A woman came to me recently with a billing folder. She had spent close to Rs 22,000 on fertility tests over five months, seen three different doctors, and still did not have a clear answer. Each doctor had ordered a few more tests. Some were repeated. None of the reports had been read together as a single picture.
The thing is, a complete fertility workup for a couple does not need to cost Rs 22,000. Done sensibly, with the right tests and the right labs, a couple’s starter workup lands between Rs 8,000 and Rs 18,000. For a woman alone, the core female workup costs Rs 4,000 to Rs 8,000. You can get close to a complete picture for less than the cost of one unneeded scan at a fertility chain.
This post breaks down what each test costs in 2026 at major Indian labs, which tests belong in a first workup, and where the bills inflate unnecessarily. For the clinical explanation of what each test tells you and how to read the results, the full guide is here: The Honest Fertility Workup: An OB-GYN’s Indian Guide.
Why Fertility Test Bills Inflate
Three things drive unnecessary spending:
Ordering piecemeal across visits. Each doctor adds a few tests to whatever was already done, without looking at whether those tests were already ordered or whether the results are back. The woman pays three sets of consultation fees and three sets of test costs.
Fertility clinic markup. A test that costs Rs 1,499 at Redcliffe or Thyrocare is billed at Rs 3,000 to Rs 5,000 inside many fertility clinics. The lab doing the test is often the same national chain, but the fee goes through the clinic.
Tests that don’t belong in a first workup. Karyotyping, thrombophilia panels, NK cell testing, and IgG food sensitivity tests are sometimes ordered upfront. Most of these are not first-line tests. They add Rs 3,000 to Rs 10,000+ to the bill and rarely change what you do next before a basic workup is complete. We have written separately about why IgG food sensitivity tests don’t belong in a fertility workup.
What a Complete First Workup Includes: Test-by-Test Costs
AMH (Anti-Mullerian Hormone)
AMH is the marker most women have heard of. It gives an approximate picture of ovarian reserve. It can be done on any day of the cycle.
2026 verified prices at major labs:
- Thyrocare: Rs 2,200
- Redcliffe: Rs 1,499 to Rs 2,299
- Apollo Diagnostics: Rs 2,249
- SRL: Rs 2,875
- Metropolis: Rs 1,500 to Rs 3,000 (city-dependent)
What to pay: Rs 1,499 to Rs 2,299 covers this test adequately at accredited labs. Prices above Rs 2,500 for AMH alone are clinic markups, not lab costs.
For a full city-by-city breakdown of AMH pricing, read AMH Test Cost in India 2026.
Hormone Panel (FSH, LH, Prolactin, TSH)
This panel is done on Day 2 or Day 3 of your period. FSH and LH together give a picture of how hard your pituitary is working to stimulate your ovaries. Prolactin, when elevated, is a common and very fixable cause of irregular cycles and difficulty conceiving. TSH catches thyroid dysfunction, which is extremely common in Indian women (studies suggest 8 to 11 percent prevalence) and directly affects fertility.
2026 verified prices:
- FSH, LH, Prolactin and TSH bundled (1mg, available in Bangalore, Delhi, Mumbai, Pune): Rs 1,499
- Redcliffe female fertility panel (FSH, LH, Prolactin, TSH): Rs 2,799 (discounted from Rs 5,133 listed price)
- Individual FSH test: Rs 770 to Rs 830
What to pay: A bundled panel of all four hormones at Rs 1,499 to Rs 1,600 is the cost-efficient route. Ordering them individually adds up to Rs 2,500 or more for no clinical benefit.
TVS Scan with Antral Follicle Count (AFC)
A transvaginal ultrasound done on Day 2 to Day 5 of the cycle gives a direct visual count of resting follicles. This is the second leg of ovarian reserve testing, and it also shows whether your ovaries look polycystic. It is often more informative than AMH alone.
2026 verified prices:
- Standalone TVS (diagnostic centres): Rs 700 to Rs 1,800
- Average across cities: Rs 900 to Rs 1,200
- With AFC specifically: some centres bill a small surcharge (Rs 100 to Rs 300 more)
What to pay: Rs 700 to Rs 1,200 at an accredited diagnostic centre. A TVS at a fertility chain is frequently billed at Rs 2,000 to Rs 3,500 for the same scan.
For how to read your AFC report, see Antral Follicle Count (AFC): How to Read Your Ultrasound.
Day 21 Progesterone
Progesterone drawn at approximately Day 21 of a 28-day cycle (or 7 days after you suspect ovulation) confirms whether ovulation actually happened that month. This single test answers a question that matters a great deal before any other intervention.
