CDC's 2021 state data brief (published December 2023) lists 1 South Dakota clinic reporting data. Women living in South Dakota had 413 ART procedures that year, 2,198 per million women aged 15 to 49 (U.S.: 3,250), and 115 of 11,369 babies born to residents, or 1.0%, were conceived with ART (U.S.: 2.3%).
| CDC measure, 2021 | South Dakota |
|---|---|
| Clinics in South Dakota reporting to CDC | 1 |
| ART procedures for women living in South Dakota | 413 |
| Procedures per 1 million women aged 15 to 49 (U.S.: 3,250) | 2,198 |
| Embryo-transfer procedures among them | 337 |
| Live-birth deliveries from these procedures | 120 |
| Live-born infants from these procedures | 136 |
| Babies born in 2021 to South Dakota residents conceived with ART | 115 of 11,369 (1.0%; U.S.: 2.3%) |
Counted by the patient's state of residence; excludes cycles in which eggs or embryos were only banked. Source: CDC, State-Specific ART Surveillance, 2021 Data Brief (December 2023).
The 413 procedures included 337 embryo transfers, which led to 120 live-birth deliveries and 136 live-born infants. Read them as a snapshot of 2021, the latest year with state-level data.
CDC assigns procedures to the patient's state of residence. With one reporting clinic in the state, it helps to know that a South Dakota woman treated in a neighboring state still counts here. Nationally, 453 of the 501 clinics that performed ART in 2021 reported.
This research found no South Dakota law requiring insurers to cover infertility treatment, IVF or fertility preservation, so your plan's own terms decide what is paid. Ask your insurer or HR, and confirm with the state insurance department, because rules change. Ask any clinic you consider for its own results for women your age.
Map to the Positive describes treatment in levels of rising complexity, and many cases start well before IVF:
Knowing the levels lets you ask your doctor which one fits your diagnosis before you plan travel or costs for IVF.
The treatment levels and the ladder principle are Chapter 34 of Map to the Positive, in Station IV. The same station explains when to see a specialist, how to choose a doctor and what happens in each phase of IVF.
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) · State-Specific ART Surveillance (CDC) (2024-10-09) · Coverage and Use of Fertility Services in the U.S., Appendix 1: State laws requiring private insurance coverage of infertility services (KFF) (2020-05) · Health Insurance & Fertility Services: State Laws (Triage Cancer) (2025-09)