How much does a nexus letter cost at Commander Health?

A flat $500, with the clinical review of your records included. There is no percentage of back pay, and the free screen runs before you pay anything.

Can the clinician refuse to sign?

Yes. The clinician signs only when your records support the opinion, whatever the $500 fee. If they do not, the clinician declines, your case is closed with a full refund, and your case status page shows the reason.

Do you write nexus letters for PTSD or mental health conditions?

No. Commander Health covers physical conditions only. For PTSD or another mental health condition, ask your treating mental health provider or a VA-accredited Veterans Service Organization.

What if VA denies my claim anyway?

The nexus letter includes one rebuttal letter at no charge if VA denies the claim. VA decides the claim on all of the evidence, and no medical opinion can guarantee the outcome.

Will I talk to the clinician?

No. It is records only, with no calls or video visits. If the clinician needs more from you, they ask by email.

A nexus letter for your VA claim, written from your records

Nexus Letter: $500 flat

Updated October 4, 2026

Commander Health writes nexus letters for VA disability claims for a flat $500, with the clinical review of your records included. You upload your records for a free screen. If the evidence is there, a licensed clinician reviews your file and signs the letter only when your records support it. If they do not, the clinician declines and you get your money back. It is records only, with no calls or video visits, for physical conditions only.

What the $500 includes

One flat fee of $500. The clinical review of your records is part of it, not a separate charge, and nothing is tied to your VA award or back pay.

Published prices for a private nexus letter ran from about $500 to over $3,000 in September 2026, and many add a separate $195–$395 records-review fee before the letter. Commander Health's flat $500 includes the clinical review of your records.

Full clinical review of your medical records
Nexus letter signed by a licensed clinician when their review supports it
One free rebuttal letter if the VA denies your claim

How it works

From upload to signed letter, for a flat $500:

Upload your records for a free screen. No account is needed. The screen checks whether your records hold what the document needs.
If they do not yet, the screen tells you what is missing and you pay nothing.
If they do, you approve a summary of your records for the clinician and pay the flat $500.
A licensed clinician reviews your records. If something is missing, the clinician asks you by email.
If your records support it, the clinician signs and you get an email when your signed document is ready to download. If they do not, the clinician declines, your case is closed with a full refund to your original payment method, and your case status page shows the reason.

What the letter says

A nexus letter is a written medical opinion on whether your current condition is at least as likely as not connected to your service, or caused or aggravated by a condition that is already service connected. The draft is built from your own records and the medical literature, and the clinician edits whatever their judgment requires before signing in their own name.

What it is not

Physical conditions only: Commander Health does not write PTSD or other mental health opinions.
Not an exam or an appointment. There are no calls or video visits; the clinician works from your records, and any follow-up comes by email.
Not a filing service. Commander Health does not file claims and is not a VSO, a law firm, or a VA-accredited representative. Free help filing a claim is available from a VA-accredited Veterans Service Organization.
Not a guarantee. Clinical review never guarantees an outcome. A clinician signs only if your records support the opinion, and VA decides the claim.

Who it is for

Veterans with a physical condition VA has not connected to service, or has denied for lack of a medical link, whose records show a current diagnosis and the in-service event, injury or service-connected condition it may be tied to.

If your records do not show those yet, the free screen says what is missing before you spend anything.

Frequently asked questions

How much does a nexus letter cost at Commander Health?: A flat $500, with the clinical review of your records included. There is no percentage of back pay, and the free screen runs before you pay anything.
Can the clinician refuse to sign?: Yes. The clinician signs only when your records support the opinion, whatever the $500 fee. If they do not, the clinician declines, your case is closed with a full refund, and your case status page shows the reason.
Do you write nexus letters for PTSD or mental health conditions?: No. Commander Health covers physical conditions only. For PTSD or another mental health condition, ask your treating mental health provider or a VA-accredited Veterans Service Organization.
What if VA denies my claim anyway?: The nexus letter includes one rebuttal letter at no charge if VA denies the claim. VA decides the claim on all of the evidence, and no medical opinion can guarantee the outcome.
Will I talk to the clinician?: No. It is records only, with no calls or video visits. If the clinician needs more from you, they ask by email.