2026 verified prices: Rs 250 to Rs 600 at most labs.
For the full explanation of this test and how to time it correctly, see Day-21 Progesterone: Did You Ovulate This Cycle?.
Vitamin D and Ferritin
These are not fertility tests in the classical sense. They belong in the workup because Vitamin D deficiency is extremely common in Indian women (studies estimate 70 to 90 percent of urban Indian women are deficient) and has a documented association with cycle irregularity and reduced IVF outcomes (Ozkan et al, Fertil Steril 2010). Ferritin catches iron deficiency before it becomes anaemia, and low ferritin is a cause of hair loss, fatigue, and poor energy that is often attributed to “hormonal” causes.
2026 verified prices:
- 25(OH) Vitamin D: Rs 600 to Rs 900
- Ferritin: Rs 400 to Rs 600
Both are inexpensive and frequently actionable without any prescription.
The Male Side: Semen Analysis
This step is frequently delayed, which leads to months of workup on the female side when the answer was already on the male side. A semen analysis should be done in the first workup, not as an afterthought when everything else has been checked.
2026 verified prices:
- Basic semen analysis: Rs 300 to Rs 800 at most diagnostic centres
- Extended analysis (with morphology, DNA fragmentation): Rs 800 to Rs 2,000
What to pay: Rs 400 to Rs 800 for a basic analysis is sufficient as a first test. DNA fragmentation testing is a second-step investigation if the basic analysis flags something.
For a full guide to what the numbers mean: Semen Analysis: What Your Report Means.
When HSG Is Added to the Workup
HSG (hysterosalpingography) is not always needed in a first workup for a young woman with regular cycles and a short trying time. It becomes relevant when:
- You have been trying for more than 12 months with no diagnosis
- You have a history of pelvic infection, prior surgery, or endometriosis
- You are over 35 and have been trying more than 6 months
2026 verified prices (from our separate guide):
- Government hospitals: Rs 200 to Rs 500
- Diagnostic centres: Rs 2,000 to Rs 3,400
- Fertility clinics: Rs 5,000 to Rs 10,000
Adding an HSG moves your couple’s workup toward the higher end of the Rs 8,000 to Rs 18,000 range. For a full city-by-city HSG price guide: HSG Test Cost India 2026: City-by-City Breakdown.
The Three Budget Scenarios
Lean Starter (Female Only): Rs 3,700 to Rs 5,500
Suitable when you are beginning to investigate and want a first pass before deciding on next steps.
| Test | Price range |
|---|---|
| AMH (Thyrocare/Redcliffe) | Rs 1,499 to Rs 2,200 |
| Hormone panel (FSH, LH, Prolactin, TSH) | Rs 1,499 to Rs 1,600 |
| TVS with AFC | Rs 700 to Rs 1,200 |
| Total | Rs 3,698 to Rs 5,000 |
Standard Female Workup: Rs 5,000 to Rs 8,000
Adds the confirmation tests.
| Test | Price range |
|---|---|
| Lean starter (as above) | Rs 3,700 to Rs 5,000 |
| Day 21 progesterone | Rs 250 to Rs 600 |
| Vitamin D | Rs 600 to Rs 900 |
| Ferritin | Rs 400 to Rs 600 |
| Total | Rs 4,950 to Rs 7,100 |
Couple’s Complete Starter Workup: Rs 8,000 to Rs 18,000
Adds the male workup and HSG if needed.
| Test | Price range |
|---|---|
| Female standard workup | Rs 5,000 to Rs 7,100 |
| Semen analysis (basic) | Rs 400 to Rs 800 |
| HSG (if clinically indicated) | Rs 2,000 to Rs 5,000 |
| Consultation (OB-GYN to read results together) | Rs 399 to Rs 1,500 |
| Total | Rs 7,799 to Rs 14,400 |
The Rs 18,000 upper limit is typically reached when: HSG is done at a fertility clinic (Rs 5,000 to Rs 10,000), AMH is ordered at a premium centre, and hormones are billed individually.
Where to Get Tests Done
National lab chains (Thyrocare, Redcliffe, Dr. Lal PathLabs, SRL, Metropolis): These are the best-value option for blood tests. Home collection is available in most cities. Quality is standardised. Prices are Rs 1,499 to Rs 2,875 for AMH and Rs 1,499 to Rs 2,799 for a full hormone panel.
Diagnostic centres (not attached to a hospital): Best for the TVS scan. Prices are Rs 700 to Rs 1,800, compared with Rs 2,000 to Rs 3,500 at a fertility chain. The radiologist’s report is usually available the same day or next morning.
