Our 75-minute in-office preconception visit in downtown Birmingham is $175. We review your health and cycle history, coordinate appropriate blood work and ultrasound scheduling, and create a personalized TTC roadmap. Lab fees are billed separately by the lab or provider; imaging fees are billed separately by the imaging provider. This is supportive education and care coordination, not diagnosis or a guarantee of pregnancy. Referral to an OB or reproductive endocrinologist may be recommended.