Kelly Lacob spent $83,450 to shrink the pool of half-siblings her future child might have. What that bought her, she admits, is a contract rather than certainty.
“Can I know with absolute certainty that he is trustworthy and will honor that commitment, based on three Zoom meetings? No, I can’t,” she told Bloomberg, “but I feel a lot more confident about his character than I would have if I hadn’t had the chance to meet him at all.”
Lacob, 36, who lives in San Francisco, is chief executive of Xella Health, a women’s health company that relies on AI. She’s pregnant with a girl due in December, conceived through in vitro fertilization (IVF) with donor sperm. She chose a San Diego boutique bank, Coast to Coast Sperm Donation, where a base package runs about $25,000, and a donor’s sperm goes to six families at most.
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Still uneasy with six, she paid another $25,000 to take three of those spots off the table, leaving just two other families able to choose him. The tab, which also covered the donor’s fee, genetic and medical screening, lawyers and his travel, hit $83,450 — and that didn’t include IVF. An inheritance from her late mother helped pay for it.
Compare that with a traditional bank’s vial, which, Bloomberg reported, can cost under $2,000, not counting storage, delivery or the insemination itself.
Why a contract only goes so far
The catch is in the fine print. Under the agreements, as Lacob describes them, the bank can pair him with no more than two other families, and he can’t give to rival banks. But he can still father children of his own or donate directly to a relative or close friend he knew beforehand, though Lacob says he told her he doesn’t expect either. She acknowledges she can’t fully control whether he donates to other sperm banks.
No single registry tracks donors, and nothing in the law guarantees exclusivity, reproductive attorney Melissa Brisman told Bloomberg. She doubts that paying to cap donations will, on its own, mean fewer potential siblings.
California Cryobank says something similar on its own site, noting that it “cannot stop a donor from donating to another sperm bank.”
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Rules for donors
The rules are thin overall. A 2023 analysis by the law firm Nixon Peabody found most states don’t regulate tissue banks. The Food and Drug Administration’s donor rules center on disease.
Its regulations require testing for HIV, hepatitis B and C, syphilis, chlamydia and gonorrhea, and draft guidance published Jan. 7, 2025 updated how banks judge donor eligibility. Neither addresses how many families one donor can serve.
The American Society for Reproductive Medicine suggests in 2024 guidance that one donor be limited to 25 births per 800,000 people. In 2022, Colorado passed a law barring banks from matching a donor with more families once 25 have been created with his sperm anywhere.
What exclusivity costs
Lacob isn’t alone in her concerns. Bloomberg reported that donor-matching service Seed Scout charges $24,500 for full exclusivity, and Cryos International charges $49,000 before fees. California Cryobank sells a $70,000 Platinum Reserve for sole access, or a $35,000 Silver Reserve that limits access to you and nine other families.
But there are additional costs, and insurance often doesn’t help. KFF’s 2024 Women’s Health Survey found that 12% of women who needed fertility services said they didn’t get them mainly because of cost. Its 2024 employer survey noted only about 27% of large employers that offer health benefits cover IVF.
What to know before you pay
If you’re considering IVF, before committing, it’s important to understand exactly what the agreement forbids and what it leaves out, whether the donor can give directly to friends or family or donate elsewhere and what happens if he breaks the agreement.
It can also be worthwhile speaking with a tax professional about which costs might count as medical expenses. The IRS lists IVF and short-term storage of eggs or sperm as medical expenses, but only the amount above 7.5% of your adjusted gross income counts. Whether donor-sperm and exclusivity fees qualify isn’t clear from the list.
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With a writing and editing career spanning over 15 years, Emma creates and refines content across a broad spectrum of industries, including personal finance, lifestyle, travel, health & wellness, real estate, beauty & fitness and B2B/SaaS/tech.
