At a glance

A practical guide to understanding what a PGT-A quotation from a Thai clinic may include or exclude, and the questions that help international patients compare quotes fairly.

If you are comparing PGT-A quotations from clinics in Thailand, the headline number is rarely the full story. A quotation may cover the genetic laboratory fee but not the embryo biopsy, or it may include a set number of embryos and charge separately for additional ones. Because PGT-A is usually part of an IVF cycle, the quotation may also sit alongside IVF fees, medication, monitoring, and storage. This guide explains the categories that commonly appear in a PGT-A quotation, the boundaries that are often left unstated, and the questions that help you compare quotes on equal terms. It does not provide prices, because those depend on the clinic, the laboratory, and your individual treatment plan.

At a glance

  • PGT-A is a laboratory test performed on embryos created during IVF, so its cost is usually quoted alongside IVF costs, not instead of them.
  • A quotation may separate the biopsy procedure, the genetic laboratory analysis, and any embryo storage or re-biopsy fees.
  • Some quotes are per embryo, some are per cycle, and some combine both. Ask which model applies.
  • Written boundaries matter more than a single total, because they show what would trigger an additional charge.
  • Cost is only one part of the decision. Ask how results are reported, what happens if no embryo is suitable for testing, and how the clinic communicates with patients abroad.

Why a PGT-A quotation is not a single price

PGT-A, or preimplantation genetic testing for aneuploidy, is a screening test that examines the number of chromosomes in an embryo. It is not a treatment on its own. It is performed in a laboratory after embryos have been created through IVF and usually after they have reached a certain stage of development. Because of this, the cost of PGT-A is layered on top of the IVF cycle rather than replacing any part of it.

For international patients, this layering is where confusion often starts. A clinic may present one figure for the IVF cycle and another for PGT-A, or it may present a package that combines several services. Neither approach is wrong, but they are not directly comparable unless you know what each figure covers. The useful question is not only “How much is PGT-A?” but “What exactly is included in this quotation, and what would cause the cost to change?”

Common cost components in a PGT-A quotation

The exact structure varies by clinic and laboratory. The categories below are the ones most often separated in quotations, and they are the ones worth checking line by line.

Embryo biopsy

Before the genetic laboratory can analyse an embryo, a small sample of cells must be removed. This is the biopsy. In some quotations the biopsy is included in the PGT-A fee; in others it is billed as a separate procedure. It may also be charged per embryo, which means the total depends on how many embryos are suitable for biopsy. Ask whether the biopsy fee is included, and whether it is charged per embryo or per cycle.

Genetic laboratory analysis

This is the part most people think of as “the PGT-A test.” It covers the laboratory work that examines the biopsy sample and produces a result. The fee may be quoted per embryo, per batch of embryos, or as a flat fee for the cycle. If the quotation is per embryo, ask what happens if more embryos are available than expected, or fewer.

Embryo storage

Embryos that are biopsied are usually frozen while waiting for results, and they may remain in storage afterwards. Storage is often billed separately and may be charged monthly, annually, or for an initial period. Ask when storage begins, how it is billed, and what happens if you need to continue storage longer than the initial period.

Re-biopsy or repeat testing

Occasionally a sample may not give a clear result, and the clinic may discuss whether a repeat biopsy or repeat analysis is possible. This is not a routine part of every cycle, but it is a boundary worth clarifying in advance. Ask whether a repeat test would be charged again, and under what circumstances.

IVF cycle costs that sit alongside PGT-A

PGT-A does not replace the IVF cycle. Monitoring, egg retrieval, laboratory fertilisation, medication, and embryo freezing may all be quoted separately. If you are comparing PGT-A quotations, make sure you are also comparing the IVF quotation, because a lower PGT-A figure may sit next to a higher IVF figure, or vice versa.

What a quotation may leave out

Quotations are usually written for a typical pathway, and real cycles do not always follow the typical pathway. The following items are commonly excluded or only partly covered. They are not hidden fees in every case, but they are the questions that most often change the final amount.

  • Number of embryos tested. If the quote is per embryo, the total depends on how many embryos are available and suitable for biopsy.
  • Medication. Fertility medication is often quoted separately and can vary with your response to treatment.
  • Additional monitoring or visits. Extra scans, blood tests, or consultations may be billed individually.
  • Storage beyond an initial period. Storage is often time-limited in the quotation.
  • Shipping or transport of samples. If samples are sent to an external laboratory, transport may be a separate line.
  • Administrative or coordination fees. Some clinics charge for international patient coordination, translation, or records handling.
  • Travel, accommodation, and living costs. These are rarely included in a medical quotation but are part of your overall budget.

