TABLE 1. Number and outcomes of assisted reproductive technology procedures performed, by female patient’s area of residence at time of treatment — United States and Puerto Rico, 2018.
| Patient’s area of residence* | No. of ART clinics† | No. of ART procedures performed§ | No. of ART embryo-transfer procedures¶ | No. of ART pregnancies | No. of ART live-birth deliveries | No. of ART singleton live-birth deliveries | No. of ART multiple live-birth deliveries | No. of ART live-born infants | No. of ART procedures per 1 million women aged 15–44 yrs** |
|---|---|---|---|---|---|---|---|---|---|
| Alabama |
5 |
1,298 |
973 |
471 |
388 |
353 |
35 |
423 |
1,368 |
| Alaska |
0 |
196 |
159 |
95 |
80 |
71 |
9 |
89 |
1,346 |
| Arizona |
15 |
3,160 |
2,602 |
1,436 |
1,189 |
1,001 |
188 |
1,383 |
2,295 |
| Arkansas |
1 |
586 |
490 |
253 |
210 |
173 |
37 |
249 |
1,014 |
| California |
71 |
26,028 |
20,100 |
11,562 |
9,666 |
8,721 |
945 |
10,620 |
3,218 |
| Colorado |
8 |
2,397 |
2,216 |
1,479 |
1,261 |
1,119 |
142 |
1,404 |
2,063 |
| Connecticut |
6 |
3,558 |
2,812 |
1,623 |
1,343 |
1,210 |
133 |
1,480 |
5,312 |
| Delaware |
2 |
703 |
524 |
319 |
270 |
259 |
11 |
281 |
3,911 |
| District of Columbia |
2 |
1,338 |
1,017 |
540 |
438 |
412 |
26 |
465 |
7,082 |
| Florida |
27 |
9,011 |
7,146 |
3,771 |
3,103 |
2,765 |
338 |
3,447 |
2,325 |
| Georgia |
9 |
4,527 |
3,814 |
2,097 |
1,706 |
1,527 |
179 |
1,889 |
2,093 |
| Hawaii |
6 |
1,078 |
834 |
495 |
403 |
329 |
74 |
480 |
4,075 |
| Idaho |
1 |
611 |
509 |
306 |
272 |
232 |
40 |
312 |
1,810 |
| Illinois†† |
26 |
12,884 |
9,896 |
5,208 |
4,217 |
3,819 |
398 |
4,620 |
5,120 |
| Indiana |
8 |
2,453 |
1,967 |
927 |
779 |
662 |
117 |
899 |
1,888 |
| Iowa |
2 |
1,560 |
1,303 |
778 |
647 |
581 |
66 |
715 |
2,622 |
| Kansas |
3 |
970 |
802 |
461 |
383 |
347 |
36 |
420 |
1,732 |
| Kentucky |
4 |
1,387 |
1,150 |
546 |
453 |
372 |
81 |
536 |
1,632 |
| Louisiana |
5 |
1,541 |
1,224 |
632 |
502 |
462 |
40 |
542 |
1,663 |
| Maine |
1 |
493 |
422 |
226 |
192 |
170 |
22 |
215 |
2,133 |
| Maryland |
7 |
6,551 |
5,061 |
2,666 |
2,071 |
1,926 |
145 |
2,218 |
5,518 |
| Massachusetts†† |
8 |
10,390 |
8,633 |
4,250 |
3,469 |
3,230 |
239 |
3,711 |
7,438 |
| Michigan |
10 |
4,400 |
3,682 |
2,018 |
1,641 |
1,382 |
259 |
1,909 |
2,338 |
| Minnesota |
5 |
3,088 |
2,656 |
1,505 |
1,289 |
1,140 |
149 |
1,440 |
2,875 |
| Mississippi |
3 |
628 |
542 |
294 |
243 |
222 |
21 |
265 |
1,065 |
| Missouri |
10 |
2,447 |
2,018 |
1,134 |
933 |
796 |
137 |
1,071 |
2,084 |
| Montana |
1 |
289 |
232 |
143 |
114 |
106 |
8 |
123 |
1,495 |
| Nebraska |
2 |
919 |
724 |
407 |
339 |
277 |
62 |
401 |
2,467 |
| Nevada |
5 |
1,307 |
1,038 |
630 |
527 |
442 |
85 |
614 |
2,199 |
| New Hampshire |
0 |
937 |
791 |
391 |
314 |
279 |
35 |
350 |
3,832 |
| New Jersey†† |
19 |
9,942 |
8,547 |
4,797 |
3,964 |
3,727 |
237 |
4,206 |
5,901 |
| New Mexico |
2 |
394 |
350 |
207 |
169 |
150 |
19 |
188 |
991 |
| New York |
42 |
22,779 |
18,327 |
9,020 |
7,220 |
6,603 |
617 |
7,839 |
5,832 |
| North Carolina |
10 |
4,331 |
3,446 |
2,020 |
1,665 |
1,504 |
