This is a common question that comes up when Surrogates are researching to understand how the compensation is structured. In most U.S. gestational surrogacy arrangements, compensation is distributed in monthly instalments during pregnancy, rather than being paid in a single amount after delivery. Compensation needs to be tied to the length of time a Surrogate is pregnant, as well as the general pain, risk, and inconvenience of carrying a Surrogate pregnancy.
In practical terms:
This structure allows compensation to be distributed evenly throughout the pregnancy and aligned with medical milestones.
It is important to note that surrogacy compensation should not be relied upon as guaranteed income. Payments are tied to medical and contractual events, and timelines can change. For this reason, Surrogates are encouraged to enter the process from a position of financial stability.
Monthly payments of the base Surrogate compensation fee typically begin after the following has occurred:
Once payments begin, they continue monthly throughout the pregnancy, usually concluding shortly at delivery, depending on the terms of the contract.
If medical delays occur such as postponed transfers or canceled cycles, monthly payments begin later, consistent with the contract. Compensation timelines are always governed by the legal agreement.
Monthly compensation depends on the Surrogate’s total base compensation and how it is allocated across the pregnancy.
For example:
These amounts reflect base compensation only. Reimbursements and additional allowances are paid separately.
Many assume payment starts at transfer, but it usually begins after heartbeat confirmation, and reimbursements are separate from monthly base pay. There are usually allowances that start prior to the transfer for starting cycle medications, and a fee is given for undergoing the embryo transfer procedure itself.
Monthly payments represent base compensation, which compensates the Surrogate for her time, commitment, physical demands, and responsibilities associated with carrying a pregnancy.
Reimbursements are issued as expenses are incurred and typically include:
All reimbursements are documented, reviewed, and paid according to the surrogacy contract.
In professional surrogacy arrangements, payments are managed through a licensed, bonded third party escrow or trust account, not directly by the Intended Parents or Hatch
The process generally works as follows
This structure protects all parties and ensures that compensation is not influenced by personal circumstances or changing relationships, and that the funds remain secure and cannot be misallocated.
Compensation in the event of a pregnancy loss or medical complication is determined by the surrogacy contract and the stage of the pregnancy.
In most cases:
These terms are clearly defined in the legal agreement.
Only a certified tax professional can weigh in on this topic. Surrogate compensation may be considered taxable income, while certain reimbursements may not be. Tax treatment varies based on individual circumstances and jurisdiction.
You are strongly encouraged to consult a tax professional prior to beginning the journey to understand your specific obligations
Payment delays are uncommon in well-managed arrangements but may occur due to:
If a delay occurs, the Surrogate should contact the agency or escrow provider directly.
Monthly payments are designed to provide structure and clarity, not financial dependence. They:
They are one component of a broader legal and medical framework that supports ethical and well managed surrogacy arrangements.
So, do Surrogates get paid monthly? Yes, monthly Surrogate compensation is part of a structured system governed by legal contracts, escrow protections, and medical milestones.
Read more about the Surrogate Compensation structure at Hatch and our Hatch Promise. If you would like to see if you qualify to become a Surrogate you can apply here.