Is a $200+ pregnancy pillow worth it versus a $30 one?

That depends on whether adjustability matters to you. Premium options like the bbhugme command a price largely for microbead fill that can be reshaped and re-firmed throughout pregnancy and into postpartum use. Most pregnancy-subreddit users report that a sub-$50 U-shaped pillow handled their pregnancy fine, but those with chronic back or hip pain are the ones most likely to say a premium adjustable model was worth the price.