Most Tennessee fertility clinics concentrate along the I-65 and I-24 corridors in Nashville, Franklin and Chattanooga. Regional practices provide frozen embryo transfers and third-party coordination. Choosing a clinic requires evaluating laboratory consistency, team communication and surrogate screening protocols.

Your reproductive endocrinologist oversees ovarian stimulation, embryo culture and surrogate medical clearances. Reviewing fee schedules and clinic data early helps you budget accurately and avoid delays.

This guide reviews Tennessee practices using verified Society for Assisted Reproductive Technology (SART) data to help you compare providers.

Fertility Clinics in Tennessee

Fertility practices in Tennessee are concentrated along the I-65 and I-24 corridors, serving patients across Davidson, Williamson and Hamilton counties.

Selecting a clinic often comes down to travel distance for monitoring appointments, donor tissue availability and clinic experience with gestational surrogacy.

Nashville Fertility Center, Tennessee Fertility Institute and Tennessee Reproductive Medicine manage the state’s largest IVF cycle volumes.

• Nashville Fertility Center (Nashville)
• Nashville Fertility Center – Franklin (Franklin)
• Tennessee Fertility Institute (Franklin)
• Tennessee Fertility Institute – Midtown (Nashville)
• Tennessee Reproductive Medicine (Chattanooga)

These figures are from a 2024 report, the most up-to-date information available as of September 2026.

Nashville Fertility Center

Nashville Fertility Center reports the state’s highest PGT-A live birth rates and has an established third-party reproduction department.

Located near Centennial Medical Center in midtown Nashville, the clinic provides intended parents and gestational carriers with dedicated third-party nurse coordinators. The practice houses its embryology laboratory and affiliated reproductive counselors at a single site.

• Location: 345 23rd Avenue North, Suite 401, Nashville, TN 37203
• Phone: 615-321-4740
• Website: nashvillefertility.com

Services Offered:

• Donor egg and donor embryo cycles
• Egg and embryo cryopreservation
• Gestational carrier medical management
• Family building for female couples, male couples, single women and single men
• Protocols for patients living with HIV
• Preimplantation genetic testing (PGT)
• On-staff reproductive mental health counseling

Frozen Embryo Transfers with PGT-A: Live Birth Per Single Embryo Transfer

Age Group	<35	35–37	38–40	>40
Clinic Success Rate	59.6%	58.8%	59.7%	51.6%

Frozen Embryo Transfers Without PGT-A: Live Birth Rate

Age Group	<35	35–37	38–40	>40
Clinic Success Rate	58.6%	9/18	7/11	0/1

Nashville Fertility Center – Franklin

Nashville Fertility Center’s Franklin office provides local monitoring visits and ultrasounds for patients based in Williamson County.

Patients complete routine cycle checks locally before traveling to the main Nashville facility for egg retrievals and embryo transfers. This arrangement reduces travel time into central Nashville while keeping lab procedures at the primary site.

• Location: 4601 Carothers Parkway, Suite 325, Franklin, TN 37067
• Phone: 615-321-4740
• Website: nashvillefertility.com

Services Offered:

• Donor egg and donor embryo cycles
• Egg and embryo cryopreservation
• Gestational carrier medical coordination
• Family building for LGBTQ+ individuals and couples
• Protocols for patients living with HIV
• Preimplantation genetic testing (PGT)
• Mental health and wellness support

Frozen Embryo Transfers with PGT-A: Live Birth Per Single Embryo Transfer

Age Group	<35	35–37	38–40	>40
Clinic Success Rate	59.6%	58.8%	59.7%	51.6%

Frozen Embryo Transfers Without PGT-A: Live Birth Rate

Age Group	<35	35–37	38–40	>40
Clinic Success Rate	58.6%	9/18	7/11	0/0

Tennessee Fertility Institute

Tennessee Fertility Institute in Franklin provides individualized stimulation protocols and diagnostic evaluations overseen directly by attending physicians.

The clinic manages reciprocal IVF, donor cycles and gestational carrier cases with physician-led case reviews. It offers a smaller clinic setting alongside CAP-accredited embryology facilities.

