ICSI cost breakdown
ICSI is not a separate treatment. It is one lab step inside an IVF cycle, so its cost is the IVF cycle cost plus the ICSI charge. The table below shows the full cycle with ICSI included in the total.
| What it covers | Cost |
|---|---|
| Consultation and diagnosisDoctor visits before treatment | ₹1,000 – ₹5,000 |
| Pre-IVF testsHormones, AMH, infection screening, semen analysis | ₹7,000 – ₹18,000 |
| Stimulation medicinesDepends on age, AMH and body weight | ₹25,000 – ₹60,000 |
| Sperm preparationWashing and selecting sperm in the lab | ₹2,000 – ₹8,000 |
| Anaesthesia for egg collectionShort anaesthesia, same-day discharge | ₹5,000 – ₹15,000 |
| IVF procedureEgg collection, fertilisation, embryo culture and fresh transfer | ₹1,20,000 – ₹2,50,000 |
| ICSILow sperm count or motility, or earlier failed fertilisation | ₹20,000 – ₹50,000 |
| Total per cycle | ₹1,80,000 – ₹4,06,000 |
Figures as of 27 October 2026. Your exact cost is given in writing after your consultation and tests.
The ICSI line covers the embryologist's work of selecting sperm and injecting one into each mature egg. Everything else in the table is the same as in conventional IVF.
What ICSI is, in simple terms
In conventional IVF, eggs and many sperm are placed together in a dish, and sperm fertilise the eggs on their own. In ICSI, the embryologist picks a single sperm and injects it directly into each mature egg.
Both methods use the same medicines, the same egg collection and the same embryo transfer. Only the fertilisation step differs. You can read more on the ICSI treatment page.
ICSI and IVF costs side by side
The only cost difference between the two methods is the ICSI step. The rest of the cycle is priced the same way.
| Treatment | Cost per cycle | Fertilisation method |
|---|---|---|
| Conventional IVF | ₹1,60,000 – ₹3,56,000 | Sperm fertilise eggs on their own in the dish |
| IVF with ICSI | ₹1,80,000 – ₹4,06,000 | One sperm injected into each mature egg |
| ICSI step alone | ₹20,000 – ₹50,000 | Added to the IVF cycle when advised |
How the ICSI step works in the lab
- Egg collectionEggs are collected from the wife under short anaesthesia, exactly as in conventional IVF.
- Sperm preparationThe semen sample is washed, and the embryologist selects sperm that look healthy and move well.
- Checking the eggsThe cells around each egg are removed so the embryologist can see which eggs are mature.
- InjectionUnder a microscope, one sperm is drawn into a very fine needle and injected into each mature egg.
- Fertilisation checkThe next day, the lab checks which eggs have fertilised. These embryos are grown for three to five days.
When ICSI is needed
ICSI helps when sperm are unlikely to fertilise eggs without assistance. The doctor decides based on the semen analysis and your history.
- Low sperm count or poor sperm movement on the semen report
- Many abnormally shaped sperm
- Eggs that did not fertilise, or fertilised poorly, in an earlier IVF cycle
- Sperm taken surgically from the testis or epididymis (TESA or PESA)
- Very few eggs collected, where each one counts
- Frozen sperm or frozen eggs, in some cases
When conventional IVF may be enough
If the semen report is normal and there has been no earlier fertilisation problem, conventional IVF is often suitable. Common examples are blocked tubes, ovulation problems or unexplained infertility with normal sperm.
In these cases, ICSI may not be needed and you save its cost. Some clinics use ICSI routinely for every couple. Ask why it is advised in your case before agreeing to it.
ICSI or IVF: who decides?
The doctor recommends one method after looking at the semen analysis and any past treatment. Sometimes the final choice is made on the day of egg collection, once the sperm sample is seen. Consult your doctor about what fits your reports.
Get your ICSI estimate
Send your semen analysis and the wife's hormone reports. The doctor will tell you whether ICSI is needed and share a written, itemised estimate.
Extra costs that can come with ICSI
ICSI is often linked with male-factor infertility, so some couples also need other steps. These are charged only if your case needs them.
| Item | When it applies | Cost |
|---|---|---|
| ICSI | Low sperm count or motility, or earlier failed fertilisation | ₹20,000 – ₹50,000 |
| Blastocyst culture (day 5) | Growing embryos to day 5 before transfer | ₹10,000 – ₹25,000 |
| Embryo freezing | When extra good embryos are available | ₹15,000 – ₹40,000 |
| Embryo or egg storage, per year | After the first year of freezing | ₹5,000 – ₹15,000 |
| Frozen embryo transfer (FET) cycle | Using a frozen embryo in a later cycle | ₹40,000 – ₹80,000 |
| Assisted hatching | Some repeated-failure or frozen-embryo cases | ₹10,000 – ₹25,000 |
| Preimplantation genetic testing (PGT) | Only when medically advised | ₹75,000 – ₹3,00,000 |
| TESA / PESA (surgical sperm retrieval) | No sperm in the semen sample | ₹30,000 – ₹60,000 |
| Hysteroscopy or laparoscopy | If the uterus or tubes need treatment first | ₹40,000 – ₹1,00,000 |
| Donor egg programme | Very low AMH or repeated poor egg quality | ₹70,000 – ₹1,80,000 |
| Donor sperm | When no usable sperm is available | ₹5,000 – ₹15,000 |
- Surgical sperm retrieval. If no sperm are found in the semen, TESA or PESA costs ₹30,000 – ₹60,000.
- Embryo freezing. If more good embryos form than are transferred, freezing costs ₹15,000 – ₹40,000.
- Frozen embryo transfer. A later transfer using a frozen embryo costs ₹40,000 – ₹80,000.
- Donor sperm. Used only when no usable sperm can be found, and only from a registered ART bank.
For male fertility problems that may need treatment before ICSI, see male infertility treatment.
Tests that help decide on ICSI
The semen analysis is the main test. It reports sperm count, movement and shape. If the first report is abnormal, the doctor may ask for a repeat test after a few weeks, because results can vary.
The husband may also need a hormone test or a scan if the count is very low. These tests can usually be done in your own city and shared on WhatsApp for review.
Is ICSI safe?
ICSI is a well-established IVF technique used worldwide. The risks of the overall cycle are the same as for IVF, such as ovarian hyperstimulation (OHSS) and multiple pregnancy if more than one embryo is transferred.
Not every injected egg will fertilise or grow into a good embryo. Success depends mainly on age, egg reserve, sperm quality and embryo quality. The doctor explains your realistic chances after the tests.
Planning ICSI from another city
All treatment takes place at our Delhi clinic, at the same cost for every couple. The semen analysis, hormone tests and early scans can usually be done in your own city and reviewed on WhatsApp.
You then travel to Delhi for the first consultation, egg collection and embryo transfer. Travel and stay are not part of the medical estimate, so add them to your own budget.
Questions to ask before paying for ICSI
- Why is ICSI advised for us, based on which report?
- Is the ICSI charge included in the quoted IVF price or added later?
- Does the price change with the number of eggs injected?
- Are blastocyst culture and embryo freezing extra?
To compare ICSI with the standard IVF price, see the full IVF cost in India guide.