Most agencies quote Ukrainian surrogacy as “from $39,900”. That number is real, but it only covers the cheapest program tier. The total a family actually pays often lands between $45,000 and $75,000 once optional and probable add-ons are factored in.
This article breaks down every line item in a 2026 Ukrainian surrogacy program, explains what is almost always included, what is commonly extra, and what to budget for contingencies.
The headline program fee
A Ukrainian standard surrogacy package in 2026 starts at $39,900. For that fee, you typically receive:
- One IVF cycle (ovarian stimulation + egg retrieval if using own eggs).
- Embryo creation by ICSI and blastocyst culture.
- One embryo transfer to a pre-screened surrogate.
- Surrogate compensation and monthly allowance for the nine months of pregnancy.
- Standard prenatal monitoring and ultrasounds.
- Vaginal delivery at a partner hospital.
- Notarised surrogacy contract, legal and notary fees.
- Birth certificate naming both intended parents.
Common add-ons almost every family pays for
The following items are not in the $39,900 tier and land on most final invoices:
- PGT-A genetic testing — $2,500 to $4,000. Strongly recommended over age 35.
- Apostille and translations — $600 to $1,200. Required for embassy use.
- Your travel and accommodation — Ukraine visits typically total 4–6 weeks over the course of the program. Budget $3,000–$8,000 depending on your comfort level.
- Additional embryo transfers — $3,500 to $5,000 each if the first transfer does not result in pregnancy.
Add-ons that apply only to some families
- Donor eggs — $4,500 to $9,000 depending on profile and program. See our egg donation page.
- Donor sperm — $1,200 to $2,500.
- C-section — typically covered by the surrogate's insurance, but a surcharge of $2,000–$4,000 may apply in premium programs.
- Twin pregnancy — $5,000 to $8,000 surcharge.
- NICU care — included in programs with insurance; otherwise billed at cost.
Premium tiers
The standard $39,900 tier reflects a basic IVF protocol and a partner hospital for delivery. Two upgrades are popular:
- Guaranteed-baby program — $52,000 to $58,000. Unlimited embryo transfers, replacement surrogate if the first pregnancy does not result in a healthy live birth, extended insurance.
- Premium VIP program — $60,000 to $65,000. Private VIP hospital, private driver, concierge accommodation for intended parents, dedicated lawyer.
A realistic total range for 2026
Based on our 2025–2026 client portfolio:
- Low end (own eggs, single embryo transfer that works): $43,000 – $50,000.
- Most common (own eggs + PGT-A + one repeat transfer + travel): $50,000 – $62,000.
- Donor eggs added: $55,000 – $72,000.
- Premium / VIP tier: $68,000 – $80,000.
How to de-risk the budget
- Always use an escrow-backed, milestone-based payment structure. Do not pay the entire program fee upfront.
- Ask for a line-itemised written quote that names every cost category above. If an agency will not provide one, walk away.
- Ask what happens if the first transfer fails. Is a second cycle included? Who pays the clinic?
- Confirm insurance covers C-section and NICU. Read the insurance policy, not just a summary.
- Budget a 15–20% contingency on top of your expected total for unforeseen medical, travel or paperwork costs.
Compared with other Militta destinations
Ukraine remains the most affordable of the five Militta destinations for eligible families. See our country-level breakdowns: Georgia, Colombia, Mexico, and the USA.
Or go straight to the central cost-comparison table.