How to compare quotations fairly

Comparing quotations is easier when you use the same criteria for each one. The table below lists the questions that turn a headline figure into a comparable set of boundaries. It does not contain prices, because those must come from the clinic in writing.

Question Why it matters
Is the PGT-A fee per embryo or per cycle? Determines how the total changes with the number of embryos.
Is the biopsy included? Biopsy may be billed separately or per embryo.
Is embryo storage included, and for how long? Storage often continues after the test and may be billed over time.
What happens if a sample needs to be repeated? Clarifies whether a repeat test would be charged again.
Are IVF, medication, and monitoring included? PGT-A sits alongside IVF costs, not instead of them.
Are there administrative or coordination fees? International patient services may be billed separately.
How and when will results be communicated? Affects planning and follow-up, even if it is not a cost line.

Questions to ask a clinic before you commit

These questions are designed to produce written answers you can compare. Ask for them in writing, and keep the replies with your quotation.

  1. Can you send a written quotation that separates the IVF cycle, the PGT-A laboratory fee, the biopsy, and storage?
  2. Is the PGT-A fee charged per embryo, per cycle, or in another way?
  3. What is the maximum number of embryos covered by the quotation, if any?
  4. What would cause the quotation to increase, and how would I be told before the increase happens?
  5. Is embryo storage included, and if so, for how long and at what point does it renew?
  6. If a sample cannot be analysed, what are the options and would there be an additional charge?
  7. Which costs are paid to the clinic and which, if any, are paid to an external laboratory?
  8. What is your process for communicating results and next steps to patients who are not in Thailand?
  9. Are there any administrative, coordination, or records fees for international patients?
  10. What is your cancellation and refund policy if the cycle changes or is stopped?

Planning your budget beyond the quotation

A PGT-A quotation is one part of a larger budget. International patients usually also plan for flights, accommodation, local transport, meals, and time away from work. Some clinics may ask for a deposit before treatment starts, and payment schedules can vary. Ask how and when payments are due, what currency is used, and whether any bank or transfer fees apply. These are practical boundaries that affect your total outlay even though they are not medical fees.

It is also worth asking how the clinic handles communication while you are abroad. A clear point of contact, a written summary of your plan, and an agreed way to share results can reduce uncertainty. These are not cost items, but they are part of comparing clinics as a whole.

What PGT-A can and cannot tell you

PGT-A is a screening test. It provides information about the number of chromosomes in the cells sampled, and it is used to help decide which embryos may be considered for transfer. It does not guarantee a pregnancy, a live birth, or a healthy child, and it does not test for every possible genetic condition. A clinic should explain the limitations of the test, what a result can and cannot show, and how the result fits into your wider treatment plan. If a quotation is presented as a guarantee of an outcome, that is a reason to ask more questions rather than fewer.

Next steps

Start by requesting written quotations from the clinics you are considering, using the same list of questions for each. Compare the boundaries, not just the totals. If a quotation is unclear, ask for it to be rewritten with the inclusions and exclusions stated separately. You can read more about the wider cost picture in our guide to PGT-A cost in Thailand and our overview of IVF cost in Thailand. For general planning tools and background reading, see our patient resources, and if you would like help organising your questions, you can contact us.

Frequently asked questions

Does a PGT-A quotation in Thailand usually include the embryo biopsy?

It varies. Some clinics include the biopsy in the PGT-A fee, while others bill it separately or per embryo. Ask for the quotation to state clearly whether the biopsy is included, and whether it is charged per embryo or per cycle.

Is PGT-A charged per embryo or per cycle?

Both models exist. A per-embryo fee means the total depends on how many embryos are available and suitable for testing. A per-cycle fee is a single charge for the cycle. Ask which model applies and what happens if the number of embryos differs from what was expected.

What costs might appear in addition to the PGT-A fee?

Common additions include IVF cycle costs, medication, monitoring, embryo storage, administrative or coordination fees, and travel. The exact list depends on the clinic. Ask for a written quotation that separates each category so you can see what is included.

Can I get a fixed total price for PGT-A before I start?

Some clinics may offer a package, but many quotations are estimates because the number of embryos and your response to treatment can vary. Ask what would cause the quotation to change and how you would be informed before any additional charge is made.

What should I do if a quotation is unclear?

Ask the clinic to rewrite it with inclusions and exclusions stated separately. Use the same questions for each clinic you contact so you can compare like with like. Keep all written replies with your quotation for reference.

Continue your research

Medical information notice: This article is educational and does not replace individual assessment, diagnosis, genetic counselling or treatment advice from a licensed clinician. Provider services, availability, fees and policies should be verified directly before booking.

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