IVF Clinics: AI Visibility Market Discovery Index

Tracking how AI platforms recommend ivf clinics. This public AI Visibility Market Discovery Index is updated monthly since July 2026.

Mark Huntley, J.D.
By Mark Huntley, J.D.Growth Strategist & AI Discovery Analyst
8 minutes read

Benchmark Summary

Questions This Section Answers

  • Which IVF clinic leads AI recommendation coverage in the October 2026 benchmark?
  • Which brands posted the largest movement in recommendation coverage, and in which direction?

CCRM Fertility leads valid recommendation coverage in October 2026 at 36.4%, ahead of RMA Network at 30.2%, a gap of 6.2 percentage points. The month produced movement beyond normal variation in both directions: RMA Network posted the largest increase, rising to 30.2% in October 2026 from 21.4% in September 2026 and from 18.1% in July 2026, while Kindbody posted the largest decline, falling to 5.5% in October 2026 from 14.4% in July 2026, a drop of 8.9 percentage points.

RMA Network's gains were broad-based. Presence rate rose to 43.3% in October 2026 from 27.6% in July 2026, top-three rate rose to 16.2% from 10.7%, and rank-one rate rose to 4.5% from 1.2% over the same period. Kindbody declined in each of the three months since July 2026, with presence rate falling to 10.0% in October 2026 from 24.3% in July 2026 and top-three rate falling to 2.4% from 8.6%.

The benchmark began with 613 prompt-surface observations in October 2026 and produced 291 qualified observations after qualification.

AI recommendation trend

valid recommendation coverage, Jul 2026 to Oct 2026

0%10%20%30%40%Jul 2026Aug 2026Sep 2026Oct 2026
  • CCRM Fertility36.4%
  • RMA Network30.2%
  • Shady Grove Fertility23.0%
  • Columbia University Fertility Center19.9%
  • Pacific Fertility Center10.3%
  • Spring Fertility7.9%
  • Boston IVF5.5%
  • Kindbody5.5%
  • Extend Fertility1.0%
  • US Fertility0.0%

Current Benchmark at a Glance

Measure

Jul 2026

Oct 2026

Movement

Qualified benchmark observations

243

291

Up 48

Tracked brands

10

10

No change

Qualified surface breadth

6

6

No change

Recommendation-shaped answer share

30.9%

33.7%

Up 2.8 points

Valid recommendation shortlist share

45.3%

56.0%

Up 10.7 points

Leader by valid recommendation coverage

CCRM Fertility

CCRM Fertility

No change

Qualified surface breadth counts the canonical AI surface families with at least one qualified observation: ChatGPT, Copilot, Gemini, Perplexity, AI Overviews, and AI Mode. Qualified observations peaked at 331 in September 2026 before October's reading of 291.

For the strategic interpretation of this benchmark, read CiteWorks Studio's analysis of How AI Search Is Recommending IVF Clinics

Research Scope and Qualification

Questions This Section Answers

  • How many prompt-surface observations were collected, and how many qualified for the public IVF benchmark?
  • Why does the benchmark use qualified observations instead of the full raw collection as its denominator?

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The public benchmark is narrower than the raw collection universe by design. The table below shows how observations progressed from raw collection to the qualified benchmark denominator.

Research stage

Jul 2026

Oct 2026

What it represents

Source prompt-surface observations

356

613

Total prompts collected across AI surfaces

Unique questions

299

466

Distinct questions after deduplication

Brand / competitor mentions

356

535

Prompts containing brand or competitor names

Relevant observations

301

458

On-topic observations for the IVF Clinics vertical

Irrelevant observations

55

77

Off-topic observations excluded from analysis

Qualified benchmark observations

243

291

Public denominator for all brand-level metrics

Brand-level percentages use the qualified observations as the public denominator, not the raw collection. See the AI Visibility Market Discovery Methodology for full details.

Current Brand Standings

Questions This Section Answers

  • Where does each tracked fertility brand land across presence, recommendation coverage, and placement measures?
  • Why can a brand have high presence but low valid recommendation coverage in AI answers?

