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How much does a VA nexus letter cost?

$400 flat rate from a board-certified physician, with the $50 record review applied toward your letter. Same price for a straightforward tinnitus claim or a multi-condition secondary chain. Standard pricing of $500 begins May 26, 2026.

Start My $50 Review Launch pricing ends May 25, 2026
Now through May 25
Launch pricing
$400
per nexus letter, every condition
Record review (paid at intake)$50
Letter fee (paid on completion)$350
Multiple conditions$400 each
Typical turnaround10 business days
Save $100 vs standard rate
Starting May 26
Standard pricing
$500
per nexus letter, every condition
Record review (paid at intake)$50
Letter fee (paid on completion)$450
Multiple conditions$500 each
Typical turnaround10 business days
What the $400 actually buys.
A real medical opinion from a real physician, written to the standard a VA examiner reads.

Record review by a board-certified physician

Your service treatment records, post-service medical records, and supporting documents are reviewed by a Family Medicine physician with active licensure and a Navy veteran service background.

A complete, signed nexus letter

Sections covering qualifications, methodology, records reviewed, history, current diagnosis, medical reasoning, opinion, and references. Cited to peer-reviewed literature, not boilerplate.

Pathway analysis from BVA outcome data

Your $50 review identifies the strongest causal framing (direct, secondary, or aggravation) by checking your records against 295,756 Board of Veterans' Appeals decisions. We tell you which path has won most often for cases like yours.

An honest answer if it's not yet supportable

If after reviewing the records the physician cannot reach the "at least as likely as not" threshold, you are not charged the $350 letter fee. You still receive a written analysis of why and what would strengthen the case.

Start My $50 Review Launch pricing ends May 25, 2026

Do you offer a payment plan?

No, and the structure is intentional. The pricing is already split into two pieces: $50 to find out if your case is supportable, then $350 only after the letter is written. That's how we kept the entry point low without needing financing.

The math: A $1,000 nexus letter on a 4-month payment plan still costs $1,000 total, often more with interest. Our $400 flat rate is less than half that, paid in two pieces, with the second piece only if the physician can support your case.

If your concern is "what if you take my $50 and don't write the letter," the answer is: you are not charged the $350 letter fee, and you keep the physician's written analysis of why the case isn't yet supportable. The $50 is for the physician's time on the review itself, regardless of outcome.

$400 is not the floor. It's the deliberate price.
Most physician-issued nexus letter services charge between $800 and $1,500. The same letter, written by a physician with similar credentials, often takes longer and costs more. The flat-rate model is what this service is built around.
What it costs Flat Rate Nexus Most other services
Total cost (single condition) $400 launch / $500 standard $800 to $1,500+
Cost to learn if your case is viable $50 (applied toward letter) Often $0 (then full price for the letter regardless)
Letter fee if case is not supportable $0 Varies; many charge full price
Complexity surcharge None Common, +$200 to $500
Multiple conditions $400 each (launch) Often discounted bundles, but per-letter cost still higher
Turnaround 10 business days 2 to 6 weeks typical
The questions veterans ask before they hit submit.
Real answers, in plain language. If your question isn't here, the full FAQ is on the homepage.

Why is $50 the starting fee?

The $50 record review buys real physician time spent reading your records and writing a viability assessment. It's not a deposit, it's not a hold, it's a discrete piece of work. If the physician can support your case, that $50 applies toward the $400 total and you only pay the remaining $350. If not, you've still received a written analysis you can use to plan your next move.

What changes on May 26, 2026?

Standard pricing of $500 takes effect. The $50 record review stays the same; the letter fee rises from $350 to $450. Cases submitted before May 26 are honored at the launch rate even if the letter is delivered after.

Are there any add-ons or upsells?

No. The $400 covers the complete signed letter. There are no rush fees, complexity surcharges, revision charges, or "premium" tiers. If a revision is needed within scope, it's included.

What about a DBQ (Disability Benefits Questionnaire)?

DBQs are not provided. The service is record-review only, no examinations, telephone consultations, or video visits. Nexus letter only, signed by the reviewing physician.

How does payment work?

Two charges. $50 at intake (Stripe). $350 invoice sent after the physician reviews your records and approves the draft. The letter is delivered upon receipt of the $350 payment. No subscriptions, no auto-renewals.

One thing we won't do: we won't write a "less likely than not" opinion just to deliver something for the fee. If after reviewing the records the case isn't strong enough to support an honest favorable opinion, we say so, you don't pay the $350, and you keep the physician's written analysis. Other services that take the fee regardless are part of why VA examiners are skeptical of nexus letters in general.
Start My $50 Review Launch pricing ends May 25, 2026