eliminate the overhead of an in-person clinic visit.
Surgical abortion cost
Surgical abortion costs range from $500 to over $3,000, depending on the gestational age and the specific procedure required. The cost increases as the pregnancy progresses because later procedures are more complex and require more resources.
| Procedure type | Gestational age | Estimated cost |
|---|---|---|
| Suction aspiration (vacuum abortion) | 6 – 12 weeks | $600 – $1,000 |
| Dilation and curettage (D&C) | 13 – 16 weeks | $850 – $1,600 |
| Dilation and evacuation (D&E) | 17 – 21 weeks | $1,500 – $2,100 |
| Later-term procedures | 21+ weeks | $3,000+ |
Suction aspiration (6 to 12 weeks)
Suction aspiration, also called vacuum aspiration, is the most common first-trimester surgical abortion method. It typically costs between $600 and $1,000. The procedure is performed in a clinic or outpatient setting and usually takes about 5 to 10 minutes.
Dilation and curettage (13 to 16 weeks)
A D&C procedure is used during the early second trimester and costs between $850 and $1,600. The higher cost reflects the increased complexity of the procedure and the additional monitoring required at this stage.
Dilation and evacuation (17 to 21 weeks)
A D&E is a more involved second-trimester procedure costing between $1,500 and $2,100. This procedure may require multiple visits and additional preparation, contributing to the higher price. Sedation or general anesthesia may also add to the total cost.
Later-term procedures (21+ weeks)
Later-term abortions are the most expensive, often costing $3,000 or more. These procedures are performed by a limited number of specialized providers, which can also drive up costs. The median cost for a second-trimester abortion overall is approximately $1,195, but prices climb steeply beyond 20 weeks.
Cost by provider type
Where you receive the procedure has a significant impact on cost. Abortion clinics and independent providers generally charge less than hospitals or private physician practices.
| Provider type | First-trimester cost range |
|---|---|
| Abortion clinic (e.g., Planned Parenthood) | $350 – $800 |
| Private practice | $500 – $1,500 |
| Hospital | $1,000 – $3,000+ |
| Telehealth (medication abortion only) | $250 – $500 |
Clinics that specialize in reproductive health care tend to offer the lowest prices because they perform abortions routinely and can streamline costs. Hospitals, on the other hand, typically include facility fees, anesthesia charges, and other add-ons that can significantly increase the total bill.
Private practice providers fall somewhere in between. Their pricing often depends on the region, the provider's specialization, and whether sedation or anesthesia is included in the base price.
Insurance coverage and abortion costs
Whether insurance covers your abortion depends on the type of insurance you have and the state where you live. Coverage rules vary widely, and federal law restricts the use of taxpayer dollars for most abortions.
| Insurance type | Coverage details |
|---|---|
| Employer-sponsored private insurance | Coverage varies by plan and state |
| ACA marketplace plans | Some states require coverage; others prohibit it |
| Medicaid | Covers abortion only in cases of rape, incest, or life endangerment (federal level); some states expand coverage |
| Military insurance (TRICARE) | Very limited coverage |
Federal restrictions
The Hyde Amendment prohibits the use of federal Medicaid funds for abortion except in cases of rape, incest, or when the pregnancy endangers the patient's life. This means that individuals enrolled in Medicaid in most states must pay out of pocket for the procedure.
State-level coverage
Approximately 16 states use their own Medicaid funds to cover abortion beyond the federal exceptions. Some states also require private insurance plans sold within their borders to include abortion coverage. In contrast, other states have enacted laws that restrict or prohibit private insurance from covering abortion.
If your insurance does cover abortion, out-of-pocket costs may be limited to your copay or deductible, which could range from $0 to $500 depending on your plan.
Contact your insurance provider directly or review your plan's Summary of Benefits and Coverage document to determine whether abortion is included. Even in states where coverage is required, specific plan exclusions may apply.
Abortion cost without insurance
Without insurance, you can expect to pay the full out-of-pocket cost for the procedure. A first-trimester medication abortion averages about $560, while a first-trimester surgical abortion averages approximately $575. Second-trimester surgical procedures average around $895, though prices can exceed $2,000 depending on the gestational age and provider.
| Procedure | Average out-of-pocket cost |
|---|---|
| Medication abortion | $560 |
| First-trimester surgical abortion | $575 |
| Second-trimester surgical abortion | $895 – $2,100 |
| Later-term abortion | $3,000+ |
Many clinics offer sliding-scale fees based on income. Organizations like Planned Parenthood adjust pricing according to your ability to pay, and some patients may qualify for reduced or no-cost services depending on their financial situation.