Brand

Presence rate

Valid recommendation coverage

Top-three rate

Rank-one rate

Net sentiment

CCRM Fertility

54.6%

36.4%

26.8%

11.3%

0.67

RMA Network

43.3%

30.2%

16.2%

4.5%

0.71

Shady Grove Fertility

39.9%

23.0%

17.2%

3.1%

0.60

Columbia University Fertility Center

21.0%

19.9%

17.5%

12.7%

0.95

Pacific Fertility Center

23.0%

10.3%

8.9%

2.8%

0.46

Spring Fertility

11.0%

7.9%

5.1%

1.4%

0.72

Boston IVF

8.2%

5.5%

2.8%

1.7%

0.67

Kindbody

10.0%

5.5%

2.4%

0.0%

0.55

Extend Fertility

7.2%

1.0%

0.7%

0.3%

0.14

US Fertility

2.8%

0.0%

0.0%

0.0%

0.00

How to Read the Standings

Presence rate measures how often a brand appears in AI responses, regardless of context. Valid recommendation coverage measures the share of qualified observations where the brand receives a clear recommendation. Top-three rate measures the share where the brand appears among the first three recommended options. Rank-one rate measures the share where the brand is the single top recommendation. Net sentiment reflects the balance of positive versus negative framing in mentions. For formulas and denominator rules, see AI Visibility Market Discovery Metric Definitions.

Recommendation Coverage Movement

Questions This Section Answers

  • Which fertility brands moved beyond normal month-to-month variation since July 2026?
  • What drove RMA Network's rise and Kindbody's decline in recommendation coverage?

Brand

Jul 2026

Oct 2026

Movement since baseline

Boston IVF

2.5%

5.5%

Up 3.0 points

CCRM Fertility

37.5%

36.4%

Down 1.1 points

Columbia University Fertility Center

16.9%

19.9%

Up 3.0 points

Extend Fertility

2.1%

1.0%

Down 1.1 points

Kindbody

14.4%

5.5%

Down 8.9 points

Pacific Fertility Center

5.8%

10.3%

Up 4.5 points

RMA Network

18.1%

30.2%

Up 12.1 points

Shady Grove Fertility

26.3%

23.0%

Down 3.3 points

Spring Fertility

8.6%

7.9%

Down 0.7 points

US Fertility

0.8%

0.0%

Down 0.8 points

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Six of ten tracked brands moved within normal month-to-month variation across the full series, including CCRM Fertility, Columbia University Fertility Center, Extend Fertility, Shady Grove Fertility, Spring Fertility, and US Fertility.

Largest Increase: RMA Network

RMA Network posted the largest rise among tracked brands, adding 8.8 percentage points from September 2026 to October 2026 alone, reaching 30.2% valid recommendation coverage from 21.4%. Across the full series the increase is 12.1 percentage points, from 18.1% in July 2026. Presence rate rose to 43.3% in October 2026 from 27.6% in July 2026, and rank-one rate rose to 4.5% from 1.2% over the same period. The brand moved up in each of the two months since August 2026.

Largest Decline: Kindbody

Kindbody's valid recommendation coverage fell to 5.5% in October 2026 from 14.4% in July 2026, a drop of 8.9 percentage points that exceeds normal month-to-month variation. The brand declined in each of the three months since July 2026. Presence rate fell to 10.0% in October 2026 from 24.3% in July 2026, and top-three rate fell to 2.4% from 8.6% over the same period. Kindbody's rank-one rate reached 0.0% in October 2026, down from 0.8% in July 2026.

Category Leader: CCRM Fertility

CCRM Fertility held the top valid recommendation coverage for the fourth consecutive month at 36.4% in October 2026. The gap to RMA Network narrowed sharply, from 19.3 percentage points in favor of CCRM Fertility in July 2026 to 6.2 points in October 2026. The brand led top-three rate at 26.8% in October 2026, unchanged from 26.8% in July 2026, while its presence rate declined to 54.6% from 67.9% and its rank-one rate declined to 11.3% from 16.9% over the same period.

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Recommendation Placement Snapshot

Questions This Section Answers

  • Which fertility brands are most likely to appear in the top three or first position in AI recommendations?
  • How can a brand rank first more often than the coverage leader?

Coverage alone does not show how prominently a brand is recommended. The table below shows how often leading brands appear in top-three and first position.

Brand

Oct 2026 top-three rate

Oct 2026 rank-one rate

Jul 2026 top-three rate

Jul 2026 rank-one rate

CCRM Fertility

26.8%

11.3%

26.8%

16.9%

Columbia University Fertility Center

17.5%

12.7%

14.0%

10.7%

Shady Grove Fertility

17.2%

3.1%

18.5%

2.1%

Similar coverage levels can still hide different first-position rates. Columbia University Fertility Center holds a rank-one rate of 12.7% in October 2026, above CCRM Fertility's 11.3%, despite lower overall coverage.

