Nexus letter pricing
One Flat Fee, No Surprises
You served. You should not have to fight your own paperwork just to get the benefits you earned. Part of that fight is knowing what something costs before you commit.
So here is the deal, plain and simple. A Patriot Path nexus letter is $1,500, flat. The first consultation is free. We do not take a cut of your back pay, and we do not bill by the hour. You know the price before you say yes.
Flat fee, all conditions
$1,500
per nexus letter
- First consultation free
- Up to 5 conditions in one letter
- No percentage of your back pay
- Physician-signed, never templated
What $1,500 Gets You
One price. Here is everything that is inside it. No upsells once you are in.
- A full review of your records - service records, treatment history, and any prior VA decisions. A licensed clinician reads the whole file before anyone writes a word.
- An independent medical opinion that connects your condition to your service, written to the standard the VA looks for: “at least as likely as not.”
- A nexus letter signed by the clinician who wrote it, citing the medical literature, ready to submit with your claim.
- A Disability Benefits Questionnaire (DBQ) where it applies to your claim.
- Up to 5 conditions covered in a single letter for general medicine and toxic exposure claims. One fee, not five.
- For mental health claims, you speak with a PsyD during the engagement.
What $1,500 Does NOT Cover
We would rather be straight with you up front than surprise you later.
- It is not a guarantee your claim gets approved. The VA makes that call, not us. Be careful with anyone who promises a rating. What we control is the quality of the medical opinion.
- It is not legal advice and we are not your lawyer. We write the medical evidence. If you need legal representation, that is a separate thing.
- It is not a diagnosis or treatment. A nexus letter is a records-based medical opinion for your claim, not a doctor's visit.
- It does not file your claim for you. We write the medical evidence. You or your representative submit the claim to the VA.
Flat Fee vs. a Cut of Your Back Pay
You will see a few different pricing models out there. Here is how the flat fee stacks up, honestly.
Some nexus-letter and medical-evidence companies charge a percentage of your back pay, or tie their fee to your monthly award. That sounds friendly - “we only get paid if you win.” But think about what it means. If your claim goes back years, that percentage can swing into the thousands, far more than a flat letter fee. And the bigger your award, the more they take. Your win becomes their payday.
A flat fee is different. $1,500 is $1,500, whether your claim is small or life-changing. The number does not move with your award. You keep what you earned.
To be clear, this is not about attorneys. A VA-accredited lawyer working on contingency is a different thing entirely: that is legal representation, the fees are regulated under VA rules, and for many veterans hiring one is exactly the right move. Plenty of veterans do both - a lawyer for the claim, Patriot Path for the medical evidence. We just write the medical piece, at one honest flat price.
We keep that comparison general on purpose. The point is the pricing model, not naming names.
How It Works, Consult to Delivered Letter
Three steps. No mystery.
- 1
Free consultation
Tell us about your claim. We give you a straight answer on whether a nexus letter can actually help. If it can't, we will tell you that too - before you pay.
- 2
Records review
You upload your records through our secure client portal. It is HIPAA compliant, and nothing moves over email. A licensed clinician reviews your full file.
- 3
Your letter
You get a physician-signed nexus letter written to VA standards, with a DBQ where it applies, within 5 to 10 business days of when we receive your records.
Want the full walkthrough? See our complete process.
Why Veterans Trust Patriot Path
- Physician-prepared, every time. Your letter is written and signed by a licensed MD, PsyD, or PhD on the Patriot Path Medical Team. No templates. No AI-generated boilerplate. A real clinician, on the record.
- Credentials you can check. We do not publish our physicians' names on the website. That protects them from outside pressure and keeps their opinions independent. The credentials are verifiable by your attorney and by the VA on request.
- Mental health gets a PsyD. For mental health claims, you talk to a PsyD before you pay.
- Your records stay private. Everything moves through a HIPAA-compliant portal, never email.
- Veteran founded. BBB accredited. We do this because we believe veterans get a raw deal on evidence, and we wanted to fix it.
Pricing FAQ
How much does a nexus letter cost?
$1,500, flat. General medicine and toxic exposure letters cover up to five conditions in one letter. Mental health letters are $1,500 and include a DBQ. The consultation is free, and for mental health claims you speak with a PsyD before you pay.
Why a flat fee instead of a percentage of my back pay?
Because your win should stay your win. A percentage model takes more the bigger your award gets. A flat $1,500 does not move with your rating. You know the number going in.
Do you guarantee my claim will be approved?
No, and be cautious of anyone who does. The VA makes the rating decision. What we control is the quality of the medical opinion - a licensed clinician reviewing your records and writing an honest, well-supported letter.
What if I need more than one nexus letter?
For general medicine and toxic exposure claims, one $1,500 letter can cover up to five conditions, so most veterans never need a second one. If your situation truly calls for more than one letter, that is rare, and we will work out the price with you during your free consultation.
Can I get a refund?
Yes, before we start drafting. If our clinician reviews your file and concludes an honest nexus opinion cannot be supported, you get your money back. Once we begin drafting your letter, the fee covers that work.
How long does it take?
Most letters are delivered within 5 to 10 business days of when we receive your complete records.
Are there any hidden fees?
No surprises. The consultation is free and the letter is $1,500. The one optional add-on is rush service: if you need your letter within 3 business days, that is a flat $300. Standard turnaround is included at no extra cost.
Ready to Start?
Worst case, you book the free consultation and walk away with a straight answer. That is it. No pressure, no cost.