Government hospitals and teaching hospitals: Blood tests at rates as low as Rs 200 to Rs 500, including AMH at some centres. Wait times can be longer. Many government labs use NABL-accredited equipment.
Fertility clinics and hospital-based fertility units: Expect to pay 1.5 to 3 times the national lab price for the same test. The premium covers the clinic’s infrastructure and follow-up system, not the lab analysis itself. This is a reasonable choice when you want the treating doctor to be the one ordering, receiving, and interpreting all results together. It is not a reasonable choice when tests are being ordered one at a time across multiple visits.
What You Do NOT Need in a First Workup
These tests are sometimes ordered on a first visit but typically do not belong until a basic workup is complete:
Karyotyping: Relevant for recurrent miscarriage (two or more losses), not for women who have not yet conceived. Costs Rs 3,000 to Rs 8,000 and is not a first-line test.
NK cell panels and immune testing: Remain experimental for most uses and are not part of any standard fertility workup guideline (ASRM, ESHRE, or ICMR). Costs Rs 5,000 to Rs 15,000.
IgG food sensitivity panels: Not validated for fertility use. IgG is a marker of food exposure, not pathology (AAAAI position statement). They do not change fertility management.
Full thrombophilia screen: Relevant for recurrent pregnancy loss with specific risk factors, not for women in the investigation phase.
Repeated AMH: One AMH result is sufficient unless it was drawn at a questionable lab or is being used to monitor response after a specific intervention. Reordering it every cycle adds cost and is not clinically justified.
A Note on Reading Results Together
A workup is only useful when the results are read as a single picture. AMH on its own tells you one thing. AMH alongside AFC, alongside Day 3 FSH, alongside Day 21 progesterone, alongside cycle history and a semen analysis is a complete conversation.
The scenario where each number is shown in isolation and a decision is made based on one result is how women end up with very expensive workups and no clearer direction.
You are entitled to have all your results read together in a single session by one clinician before any treatment decision is made. That conversation is, in most cases, more valuable than any additional test.
Frequently Asked Questions
How much does a fertility workup cost in India in 2026? A female basic workup (AMH, hormone panel, TVS with AFC, Day 21 progesterone) costs Rs 4,000 to Rs 7,000. A complete couple’s starter workup including semen analysis and HSG if needed ranges from Rs 8,000 to Rs 18,000. Costs are higher at fertility clinic chains than at national lab services.
Is it cheaper to get fertility tests done at a government hospital? Yes, significantly. A government hospital or teaching hospital may charge Rs 200 to Rs 500 for AMH and Rs 200 to Rs 400 for a TVS scan. NABL-accredited government labs in cities like Chennai, Mumbai, Delhi and Hyderabad are a reliable low-cost option. Wait times are longer and appointments may need to be planned.
Does AMH need to be done on a specific day of the cycle? AMH can technically be done on any day of the cycle, though Day 2 to Day 5 gives the most consistent result. FSH, LH, and estradiol must be done on Day 2 or Day 3. Day 21 progesterone is done approximately 7 days after ovulation (or around Day 21 in a 28-day cycle). The TVS with AFC is done on Day 2 to Day 5.
What is the cost of a fertility test package in India? Lab chains like Redcliffe offer bundled fertility panels for women at Rs 2,699 to Rs 2,799, which include AMH, FSH, LH, Prolactin, TSH, and Estradiol in a single collection. These panel prices are better value than ordering tests individually, which can total Rs 4,000 to Rs 5,000 for the same tests.
Fertility tests ke kitne paise lagte hain? (How much do fertility tests cost?) Basic female fertility test package at labs like Thyrocare or Redcliffe: Rs 2,699 to Rs 2,799 for a hormone panel with AMH. TVS scan: Rs 700 to Rs 1,200 at a diagnostic centre. Semen analysis: Rs 400 to Rs 800. For a couple’s complete workup, budget Rs 8,000 to Rs 15,000 at lab-chain prices, or up to Rs 18,000 if using a fertility clinic for all tests.
Is the consultation fee for reviewing results separate from the test cost? Yes. Lab tests and the consultation to review them are billed separately. A video consultation with Dr. Suganya to read your full workup picture costs Rs 399. Some clinics bundle a follow-up consultation into a package fee; ask specifically what is included before booking.
How do I know if I need an HSG? An HSG is indicated if you have been trying for more than 12 months without a diagnosis, if you have a history of pelvic infection, endometriosis, or prior pelvic surgery, or if you are over 35 and have been trying for more than 6 months. It is not a first-line test for everyone. Your OB-GYN will advise based on your specific history. For more details: HSG Test Cost India 2026.
