This fact sheet highlights key data points related to abortion in the United States, drawing on the Guttmacher Institute’s long-standing efforts to document abortion numbers and rates, characteristics of people having abortions and related indicators.

The US abortion policy landscape continues to evolve in the wake of the Supreme Court’s June 2022 decision in Dobbs v. Jackson Women’s Health Organization, which overturned Roe v. Wade. The latest information on abortion policies in effect in each state—including total abortion bans and other restrictions—can be found on Guttmacher’s interactive abortion policy map.

Numbers and Rates

• An estimated 1,038,000 abortions were provided by clinicians in states without total bans in 2024, a less than 1% increase from 2023 and an increase of 12% from 2020.¹ This count includes medication abortions provided via telemedicine by US clinicians, with pills mailed to patients in states without total bans or bans on telemedicine. It does not include self-managed abortions, such as those using medications mailed from pharmacies outside the United States. Evidence suggests self-managed abortions have increased since Dobbs.² 

  
• The abortion rate in 2024 was 15.4 abortions per 1,000 women aged 15–44. This is a decrease of 1% from 2023, when the abortion rate was 15.5, and an 7% increase from the 2020 rate.³
• Current national and state abortion counts are available from Guttmacher’s Monthly Abortion Provision Study. US abortion incidence data for 1973–2020 are available from the Guttmacher Data Center.

Providers

• In 2023, 765 brick-and-mortar clinics were providing abortion services in the United States, a 5% decline from 807 such clinics in 2020.⁴
• As of March 2024, there were no clinics providing abortion care in the 14 states with total abortion bans in effect at that time. These states had 63 clinics in 2020.⁴
• In the remaining 36 states (and the District of Columbia), where abortion was not completely banned, there were 21 more brick-and-mortar clinics operating in March 2024 than in 2020, a 3% increase.⁴
• Online-only, or virtual, clinics have come to play an important role in abortion access. In 2024, they accounted for 14% of clinician-provided abortions in states without total bans, an increase from 10% in 2023. Nationally, the share of abortions provided via online-only clinics is almost certainly higher than this, as the 14% estimate does not include shield law provision into states with total abortion bans.⁵

Out-of-State Travel

Abortion bans and other restrictions imposed or enforced after Dobbs have led to a surge in people traveling from states where abortion is banned or heavily restricted to seek care in states where abortion is available.⁶

• More than 169,000 US abortion patients traveled to other states to obtain care in 2023, representing 16% of all abortions provided in states without total bans. Half as many (81,000) did so in 2020.⁷
• In 2024, approximately 155,000 people crossed state lines to access abortion care, representing 15% of all abortions provided in states without total bans.
• The share of all abortion patients who traveled out of state for care increased from 9% in 2020 to 15% in 2024.⁷

Medication Abortion

Medication abortion accounted for 63% of all clinician-provided abortions in states without total bans in 2023; by contrast, this method accounted for 53% of abortions in 2020.⁸ At the state level, medication abortions accounted for the majority of abortions in nearly all US states without a total ban, ranging from 44% in Washington, DC and 46% in Ohio to 95% in Wyoming and 84% in Montana.⁹ These estimates do not include self-managed abortions or abortions occurring in states with total bans.

Characteristics of People Obtaining Abortions

The most recent data on the characteristics of people having clinician-provided abortions in the United States were collected in June 2021–July 2022 and represent the population of people obtaining abortions in the year prior to the Dobbs decision. The profile of people accessing abortion care may have changed since then.

• Among people obtaining an abortion, more than two-thirds were in their 20s: 33% were aged 20–24 and 28% were 25–29.¹⁰
• Adolescents made up 10% of people obtaining an abortion; 2% of people obtaining an abortion were 17 or younger.¹⁰
• Similar proportions of people obtaining an abortion were Black (29%), Latinx (30%) or non-Hispanic White (30%). Four percent were Asian and 7% identified as another race or ethnicity or as more than one race.¹⁰
• Approximately 55% of people who obtained an abortion had previously had at least one birth.¹⁰
• Sixteen percent of people having abortions identified as nonheterosexual: 12% identified as bisexual, 2% as pansexual, 0.3% as lesbian and 2% as something else.¹¹    
• More than 1% of people accessing abortion care reported their gender identity as something other than woman or female.¹¹
• Some 41% of people obtaining abortions had an income below the federal poverty level (FPL) and 30% had incomes between 100% and 199% of the FPL.¹⁰
• Approximately one in four women are expected to have an abortion by age 45, given 2020 abortion rates.¹²

• According to data from the Centers for Disease Control and Prevention (CDC), in 2022: 40% of abortions were obtained at six weeks’ gestation or earlier, 53% at 7–13 weeks’ gestation, and 7% at 14 weeks’ gestation or later.¹³ 

  

Insurance Coverage and Payment

Most individuals who obtained abortion care in 2021–2022 had some form of health insurance. But insurance does not necessarily cover abortion services, and even when it does, patients may not be able to use available coverage.

• More than three-quarters (78%) of people accessing clinician-provided abortion care had health insurance: 45% had Medicaid coverage, 27% had private insurance and 6% were insured through the Affordable Care Act’s exchanges. Twenty-two percent did not have health insurance.¹⁰
• More than half (53%) of people paid out of pocket for their abortion in 2021–2022.¹⁰
• Medicaid was the second most common method of payment and was used by 30% of people obtaining abortions. Thirteen percent of people used private insurance to pay for abortion care, and 15% relied on financial assistance (such as donations from abortion funds) to pay for some or all of the cost of their care.¹⁰