Darlington Medical Associates

In the U.S., the average in-clinic abortion under 12 weeks (from your last menstrual period) costs about $650, and the price usually goes up the further into pregnancy. Abortion pills are typically less expensive, averaging around $150, but with many providers offering sliding scale. Compare your options here.

Keep in mind that the total cost often includes more than just the procedure—many people also pay for things like travel, ultrasounds, medication, and childcare. You can explore common scenarios and real-life examples on our abortion cost estimator.

When you call a clinic, ask what the cost will be based on how many weeks pregnant you are. If you need help paying, let the clinic know. After you make an appointment, they may be able to offer financial assistance or connect you with a local abortion fund.

An in-clinic abortion takes place in a clinic or hospital. They’re medically very safe and 99% effective. There’s a variety of names used for in-clinic abortions, as well as different types. Some names you might come across are surgical abortion, procedural abortion, dilation and evacuation (D&E), dilation and curettage (D&C), or vacuum aspiration. It can be a bit overwhelming keeping track of all of these! What’s important is they’re all very safe and effective.

With a first trimester in-clinic abortion (up to 12 weeks), your doctor will numb and dilate your cervix in order to insert a narrow flexible tube into your uterus. The tube will then remove the pregnancy tissue with suction. The suction portion takes about a minute and the entire procedure takes around 10 to 20 minutes.

If you need an abortion later in pregnancy (over 13 weeks), you’ll likely have what’s called a dilation and evacuation (D&E). It may take place over two consecutive days and require multiple visits to a provider. This procedure also involves suction to empty your uterus.

One thing to keep in mind is that in-clinic abortions later in pregnancy cost more with fewer providers to choose from. If you need an abortion later in pregnancy, you may need to travel. That’s why it’s helpful to contact a verified clinic as soon as you’re able to.

Some clinics offer pain and sedation medications to help you feel more comfortable before, during, and/or after the procedure. Be sure to ask the clinic before you arrive about your options.

If you can't afford an abortion, or the costs associated with travel, there are organizations ready to help..

To compare the differences between in-clinic abortions, abortions with pills via a clinic, and ordering pills online, check out our Types of Abortion Guide

Medication abortion is a way to terminate a pregnancy by using medications. It’s often called the ‘abortion pill' though it's technically two drugs: Mifepristone and Misoprostol.

Abortion pills are accessible both in an in-clinic setting and online. In the United States, medical professionals most often prescribe them to people less than 12 weeks pregnant, though abortion pills are safe and effective throughout pregnancy.

In a clinic setting, you will typically swallow a tablet of Mifepristone in the clinic. This pill is designed to stop the growth of the pregnancy and prepare your body to pass pregnancy tissue. Your provider will send you home with tablets of Misoprostol and instructions for the next step.

At home, you should expect to have cramping and bleeding. You may also experience nausea, vomiting, diarrhea, and fever and chills. For most people, the abortion will be complete within 24 hours. Most clinics will schedule a followup appointment to confirm the pregnancy has been terminated.

For more information on the abortion pill and ordering online, check out Plan C's website. For one person's account with ordering online, check out this Reddit post.

If you'd like peer support and info throughout the process of planning or having an abortion with pills at home, call or text Reprocare - they are open 7 days a week at 833-226-7821

Puerto Rico constitutional protections recognize the right to abortion under the right to privacy. The law does not include a specific gestational limit, though not every clinic provides care at all stages of pregnancy.

If you are under 15, Puerto Rico generally requires consent from a parent or guardian. Requirements can vary, so we recommend calling the clinic for more information.

Telehealth abortion availability is limited and may depend on providers and shipping restrictions.

After 24 weeks, abortion is only allowed if it is necessary to protect the life of the pregnant person or in limited medical circumstances. Currently, there are not any providers in Puerto Rico who can perform abortions after 24 weeks. If you need to travel to a state where abortion is available later in pregnancy, you can go to a clinic and get care there.

We work diligently to keep this site as updated as possible. If you find something that is out of date, please fill out this form.

We’ve tried to provide answers and clear information on what to expect in seeking abortion access on this site because, we get it, we know sometimes it can be hard to know what exactly to ask. However, speaking to a knowledgeable counselor can actually feel great.

If you want to talk to someone, try contacting one of these hotlines depending on your need.

Helplines:

• Reprocare is a peer support healthline that provides accurate information and compassionate emotional support to anyone planning or having an abortion. Their hotline is available everyday from 12PM - 12AM EST.
  
  CALL, TEXT, or Signal at 833-226-7821

• Miscarriage + Abortion Hotline is a team of clinicians and volunteers with years of experience in caring for folks dealing with miscarriage and abortion.
  
  CALL or TEXT at 1-833-246-2632

• ALL-OPTIONS talkline is a great resource to speak to someone about… all of your options. You can talk to them if you’re trying to decide what to do about a pregnancy, or if you’re feeling complicated emotions about a decision you’ve already made. They’re happy to talk about anything related to pregnancy, abortion, adoption, or parenting. Their hotline is toll-free and available Mon-Fri 10-1am, Sat-Sun 10-6pm EST.
  
  CALL 1-888-493-0092

• Repro Legal Helpline provides free, confidential legal services for your reproductive life, including abortion, pregnancy loss, and birth. Contact the helpline through this form or call them at 844-868-2812 and leave a voicemail.

On the internet:

If you're still not ready to pick up the phone and struggling to make a decision, there's an incredible community on reddit at /r/abortion/, ready to help. You can sign up and create a "throwaway" account to message the group.

If you'd still like to do some personal research before talking to anyone, check out this Pregnancy Options Workbook from Cedar River Clinics.

Have a suggestion for another question we should include on the site? Let us know!