161 |
1,830 |
2,126 |
| North Dakota |
1 |
245 |
221 |
140 |
118 |
92 |
26 |
143 |
1,662 |
| Ohio |
11 |
4,988 |
3,976 |
2,117 |
1,749 |
1,585 |
164 |
1,917 |
2,256 |
| Oklahoma |
3 |
1,025 |
840 |
446 |
376 |
310 |
66 |
440 |
1,330 |
| Oregon |
4 |
1,332 |
1,213 |
822 |
699 |
596 |
103 |
804 |
1,623 |
| Pennsylvania |
14 |
7,406 |
5,888 |
2,948 |
2,414 |
2,245 |
169 |
2,585 |
3,107 |
| Puerto Rico |
3 |
298 |
258 |
106 |
76 |
55 |
21 |
98 |
484 |
| Rhode Island†† |
1 |
1,026 |
865 |
351 |
276 |
245 |
31 |
308 |
4,935 |
| South Carolina |
4 |
1,946 |
1,510 |
906 |
729 |
652 |
77 |
809 |
1,997 |
| South Dakota |
1 |
304 |
264 |
136 |
119 |
91 |
28 |
147 |
1,882 |
| Tennessee |
10 |
1,987 |
1,634 |
913 |
767 |
692 |
75 |
843 |
1,503 |
| Texas |
42 |
15,160 |
12,529 |
7,134 |
5,895 |
5,225 |
670 |
6,572 |
2,537 |
| Utah |
3 |
2,180 |
1,833 |
1,106 |
914 |
800 |
114 |
1,026 |
3,158 |
| Vermont |
2 |
435 |
345 |
180 |
148 |
133 |
15 |
163 |
3,780 |
| Virginia |
11 |
6,252 |
4,958 |
2,676 |
2,194 |
1,997 |
197 |
2,390 |
3,703 |
| Washington |
11 |
4,171 |
3,363 |
2,053 |
1,707 |
1,566 |
141 |
1,849 |
2,785 |
| West Virginia |
3 |
409 |
340 |
176 |
142 |
121 |
21 |
165 |
1,282 |
| Wisconsin |
6 |
2,199 |
1,818 |
956 |
818 |
719 |
99 |
918 |
2,022 |
| Wyoming |
0 |
209 |
176 |
104 |
76 |
68 |
8 |
84 |
1,944 |
| Non-U.S. residents |
— |
7,366 |
5,851 |
3,711 |
3,154 |
2,729 |
425 |
3,583 |
—§§ |
| Total | 456 | 203,119 | 163,889 | 89,688 | 73,831 | 66,290 | 7,541 | 81,478 | 3,135 |
Abbreviation: ART = assisted reproductive technology.
* In cases of missing patient’s residence data (0.3%), the patient’s residence was assigned as the location where the ART procedure was performed.
† The ART procedures and outcomes by patient’s area of residence do not necessarily reflect the procedures and outcomes of the ART clinics within the area because some patients seek treatment at a clinic in a location other than their area of residence.
§ The total number of procedures reported to CDC was 306,197. The number of procedures in this report excludes 103,078 cycles in which egg or embryo banking was performed. In addition, all numbers and percentages exclude eight research cycles that were evaluating new procedures.
¶ Embryo-transfer procedures include all procedures performed in which at least one embryo was transferred.
** On the basis of U.S. Census Bureau estimates (Source: US Census Bureau. Annual estimates of the resident population for selected age groups by sex for the United States, states, counties, and Puerto Rico Commonwealth and municipios: April 1, 2010 to July 1, 2018. Washington, DC: US Census Bureau, Population Division; 2018. https://data.census.gov/cedsci/table?q=United%20States&g=0100000US&tid=ACSST1Y2018.S0101&vintage=2018).
†† State with comprehensive insurance mandate requiring insurers to cover the costs associated with diagnosis and treatment of infertility inclusive of ART services for at least four oocyte retrievals.
§§ Non-U.S. residents were excluded from rate because the appropriate denominators were not available.