Fees & Payments
Clear pricing and easy payment options for your convenience
Our Fees
Carolina Nexus provides independent, evidence-based medical opinions for veterans pursuing VA disability claims.
Fees are based on the number of medical conditions requiring analysis, not the number of pages in a letter.
Each condition requires a separate review of records, literature, and clinical rationale to meet VA evidentiary standards.
Records Review
*This fee is non-refundable and applies whether or not a nexus opinion is ultimately written.
Nexus Letter
Lay Statement
Review or enhance your statement for $25 (each).
1-2 conditions: $200 Now FREE-for a limited time!
3+ conditions: $350 Now FREE-for a limited time!
Standard 1 condition: $400
2 conditions: $550
3 conditions: $800
4 contitions: $1,000
5 conditions: $1,200
*No letter over 5 conditions
Expedited Services: $200
Receive your letter within 48-72 hours from completion of your record review.
*Standard letter completion is 7-10 days from completion of your record review.
*Prices are subject to change
Each condition includes:
Individualized, evidence-based nexus opinion
Medical literature support where appropriate
VA-appropriate medical rationale language
Documentation aligned with DBQ standards (this is not a DBQ)