Buyer-Intent Distribution

Questions This Section Answers

  • Which buyer-intent classes are currently measured in the public fertility benchmark?
  • What does the absence of pricing and multi-brand comparison classes mean for how this benchmark should be read?

All qualified observations in July 2026 and October 2026 fell into the Brand Recommendation class.

Buyer-intent class

Jul 2026

Oct 2026

Brand Recommendation

243

291

Pricing & Value

0

0

Multi-Brand Comparison

0

0

Total qualified observations

243

291

The current public series measures brand recommendation discovery and does not yet contain qualified observations in the pricing, value, or multi-brand comparison classes.

Historical Measurement Record

Questions This Section Answers

  • Has any brand other than CCRM Fertility led valid recommendation coverage across the four monthly readings?
  • What was the largest coverage movement recorded in each month since the July 2026 baseline?

Measurement

Qualified observations

Coverage leader

Leader coverage

Largest coverage movement

Jul 2026

243

CCRM Fertility

37.5%

CCRM Fertility (baseline)

Aug 2026

315

CCRM Fertility

29.2%

CCRM Fertility down 8.3 points

Sep 2026

331

CCRM Fertility

31.7%

Kindbody down 7.2 points since Jul 2026

Oct 2026

291

CCRM Fertility

36.4%

RMA Network up 12.1 points since Jul 2026

No brand other than CCRM Fertility has led valid recommendation coverage across the four monthly readings.

Evidence and Source Layer

The benchmark is built from prompt-level observations that retain the query, AI/search surface, answer, brand outcome, recommendation placement, sentiment, and, where exposed, citations or attributable evidence sources. Source presence is evidence about the information environment. It is not automatically proof that the source caused the recommendation.

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Scope Boundaries

This public benchmark does not measure market share, attributable sales, every possible AI response, organic-search ranking, social mention volume, private or sponsored channels, or causality from a metric movement alone.

Top 10 Cited Domains

Questions This Section Answers

  • Which domains are cited most often across AI platform responses for IVF clinic recommendations?
  • How concentrated are AI citations, and which IVF brands' own domains appear in the top 10?

Across all AI platform responses in October 2026, the benchmark observed 4,660 citations drawn from 1,238 unique domains.

Rank

Domain

Citations

Share

Platforms citing

1

google.com

496

10.6%

AI Mode, AI Overviews

2

ccrmivf.com

222

4.8%

ChatGPT, Copilot, Gemini, AI Mode, AI Overviews, Perplexity

3

youtube.com

162

3.5%

AI Mode, AI Overviews, Perplexity

4

shadygrovefertility.com

157

3.4%

ChatGPT, Copilot, Gemini, AI Mode, AI Overviews, Perplexity

5

rmanetwork.com

135

2.9%

ChatGPT, Copilot, Gemini, AI Mode, AI Overviews, Perplexity

6

reddit.com

81

1.7%

ChatGPT, Gemini, AI Mode, AI Overviews, Perplexity

7

springfertility.com

75

1.6%

ChatGPT, Copilot, Gemini, AI Mode, AI Overviews, Perplexity

8

cnyfertility.com

74

1.6%

Copilot, Gemini, AI Mode, AI Overviews, Perplexity

9

pfcla.com

69

1.5%

Copilot, Gemini, AI Mode, AI Overviews, Perplexity

10

en.wikipedia.org

54

1.2%

ChatGPT, Copilot, Gemini, AI Mode, AI Overviews, Perplexity

Citations are moderately concentrated: the top 10 domains account for roughly a third of the 4,660 citations observed, led by google.com at 10.6%, with the remaining long tail spread across more than 1,200 additional domains. Four tracked brands' own domains appear in the top 10: ccrmivf.com at 4.8%, shadygrovefertility.com at 3.4%, rmanetwork.com at 2.9%, and springfertility.com at 1.6%. Clinic and clinic-network sites dominate the list overall, joined by a large general platform (google.com), a video platform (youtube.com), a forum (reddit.com), and an encyclopedia (en.wikipedia.org).

About This Benchmark

The LLM Authority Index AI Visibility Market Discovery Index tracks how AI search and chat surfaces present brands across a vertical, measuring presence, recommendation coverage, placement, and sentiment in response to real buyer questions. The benchmark is released monthly and accumulates into a growing public record.

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