According to CDC's 2021 state data brief (published December 2023), 2 fertility clinics in Nebraska reported ART data, and Nebraska residents underwent 1,200 ART procedures, or 2,758 per million women aged 15 to 49 (U.S.: 3,250). 409 babies born to Nebraska residents that year, 1.7% of all births, were conceived with ART (U.S.: 2.3%).
Of the 24,609 babies born to Nebraska mothers in 2021, 409 were conceived with ART. The 1,200 procedures performed for Nebraska residents in 2021 included 941 embryo transfers and resulted in 390 live-birth deliveries and 420 live-born infants; that count follows the procedures, not the calendar year of birth.
| 2021, by state of residence | Nebraska | United States |
|---|---|---|
| Clinics that reported ART data to CDC | 2 | 453 of 501 |
| ART procedures for residents | 1,200 | 246,087 |
| ART procedures per 1 million women aged 15 to 49 | 2,758 | 3,250 |
| Embryo-transfer procedures | 941 | not listed |
| Live-birth deliveries from those procedures | 390 | 91,906 |
| Live-born infants from those procedures | 420 | 97,128 |
| Share of all infants born in 2021 conceived with ART | 1.7% | 2.3% |
Source: CDC, State-Specific ART Surveillance, 2021 Data Brief (published December 2023). Procedures exclude cycles in which eggs or embryos were only banked.
All of these figures are counted by the patient's state of residence. Nebraska women treated in another state count toward Nebraska, which is why CDC says state figures may not reflect the clinics located in the state.
With two reporting clinics, the most useful comparison is between them, not against the state total. Ask each one for its results for women your age and with your diagnosis, its usual protocol, and what a cycle includes.
On cost, no federal law requires health plans to cover infertility treatment (healthinsurance.org, June 2026). Ask your insurer or HR what your plan pays for testing, IUI and IVF, and confirm before each step, because benefits and rules change.
IVF is often surrounded by fears that make the first appointment harder. Map to the Positive answers the most common ones:
| Myth | Reality |
|---|---|
| "IVF will give you cancer" | No evidence of increased cancer |
| "You need complete bed rest" | Normal activity is fine |
| "You can't have sex" | Sex is allowed (with care) |
| "IVF only makes twins" | A single transfer means 1 baby in most cases |
| "It's only for extreme cases" | There are selected cases, but many indications |
From Map to the Positive, Chapter 35.
The book also notes that most women tolerate the process well and that the egg retrieval is less invasive than many imagine: an outpatient procedure under light sedation, 20 to 30 minutes.
Chapter 35 of Map to the Positive, in Station IV, takes you through the five phases of IVF, the possible side effects and the questions to ask before you start. Earlier chapters in the same station cover when to see a specialist and how to choose a doctor.
Take 30 days. If it does not give you more clarity than everything you have read for free so far, ask for a refund and you get every cent back. We cannot promise you a pregnancy. We can promise you will not be guessing.
References: State-Specific Assisted Reproductive Technology Surveillance, United States: 2021 Data Brief (CDC, with ASRM, SART and RESOLVE) (2023-12) · Does the ACA require infertility treatment to be covered by health insurance? (healthinsurance.org) (2026-06-18)