Yes, it does. I have watched average adoption prices go from $3000 20 years ago to over $23,000 now. It's due to pure greed. Just a couple of years ago, adoptions were around $12-$15K and then the government passed a tax credit of $10K for adoption. Surprise!
Adoption agencies increased their prices by $10K.
You can sometimes do private adoptions for less than that, like if you know a pregnant woman who will give you her baby. If her hospitalization is covered by Medicaid, you could get a very low-cost adoption as long as you can find a lawyer who will give you a decent price and not act like he found the baby and worked with the woman throughout her pregnancy.