• Location: 9160 Carothers Parkway, Suite 201, Franklin, TN 37067
• Phone: 615-721-6250
• Website: tnfertility.com

Services Offered:

• Donor egg and donor embryo options
• Egg and embryo cryopreservation
• Gestational carrier medical management
• Family building for male couples, female couples, single men and single women
• Preimplantation genetic testing (PGT)
• Diagnostic fertility evaluations

Frozen Embryo Transfers with PGT-A: Live Birth Per Single Embryo Transfer

Age Group	<35	35–37	38–40	>40
Clinic Success Rate	52.0%	58.0%	52.1%	6/14

Frozen Embryo Transfers Without PGT-A: Live Birth Rate

Age Group	<35	35–37	38–40	>40
Clinic Success Rate	46.2%	39.1%	4/5	0/0

Tennessee Fertility Institute – Midtown

Tennessee Fertility Institute’s Midtown Nashville clinic offers morning monitoring appointments and consultations for downtown patients.

Intended parents schedule routine blood tests and ultrasounds near central employment centers while receiving primary care from the practice’s main clinical team. This satellite setup accommodates frequent monitoring appointments during stimulation cycles.

• Location: 2201 Murphy Avenue, Suite 401, Nashville, TN 37204
• Phone: 615-721-6250
• Website: tnfertility.com

Services Offered:

• Donor egg and donor embryo banking
• Egg and embryo cryopreservation
• Gestational carrier screening and protocols
• Family building for LGBTQ+ parents and single individuals
• Preimplantation genetic testing (PGT)
• On-site ultrasound and endocrine monitoring

Frozen Embryo Transfers with PGT-A: Live Birth Per Single Embryo Transfer

Age Group	<35	35–37	38–40	>40
Clinic Success Rate	52.0%	58.0%	52.1%	6/14

Frozen Embryo Transfers Without PGT-A: Live Birth Rate

Age Group	<35	35–37	38–40	>40
Clinic Success Rate	46.2%	39.1%	4/5	0/0

Tennessee Reproductive Medicine

Tennessee Reproductive Medicine serves families across Chattanooga, southeast Tennessee and northern Georgia from an on-site laboratory and surgical center.

Board-certified reproductive endocrinologists oversee full-service IVF, third-party reproduction and surgical procedures locally. Intended parents in the Chattanooga area complete retrievals and transfers without traveling to Nashville or Atlanta.

• Location: 6031 Shallowford Road, Suite 101, Chattanooga, TN 37421
• Phone: 423-876-2229
• Website: trmbaby.com

Services Offered:

• Donor egg and donor embryo cycles
• Egg and embryo vitrification
• Gestational carrier medical management
• Family building for male couples, female couples, single men and single women
• Preimplantation genetic testing (PGT)
• Surgical evaluations and reproductive surgery

Frozen Embryo Transfers with PGT-A: Live Birth Per Single Embryo Transfer

Age Group	<35	35–37	38–40	>40
Clinic Success Rate	50.5%	50.0%	65.5%	8/15

Frozen Embryo Transfers Without PGT-A: Live Birth Rate

Age Group	<35	35–37	38–40	>40
Clinic Success Rate	48.9%	4/8	3/7	1/5

How to Compare Fertility Clinic Success Rates

Live birth rate per intended transfer measures delivered infants rather than positive pregnancy tests, providing the most reliable metric for clinic comparisons.

Annual cycle volume and patient demographics add vital context, as clinics treating complex diagnoses often report lower headline rates than boutique practices.

Learn how to compare full-service agencies against matching-only services to coordinate your fertility care.

Understanding the IVF Process

In vitro fertilization creates embryos in an embryology laboratory before transfer into your uterus or a gestational carrier. The clinical process involves six distinct phases managed by your medical team before embryos are ready for transfer.

• Fertility evaluation begins with diagnostic bloodwork and imaging to build an individualized stimulation protocol. Physicians evaluate anti-Müllerian hormone (AMH) levels, antral follicle counts, infectious disease panels and semen parameters before prescribing medications.
• Ovarian stimulation requires the intended mother or egg donor to administer injectable hormones for 10 to 14 days to mature multiple follicles. Frequent clinic visits for transvaginal ultrasounds and estradiol blood draws allow your doctor to adjust medication doses based on your ovarian response.
• Egg retrieval follows stimulation, during which a reproductive endocrinologist collects mature eggs using ultrasound-guided transvaginal aspiration under light sedation. The outpatient procedure takes under 30 minutes, and patients return home the same day.
• Fertilization and embryo development take place in the laboratory, where embryologists inseminate retrieved eggs using standard culture or intracytoplasmic sperm injection (ICSI). The resulting embryos develop in incubators for five to six days until reaching the blastocyst stage.
• Preimplantation genetic testing (PGT-A/PGT-M) allows embryologists to biopsy cells from the outer trophectoderm layer to check for chromosomal health or single-gene disorders before freezing. Transferring a euploid embryo improves implantation likelihood and helps reduce the risk of first-trimester loss.
• Embryo cryopreservation vitrifies blastocysts through rapid freezing, preventing ice crystal formation and preserving cellular structure. Vitrification stores embryos safely while you complete surrogate matching, finalize legal contracts or prepare for transfer.

