The cost of adoption will vary based on the type of adoption you choose, the state you live in, where you adopt from, etc. No adoption program is without risk as governmental policies and mandates are continuously shifting. Your agency can serve as a key advocate in helping you determining the reliability of each program they offer as well as the general wait time to referral and placement. All of American Adoptions’ services are free to you, including medical expenses, legal services, counseling services, adoptive family matching services, and more. Also, based on your state’s adoption laws, you may be eligible to receive living expenses to help cover your pregnancy-related expenses. While many feel by charging for adoption services “you are putting a price tag on a child,” there are real costs associated with adoption. Adoptions through foster care are paid for through taxes.