ICSI (intracytoplasmic sperm injection) is a specialized fertilization technique where a single sperm is injected directly into an egg. It's the standard approach for male-factor infertility and is increasingly used as a routine part of IVF cycles worldwide. In the US, ICSI adds $1,500–$3,000 to an IVF cycle. Abroad, it's often included in the base IVF price or available as a $500–$1,000 add-on.
When ICSI Is Recommended
- Low sperm count, motility, or morphology (male-factor infertility)
- Previous IVF cycles with poor or no fertilization
- Surgically retrieved sperm (TESE, micro-TESE)
- Frozen sperm (thawed sperm may have reduced motility)
- Preimplantation genetic testing (PGT) is planned
What It Costs
| Country | ICSI Add-On | Notes |
|---|---|---|
| United States | $1,500–$3,000 | Always an add-on charge |
| Colombia | $500–$1,000 | Often included in IVF price |
| Mexico | $800–$1,500 | Usually an add-on |
| Czech Republic | $500–$1,000 | Frequently included |
| Spain | $700–$1,200 | Varies by clinic |
| Greece | $500–$1,000 | Often included |
Ask about inclusive pricing
Many clinics abroad include ICSI in their standard IVF package price. When comparing quotes, confirm whether ICSI is included or extra — it can significantly affect the total cost comparison.