Average IVF Costs in Tennessee

A single IVF cycle in Tennessee typically costs between $14,000 and $24,000 before accounting for medications, donor tissue, legal contracts or surrogacy fees. Total costs depend on required medication doses, laboratory procedures and the number of transfers needed to achieve a live birth.

• Egg retrieval and physician fees: $8,000–$12,000
• Ovarian stimulation medications: $3,500–$6,500
• Embryology lab services (ICSI, culture): $2,000–$4,000
• Embryo freezing and vitrification: $1,000–$2,000
• Preimplantation genetic testing (PGT-A): $3,000–$5,500
• Donor eggs (if needed): $15,000–$30,000
• Donor sperm (if needed): $1,000–$2,500
• Annual embryo storage: $600–$1,200 per year
• Frozen embryo transfer (FET): $3,500–$5,500

Tennessee state law does not mandate insurance coverage for fertility treatments or IVF procedures. While some employers offer supplemental benefits through plans like Progyny or Carrot, most intended parents pay out of pocket.

Ask for an itemized fee schedule during your consultation to clarify whether monitoring, anesthesia and lab culture are bundled or billed separately. Review an independent agency evaluation checklist to prepare for initial agency and clinic consultations.

Questions to Ask before Choosing a Fertility Clinic

Your initial clinic consultation is your opportunity to review lab standards, diagnosis-specific results and third-party coordination. Specific questions clarify how the practice communicates and whether their scheduling fits your timeline.

• What is your live birth rate for my age, diagnosis and protocol? Request itemized clinic data rather than clinic-wide averages.
• How many IVF cycles does your lab complete each year? Consistent annual volume reflects routine laboratory operations and established freezing protocols.
• How many gestational surrogate cycles does your clinic handle each year? Dedicated third-party coordinators process FDA screenings, remote monitoring records and carrier communication without administrative delays.
• Is your embryology lab on site and staffed seven days a week? On-site labs remove the need to ship gametes or embryos between facilities.
• Which lab procedures require separate fees? Confirm whether ICSI, assisted hatching and PGT biopsies are bundled or billed individually.
• What adjustments do you make if a transfer is unsuccessful? Ask how your doctor adjusts medication protocols or evaluates the uterine lining after a negative cycle.

Evaluating physician communication during your consultation helps you choose a clinical team that fits your timeline and goals.

How Fertility Clinics Work with Surrogacy Agencies

Fertility clinics manage medical screening, embryology and embryo transfers, while surrogacy agencies handle matching, travel arrangements, escrow management and legal contracts. This division keeps clinical decisions with your physician while your agency manages non-medical logistics.

1. Gestational surrogate matching: You match with a screened carrier who has completed background checks, financial reviews and psychological evaluations. An agency reviews medical records in advance to verify baseline qualifications.
2. Clinical medical record review: Your reproductive endocrinologist examines previous prenatal and delivery records. The medical team confirms your carrier meets American Society for Reproductive Medicine (ASRM) guidelines before scheduling travel.
3. In-person medical clearance: The surrogate travels to your fertility clinic for bloodwork, infectious disease panels, drug screenings and a saline infusion sonogram. The agency coordinates flights, lodging and travel stipends from your escrow account.
4. Legal contract execution: Assisted reproduction attorneys draft and sign the Gestational Carrier Agreement after your clinic grants medical clearance. Your clinic schedules the transfer cycle once both attorneys issue formal legal clearance letters.
5. Embryo transfer and early pregnancy monitoring: Your fertility doctor prescribes the cycle protocol, completes the embryo transfer and monitors early beta hCG levels. The clinic manages care through eight to ten weeks before transitioning the surrogate to an obstetrician in her local community.

This coordination keeps medical oversight consistent from the initial transfer through early pregnancy.

Talk with a Surrogacy Professional about Choosing the Right Fertility Clinic

Speaking with a surrogacy professional early helps you identify fertility clinics that fit your medical diagnosis, budget and family-building goals. An advisor can help you review clinic success tables, plan carrier travel logistics and establish realistic timelines before signing agreements.

Getting independent guidance early helps you align your medical team and agency before starting treatment. That preparation helps you protect your time and financial resources throughout the process.

Search an agency directory to compare verified programs by wait times, fee structures and surrogate compensation standards.