How much does the abortion pill cost?

The abortion pill costs $0–$399 for online care at carafem and $0–$475 for an in-person visit at a carafem health center, less than half the U.S. average of $300–$800. Pricing follows a sliding scale based on income, so many people pay far less, and some pay nothing. Financial assistance and insurance (for in-person visits) can lower the cost further. The price for Immediate Evaluation and in-clinic abortion pills includes the medication, 24/7 clinical support, Cara, and a mailed comfort kit, with no hidden fees.

Why does the abortion pill cost vary so much?

The price of the abortion pill changes based on a few real-world reasons: the type of care, how it's delivered, how far along the pregnancy is, where you live, and how each provider sets prices. Understanding these helps you compare options and find care that fits your budget.

Type of abortion

The abortion pill (medication abortion) usually costs less than an in-office procedural abortion. For many people, that's one reason to choose pills when they're an option.

How care is delivered

Abortion pills by mail are often more affordable than in-clinic abortion care. With online abortion care, FDA-approved pills are mailed to your home, or where you are most comfortable, in plain, unmarked packaging after you fill out an online form, and include 24/7 support from licensed providers through Cara, carafem's text-based abortion companion. Because there's no building or in-person visit involved, costs stay lower. Some people prefer in-person care, meeting a provider face-to-face, and taking the first dose during the visit, which can add some cost.

How far along you are

Care earlier in pregnancy usually costs less. Abortion pills work up to 12 weeks of pregnancy; if you are further along, an in-office procedure may be needed, which can raise the total cost.

Where you live

Abortion costs vary largely by state. Where in-clinic access has been restricted, providers often face higher operating costs, so prices may be higher. By offering telehealth in many states, carafem helps keep cost lower and care more accessible.

How each provider sets prices

Some providers charge set fees. Others, like carafem, use sliding-scale pricing, so clients pay based on what they can afford based on eligibility.

Are there hidden fees with the abortion pill?

No, carafem's price has no hidden or surprise fees. Some providers charge extra for anti-nausea or pain medication, lab work, or follow-up visits.

At carafem, your Immediate Evaluation online or in-clinic abortion pill appointment always includes:

• FDA-approved abortion medicine

• 24/7 clinical support during your abortion

• Access to Cara, carafem's text-based abortion care companion, for instructions, reminders, follow-ups, and questions

• A mailed comfort kit with helpful items to support you through the process.

Knowing the full price upfront is part of what makes carafem's care clear and, for many people, more affordable than other options.

How do sliding scale fees work?

A sliding scale means you pay based on your income and eligibility, not a single flat price. For online abortion care, that's a range of $0–$399, so two people can pay very different amounts for the same care, and some pay nothing at all. You don't need to calculate anything yourself: you can find out instantly online if you qualify for financial aid and carafem's team can also help you understand your options. Learn more about cost and pricing.

Does insurance cover the abortion pill?

Insurance is accepted for in-person visits at carafem's Atlanta, Chicago, and Washington, DC health centers. For abortion pills by mail, you can call us at (855) 729-2272 to schedule a Video Visit to discuss insurance options and financial assistance.

If you're visiting a health center, please share your insurance details at least 24 business hours before your appointment so the team can check your benefits and explain what your costs might be. Plans accepted vary by location:

Atlanta, GA — Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare

Chicago, IL — Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Illinois Medicaid

Washington, DC — Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Maryland Medicaid

Having insurance isn't a guarantee of benefits; try to confirm coverage with your plan before your visit. For the latest details, keep an eye on the costs page.

Does Medicaid cover abortion in my state?

Medicaid coverage for abortion depends on your state, and many states don't cover it. At carafem, Medicaid may be accepted at the Chicago and Washington, DC health centers. For the most up-to-date information, please call the health center you'll be visiting:

• Atlanta, GA

• Chicago, IL

• Washington, DC

Medicaid isn't available through Immediate Evaluation, but if you have Illinois or Maryland Medicaid, you can call us at (855) 729-2272 to schedule a Video Visit and still get abortion pills by mail.

What financial assistance is available for abortion care?

If you need help paying, financial assistance is available, and cost should never be the reason you can't get care. carafem's support works in a few ways:

• carafem's sliding scale lowers your price based on income, some clients pay $0.

• Insurance and Medicaid are accepted for in-person visits at carafem's health centers (Medicaid in select states).

• Nearly 20 regional abortion funds partner with carafem to help cover or reduce costs, depending on where you live.

• Justice Funds and WRRAP screening happens automatically when you use Immediate Evaluation for pills by mail. For an in-person or video visit, call (855) 729-2272.

If you're not near a carafem health center, you can travel to a state where we provide care or we help you find the care you need. Learn more about financial assistance.

How to find safe, honest abortion care

When you look into the abortion pill cost, be sure you are comparing real medical providers.

Always choose a provider who is:

• Clear about prices and services

• Open about medical rules and choices

• Available to answer questions

• Licensed to provide abortion care

Be careful of crisis pregnancy centers. They are not medical providers and do not offer abortions. These centers often pretend to be clinics online. They may advertise "free services." However, they aim to slow down or stop care, not provide it.

Learn how to keep yourself safe and find real abortion care: Use the Crisis Pregnancy Center Map to find non-medical centers in your area. Try to make sure you are connecting with a real abortion provider.

Can I get financial assistance for abortion care?

Yes. If you need help paying for care, financial help is available. At carafem, our care teams help people apply for lower prices. They also help connect them with an abortion assistance fund that can help lower (or even cover) the cost of your abortion. If you need financial assistance, abortionfunds.org provides a handy and comprehensive guide to connect you with local funding resources. They may be able to cover some or all of your abortion pill cost. This depends on if you qualify.

If you are not near a carafem health center, other abortion funds can also help lower or cover costs. Visit the National Network of Abortion Funds for a full list of support groups and next steps.

How do state laws affect the cost of the abortion pill?

State laws shape both access and price. Where in-clinic access has been restricted, people may travel farther or face fewer providers, which can increase costs. Checking your state's rules on insurance and Medicaid coverage helps you plan. Online care from carafem keeps pricing from increasing too much from state to state.

For a general idea of state rules, you can read summaries about the legality of abortion from the National Women’s Law Center. However, laws and insurance plans change often. The best way to be sure about coverage is to call your provider directly with your insurance details.