The cost of a Nexus letter from a medical doctor can range from $1,500 to $10,000 or more. The actual price can vary significantly based on the complexity of the case, the healthcare provider's fees, and other factors. It's essential to consult with healthcare professionals or veterans' service organizations to obtain accurate pricing information for your specific situation. In some cases, utilizing the services of Physician Assistants (PAs) or Nurse Practitioners (NPs) for a Nexus letter may be less expensive compared to medical doctors. However, it's important to note that the probative value, or the weight of evidence, provided by PAs or NPs may be considered lower than that of medical doctors. When seeking a Nexus letter, it's crucial to evaluate both the cost and the credibility of the healthcare professional to ensure the best possible outcome for your claim.