Additional costs to consider
The procedure itself is only part of the total expense. Several additional costs can add up, especially for patients who need to travel out of state for care.
| Additional expense | Estimated cost |
|---|---|
| Travel (gas, flights, rideshare) | $50 – $1,500+ |
| Lodging (1 to 2 nights) | $75 – $300 |
| Lost wages (1 to 3 days) | $100 – $500+ |
| Childcare | $50 – $200 |
| Follow-up visits | $50 – $200 |
| Sedation or anesthesia (if not included) | $75 – $300 |
Travel costs
Following the 2022 Dobbs decision, many patients must now travel across state lines to access abortion care. Travel costs depend on distance and can range from a short drive to a cross-country flight. A reasonable estimate for combined travel, lodging, and time away from work is $1,500 to $3,000.
Recovery and time off
Most patients can return to normal activities within a day or two after a first-trimester procedure. However, later procedures may require more recovery time. Even though surgical abortions are outpatient procedures, most providers recommend not traveling the same day. Factor in at least one to two days off from work when calculating total costs.
Follow-up care
Some providers include a follow-up visit in the initial cost, while others charge separately. A follow-up appointment is important to confirm the procedure was complete, especially with medication abortions. These visits typically cost between $50 and $200 if billed separately.
Financial assistance and resources
Several organizations provide financial assistance to help cover the cost of abortion. Abortion funds exist at the national and local level and may help with procedure costs, travel, lodging, and childcare.
| Resource | Type of assistance |
|---|---|
| National Abortion Federation (NAF) Hotline | Financial assistance and referrals |
| Local abortion funds (state-specific) | Direct funding for procedures and travel |
| Planned Parenthood | Sliding-scale fees and payment plans |
| National Network of Abortion Funds | Connects patients with local funds |
- National Abortion Federation (NAF) Hotline: Provides financial assistance to eligible patients and can help locate providers. Call 1-800-772-9100.
- Local abortion funds: Many states have dedicated funds that help cover the cost of procedures and related expenses. The National Network of Abortion Funds maintains a directory of these organizations.
- Sliding-scale clinics: Providers like Planned Parenthood adjust pricing based on income. Some patients pay little to nothing depending on their financial circumstances.
- Payment plans: Some clinics offer interest-free payment plans that allow patients to pay for the procedure over time.
It is best to contact financial assistance organizations as early as possible, as funding is limited and wait times can vary. Many funds prioritize patients in later gestational stages or those who must travel for care.
Factors that affect abortion cost
Several variables determine the final cost of an abortion. Understanding these factors can help you plan financially and avoid unexpected expenses.
| Factor | Impact on cost |
|---|---|
| Gestational age | Higher gestational age = higher cost |
| Type of procedure | Medication is generally less expensive than surgical |
| Provider type | Clinics are cheaper than hospitals |
| Geographic location | Costs vary by state and region |
| Insurance coverage | Can reduce out-of-pocket costs to $0 – $500 |
| Sedation/anesthesia | Adds $75 – $300 if not included |
| Need for travel | Can add $1,500 – $3,000+ |
Gestational age
This is the most significant cost driver. A medication abortion at 6 weeks may cost $350, while a surgical procedure at 20 weeks could cost over $2,000. Costs increase with each additional week of pregnancy because procedures become more complex and require more specialized care.
Geographic location
Abortion costs vary widely by state. States with fewer restrictions and more providers tend to have more competitive pricing. In contrast, states with limited access may have higher procedure costs due to reduced competition, and patients in states with bans face additional travel expenses.
Sedation and anesthesia
Some clinics include local anesthesia or sedation in the base price, while others charge it as an add-on. General anesthesia, if required or requested, can add $75 to $300 or more to the total cost. Ask your provider in advance whether sedation is included.
Frequently asked questions
How much does an abortion pill cost at a pharmacy?
As of now, the abortion pill (mifepristone and misoprostol) is not widely available for direct purchase at retail pharmacies like CVS or Walgreens in most states. The medications are typically dispensed through clinics, certified providers, or telehealth services. When obtained through these channels, the cost ranges from $350 to $1,000 without insurance.
Does Medicaid cover abortion?
Federal Medicaid only covers abortion in cases of rape, incest, or life endangerment due to the Hyde Amendment. However, approximately 16 states use their own funds to cover abortion through Medicaid more broadly. Check with your state's Medicaid program for specific details.
Why does abortion cost more later in pregnancy?
Later abortions require more specialized procedures, additional medical staff, longer appointment times, and sometimes multiple-day visits. The increased complexity and resources needed drive the higher costs.
Can I get a free abortion?
Some patients qualify for free or very low-cost abortions through Medicaid in certain states, sliding-scale clinics, or abortion fund assistance. Eligibility depends on income, insurance status, and location. Contacting a local abortion fund or the NAF Hotline is the best starting point.
How much does it cost to travel out of state for an abortion?
Travel costs depend heavily on distance. A reasonable estimate for out-of-state travel, including transportation, lodging, meals, and lost wages, is $1,500 to $3,000. Some abortion funds specifically help cover travel-related expenses.