The increase in the prevalence of infertility among the population determines the need for further development and use of assisted reproductive technologies. Purpose of the study: to study the state of the market of assisted reproductive technologies in Russian Federation and Bashkortostan Republic. Material and methods: analysis of statistical information in the field of healthcare of Russian Federation and Bashkortostan Republic. Results: the number of ART centers and cycles in Russia are steadily growing, while the part of state centers and cycles performed in them is just 1/3 and tends to decrease. Private clinics, both in Russia and Bashkortostan Republic, actively participate in state guarantee programs and account for more than half of all ART treatment cycles.