How Much Does a Collaborating Physician Cost in Virginia? (2026)
By Chris Caulfield, RN, MSN, FNP-BC · Founder & CEO, NP Collaborator
In Virginia, a collaborating physician typically costs $499–$578 per month, with a median of $524/month — based on 50+ real contracts in Virginia. Total monthly fees including physician fees, platform fees, and physician malpractice insurance. Source: NP Collaborator Fair Price Report, Edition 1, 2026.
In Virginia, a collaborating physician typically costs between $499 and $578 per month, with a median of $524/month. That median is below the national median of $549/month. These figures come from our own analysis of 50+ real signed Virginia 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 Virginia price where it does?
Virginia prices below the national median at $524/month ($499–574 band). While it's technically a restricted-practice state, Virginia offers a path to autonomous practice after meeting required practice hours. That pathway, combined with adequate physician supply particularly in Northern Virginia and the Hampton Roads region, softens long-run collaboration demand and keeps fees below the median.
Sources
Rules summarized for context; verify current requirements with the state board.
For the specific licensing and collaboration requirements in Virginia, see our Virginia collaborating physician requirements.
What moves your price within the Virginia band?
Within Virginia's Fair Price Band, you move toward the lower end in the major metro regions (Northern Virginia, Richmond, Hampton Roads) where physician supply is deepest, or when you're on the autonomous-practice pathway. You move toward the upper end in rural Southwest Virginia where physician availability is thinner, during your initial practice period before autonomous qualification, or when your specialty requires intensive ongoing oversight.
Fair Price Band = 25th–75th percentile of real signed contracts.
Virginia vs national: how does the cost compare?
Virginia'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 | Virginia | National |
|---|---|---|
| Fair Price Band (25th–75th percentile) | $499–$578/mo | $499–$599/mo |
| Median monthly cost | $524/mo | $549/mo |
| Sample size | 50+ actual contracts | 2,000+ actual contracts |
How Virginia 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 Virginia's $524/month.
How do you know your Virginia quote is fair?
- The quote sits above Virginia's 75th percentile of $578/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 Virginia's $499–$578/mo band.
Collaborating physician cost in Virginia: FAQs
How much does a collaborating physician cost in Virginia?
In Virginia, a collaborating physician typically costs $499–$578 per month, with a median of $524/month, based on 50+ real contracts in Virginia. Total monthly fees including physician fees, platform fees, and physician malpractice insurance.
What is a fair price for a collaborating physician in Virginia?
A fair Virginia quote falls within that state's Fair Price Band of $499–$578/month, centered on a median of $524/month. A quote above $578/month with no stated reason is worth questioning.
Is a collaborating physician more expensive in Virginia than the national average?
Virginia's median of $524/month is below the national median of $549/month. Nationally, most nurse practitioners pay $499–$599/month.
Does the Virginia collaborating physician cost include malpractice insurance?
In our data it does — the Virginia 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 Virginia Fair Price data based on?
The Virginia figures are based on 50+ 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 Virginia now
Live, transparent listings — malpractice included, no startup fees. Prices below reflect real Virginia collaboration agreements. See all Virginia collaborating physicians →
68+ verified physicians · Fees $449–$899/mo · malpractice included
Licensed to collaborate with Virginia nurse practitioners
Licensed to collaborate with Virginia nurse practitioners
Licensed to collaborate with Virginia nurse practitioners
Licensed to collaborate with Virginia nurse practitioners
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Last updated: August 18, 2026 · NP Collaborator Fair Price Report, Edition 1, 2026