How Much Does a Collaborating Physician Cost in Texas? (2026)
By Chris Caulfield, RN, MSN, FNP-BC · Founder & CEO, NP Collaborator
In Texas, a collaborating physician typically costs $499–$598 per month, with a median of $499/month — based on 250+ real contracts in Texas. Total monthly fees including physician fees, platform fees, and physician malpractice insurance. Source: NP Collaborator Fair Price Report, Edition 1, 2026.
In Texas, a collaborating physician typically costs between $499 and $598 per month, with a median of $499/month. That median is below the national median of $549/month. These figures come from our own analysis of 250+ real signed Texas contracts in The Fair Price for Collaboration Report — the first all-in collaboration cost study funded by the NPs and PAs who pay these fees. You can see how every state compares on our collaborating physician cost by state page.
Why does Texas price where it does?
Texas is one of our most affordable states at $499/month — another example (like Florida) of a restricted-practice state with low fees. Texas requires prescriptive delegation protocols with chart review and regular physician meetings, but the state's very large physician supply, particularly in the major metros (Houston, Dallas, Austin, San Antonio), competes the collaboration fee down. Practice-authority label doesn't determine price; supply does.
Sources
Rules summarized for context; verify current requirements with the state board.
For the specific licensing and collaboration requirements in Texas, see our Texas collaborating physician requirements.
What moves your price within the Texas band?
Within Texas' Fair Price Band, you move toward the lower end in the major metro regions where physician supply is deepest, when chart-review requirements are manageable, or when the physician has capacity for additional collaborations. You move toward the upper end in rural Texas where collaborating physicians are harder to find, when your practice involves high controlled-substance prescribing requiring intensive review, or when the physician is near capacity. Note: These figures reflect standard physician collaboration services as required by Texas law. They do not include additional clinical services — such as acting as a Schedule II prescriber of record for controlled substances — where the physician works in a direct clinical capacity for your practice. Those arrangements are priced separately and fall outside the scope of this study.
Fair Price Band = 25th–75th percentile of real signed contracts.
Texas vs national: how does the cost compare?
Texas's median monthly cost is below the national median, and its Fair Price Band sits within the national range. Here is the side-by-side.
| Metric | Texas | National |
|---|---|---|
| Fair Price Band (25th–75th percentile) | $499–$598/mo | $499–$599/mo |
| Median monthly cost | $499/mo | $549/mo |
| Sample size | 250+ actual contracts | 2,000+ actual contracts |
How Texas compares to similar states
Looking at other states with similar collaborating physician costs can give you a better sense of regional pricing patterns. Here are states with the closest median fees to Texas's $499/month.
How do you know your Texas quote is fair?
- The quote sits above Texas's 75th percentile of $598/month with no stated reason.
- Physician malpractice insurance is excluded from the monthly fee (or left unclear).
- There are no written chart-review terms — cadence, volume, or turnaround.
- A one-time match or onboarding fee is not disclosed up front.
- The all-in monthly cost isn't put in writing against Texas's $499–$598/mo band.
Collaborating physician cost in Texas: FAQs
How much does a collaborating physician cost in Texas?
In Texas, a collaborating physician typically costs $499–$598 per month, with a median of $499/month, based on 250+ real contracts in Texas. Total monthly fees including physician fees, platform fees, and physician malpractice insurance.
What is a fair price for a collaborating physician in Texas?
A fair Texas quote falls within that state's Fair Price Band of $499–$598/month, centered on a median of $499/month. A quote above $598/month with no stated reason is worth questioning.
Is a collaborating physician more expensive in Texas than the national average?
Texas's median of $499/month is below the national median of $549/month. Nationally, most nurse practitioners pay $499–$599/month.
Does the Texas collaborating physician cost include malpractice insurance?
In our data it does — the Texas figures reflect the total monthly fees including physician fees, platform fees, and physician malpractice insurance. Confirm in writing whether any specific quote bundles physician malpractice coverage.
How many contracts is the Texas Fair Price data based on?
The Texas figures are based on 250+ real signed contracts analyzed for the NP Collaborator Fair Price Report, Edition 1, 2026. We band sample counts rather than publishing exact totals.
Collaborating physicians available in Texas now
Live, transparent listings — malpractice included, no startup fees. Prices below reflect real Texas collaboration agreements. See all Texas collaborating physicians →
94+ verified physicians · Fees $449–$1,199/mo · malpractice included

Licensed to collaborate with Texas nurse practitioners

Licensed to collaborate with Texas nurse practitioners

Licensed to collaborate with Texas nurse practitioners

Licensed to collaborate with Texas nurse practitioners
Browse collaborating physician listings in Texas
See real, transparent Texas collaborating physician options with malpractice included.
Last updated: August 18, 2026 · NP Collaborator Fair Price Report, Edition 1, 2026