Care guide · Provider directory
Fertility, online.
Company statements checked September 10, 2026: 3 covered companies — Allara Health, Ro and Sesame — advertise online fertility services. State-by-state coverage is in the state access guides below. Confirm eligibility and total charges with the provider.
Remote fertility assessment, testing, and treatment support.
Across the services selected here, one word covers three quite different products, and the price gap between them reflects genuinely different things being sold.
Three different purchases
At-home testing means buying a kit and receiving results. Ro sells fertility hormone, ovulation and pregnancy tests as individual products, with its hormone test listed at $179 and available in every state except New York and Rhode Island. The product page describes access to a fertility nurse for questions, so this is not support-free, but it is a test purchase rather than a course of care, and a result is not a diagnosis.
Fertility as part of broader condition care means a service that treats hormonal and gynecological conditions and lists fertility concerns among them. Allara works this way: fertility appears alongside PCOS, endometriosis and thyroid conditions inside one membership, and its cited pages do not describe assisted reproductive procedures.
A dedicated fertility programme means ongoing care aimed at conception. Sesame advertises consultations, personalised planning, unlimited messaging, lab ordering and medication management from $119 a month, or $99 for Costco members — both advertised as starting figures rather than fixed charges — with referral to IVI RMA for in-clinic treatment.
Someone comparing a $179 test with a $149 monthly membership and a $119 monthly programme is not comparing three prices for the same thing.
What virtual fertility care does not include
The cited pages do not describe any of these services performing assisted reproductive procedures itself, and Sesame is explicit that its subscription does not cover them: its subscription excludes fertility medications, laboratory testing, diagnostic imaging, IUI and IVF, egg retrieval, embryo transfer, cryopreservation, and genetic testing or counselling, and refers patients to IVI RMA for in-clinic treatment. The monthly fee buys guidance and coordination; the treatments are billed separately.
This matters because fertility treatment is among the most expensive things a person can buy in healthcare, and a low monthly virtual figure sits at the front of a much larger potential cost.
Testing is not diagnosis
An at-home hormone or ovulation test measures something at a point in time. Interpreting it, deciding whether it indicates a problem, and choosing what to do next are clinical questions the kit does not answer. Services that sell tests and services that provide care are both legitimate; the mistake is buying the first while expecting the second.
Questions worth asking before paying
- Am I buying a test, a membership that includes fertility among many conditions, or a fertility programme?
- Does anyone interpret the result with me, and is that included?
- Does the service prescribe fertility medication, and is the medication itself extra?
- If specialist or in-person treatment is needed, what is the referral route and who pays?
- Is the service available for my situation, and does it treat single people and same-sex couples?
- What happens to the monthly cost if care continues for a year or more?
How to read the table
Rows are alphabetical, not ranked, and this is selected coverage rather than a complete market list. Prices are each company’s own published figures, read from the pages cited here between September 3 and September 10, 2026. Confirm the current price with the company before relying on it, for the fertility service named in that row. Where a company publishes no fertility-specific price, the row says so. Nothing here says a service is suitable for any particular person, and nothing here is advice about conception; those are questions for a clinician.
Other company profiles in fertility
These profiles list fertility among the company's services but have no sourced row in this guide yet, so read each profile for what the company offers and to whom.
State access guides
Explore the selected services with documented access in these states. This is not a complete map of every provider's availability.
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Selected providers
Explore fertility services
3 companies with published profiles and service-specific source records. Listed alphabetically, not ranked. This is selected coverage—not every provider in the market.
