The Cost of a D&C Procedure After Miscarriage: With and Without Insurance

A dilation and curettage procedure (D&C) is often performed to remove tissue from the uterus following a miscarriage. The financial burden of this procedure can range from $709 to over $15,000 depending on multiple factors. Beyond the financial aspect, miscarriage also carries profound emotional, physical, and mental tolls.

What Is a D&C?

A D&C is a procedure where a healthcare provider removes uterine tissue. It may be done after a miscarriage or for other reasons, such as:

Diagnosing uterine cancer or other health conditions
Removing endometrial polyps
Performing an abortion
Removing a displaced intrauterine device (IUD)
Treating abnormal or heavy menstrual bleeding

The cervix is dilated, and tissue is scraped using a curette. Patients typically receive either local or general anesthesia.

How Much Does a D&C Cost?

The financial side of pregnancy loss is often overlooked. A D&C procedure can cost anywhere from $709 to over $15,149, depending on factors like:

Stage of pregnancy
Location and facility
Additional medical care required
Insurance coverage

Even though medical costs vary, receiving a bill during such an emotionally fragile time can feel overwhelming.

With Insurance

If you have insurance, the cost of a D&C typically ranges between $709–$8,170.

First-trimester D&C: about $1,103–$8,507
Second-trimester D&C: about $998–$7,864

Your out-of-pocket costs depend on your insurance plan, including coinsurance, deductibles, and copayments. Medicaid programs may help cover pregnancy-related services, including D&C.

Without Insurance

For those without insurance, the cost can be much higher.

First-trimester D&C: around $15,149 or more
Second-trimester D&C: up to $16,523

The absence of financial protection can make an already devastating loss even more difficult to manage.

Other Options After a Miscarriage

Not all miscarriages require a D&C. Alternatives include:

Natural passing: In many cases, the tissue exits naturally within two weeks.
Medication management: Oral or vaginal medications can help the uterus contract and expel tissue, usually within 48 hours. This method is often less costly than surgery.

If the tissue does not pass naturally or with medication, a D&C may still be necessary to prevent complications.

Emotional Support After Miscarriage

The emotional cost of miscarriage can be heavy. Feelings of shame, guilt, and self-blame are common but unfounded—most miscarriages are not preventable.

Support options include: