In CDC's 2021 state data brief (published December 2023), 43 Texas clinics reported data, and women living in Texas had 18,906 ART procedures, or 2,672 per million women aged 15 to 49 (U.S.: 3,250). ART babies made up 2.0% of births to Texas residents in 2021: 7,315 of 373,594 (U.S.: 2.3%).
| CDC measure, 2021 | Texas |
|---|---|
| Clinics in Texas reporting to CDC | 43 |
| ART procedures for women living in Texas | 18,906 |
| Procedures per 1 million women aged 15 to 49 (U.S.: 3,250) | 2,672 |
| Embryo-transfer procedures among them | 15,774 |
| Live-birth deliveries from these procedures | 7,403 |
| Live-born infants from these procedures | 7,798 |
| Babies born in 2021 to Texas residents conceived with ART | 7,315 of 373,594 (2.0%; 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 18,906 procedures included 15,774 embryo transfers and resulted in 7,403 live-birth deliveries and 7,798 live-born infants. The 7,315 figure is a different count: babies born during calendar year 2021 to mothers living in Texas.
CDC counts each procedure by where the patient lives, so the totals include Texans treated in other states. The 43 clinics are those that reported; nationally, 453 of the 501 clinics that performed ART in 2021 did.
Statewide numbers cannot tell you how one clinic does for women your age, so ask each clinic for its own results. On cost, Texas group plans that cover pregnancy must offer IVF coverage, but employers decide whether to buy it, and fertility preservation coverage has been required since September 1, 2023. Ask HR what your plan includes, and confirm, because rules and prices change.
With dozens of clinics to choose from, the size question comes up. Map to the Positive's answer: large clinics tend to have more infrastructure (an in-house lab, IVF on site) and standardized workflows; private practices tend to offer longer appointments and more personalized care. Neither model is better. What matters is the professional, not the size.
Whichever you choose, the book suggests asking at the first appointment:
Choosing between clinics and doctors is Chapter 31 of Map to the Positive, in Station IV, with the full first-appointment script, the warning signs and when to get a second opinion. Chapters 34 and 35 explain the treatment ladder and IVF step by step.
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) · State and Territory Infertility Insurance Laws: Texas (ReproductiveFacts.org, ASRM) (accessed 2026-10-30) · Health Insurance & Fertility Services: State Laws (Triage Cancer) (2025-09)