Formats describe the program, not a guaranteed first-visit option in every state. A messaging or questionnaire option does not promise an initial evaluation without a live appointment. Read each provider’s service and state access notes.
| Company & service | Program formats & clinicians | Payment & advertised charges | Access & evidence |
|---|---|---|---|
| Allara Health Fertility concerns handled inside a broader women's specialty membership rather than as a standalone fertility programme Official website ↗ |
A dedicated Complete Care team of one medical provider and one registered dietitian, retained across visits. These are distinct professions: the medical providers are described as board-certified OB-GYNs, endocrinologists and women's health nurse practitioners, and the registered dietitian is not drawn from that list. Access channel: Direct to consumer | Insurance · Cash pay There is no fertility-specific price. Self-pay Complete Care is $149 a month; the $125 Nutrition Program is a different membership and is not a cheaper route to the same medical care. Allara says patients with accepted in-network insurance have no membership fee but may owe plan-required cost-sharing. Its self-pay guidance describes labs and imaging as separately billed, while its pricing page lists comprehensive hormonal and metabolic testing or imaging, as needed, as a feature of the Complete Care Program. A feature listing is not a statement that the membership pays the charge, so ask for the complete quote before assuming either. | The company lists fertility issues among the conditions its clinicians address, alongside PCOS, endometriosis and others. The cited pages do not describe IVF or other assisted reproductive procedures; that is what those pages establish rather than a confirmed absence of any such service. Complete medical care is unavailable in Hawaii, Kansas, New Mexico, Rhode Island and South Carolina, where only a nutrition membership is offered. Company-reported. Company-reported · Checked |
| Ro At-home fertility hormone testing sold as a product under the Modern Fertility brand Official website ↗ |
The catalogue page presents products rather than a booked clinician. The test's own product page describes access to a fertility nurse through the company's community for questions, so support exists, but no treating clinician relationship or consultation is established. Access channel: Direct to consumer | Cash pay The Modern Fertility Hormone Test is listed at $179. The catalogue also lists ovulation and pregnancy tests, each purchased separately. No ongoing fertility care price is published, because the offering is testing rather than a programme. | The product page states the hormone test is available in all US states except New York and Rhode Island. This is testing rather than fertility treatment: the pages do not describe ongoing care, referral to a clinic or medication management. The cited pages brand the products as Ro's but do not state how the Modern Fertility brand came to be part of the company. Company-reported. Company-reported · Checked |
| Sesame A dedicated virtual fertility programme with consultations, care plans, messaging and medication management, and a route to in-person specialist treatment Official website ↗ |
A dedicated fertility provider the company describes as trained in diagnostic protocol for reproductive medicine, with referral to IVI RMA specialists for in-clinic treatment including IVF and egg freezing where needed. Access channel: Direct to consumer | Cash pay Advertised as starting at $119 a month, or $99 a month for Costco members, with no insurance required. The source says starting at and as low as, so neither figure is a fixed monthly charge. The company states the monthly membership includes the initial consultation, ongoing virtual visits as needed, unlimited provider messaging, fertility planning, lab ordering, medication management and coordination with IVI RMA specialists. | The company publishes what the subscription excludes: fertility medications, laboratory testing, diagnostic imaging, procedures such as IUI or IVF, egg retrieval, embryo transfer or cryopreservation, and genetic testing or counselling. It says referred patients may receive discounts on select procedures and negotiated cash-pay lab pricing through Quest Diagnostics. So the monthly fee buys guidance and coordination, and the treatments themselves are billed separately. Company-reported. Company-reported · Checked |
No providers match these filters. Try a different payment model or program format.
How companies enter this list
We include a company when its published profile names this care area and the row's sources describe the specific offering. The table keeps those service-level claims separate from company-wide pricing and geography. Inclusion does not establish clinical suitability, state licensure or a currently available appointment.
Smaller and larger providers use the same source requirements and alphabetical ordering. Visit each profile for company history and wider context, or suggest another provider.
Source documents
The table dates show when its claims were checked. Document dates below describe the original sources, where supplied. Additional sources are linked directly in the guide.
- Allara frequently asked questions — Allara Health
- Allara — insurance and self-pay pricing — Allara Health
- Allara self-pay membership options — Allara Health; revised
- Allara membership fees with insurance — Allara Health; revised
- Modern Fertility tests — Roman Health Ventures Inc.
- Ro — Modern Fertility Hormone Test — Ro
- Sesame Launches Fertility Program with Costco & IVI RMA — Sesame, Inc.; published