What $129 includes
Up to two animals, one price
Most services price per animal. One $129 evaluation documents your disability-related need for up to two animals on the same letter.
A real clinical evaluation
A private consultation with a clinician licensed in your state, typically by phone. Not a questionnaire with a pass mark.
The independent review
Your clinician's determination is theirs alone; that independence is what makes the letter credible when it's checked.
Your letter, same-day after review
Professional letterhead, license number, signature and date, emailed the same day the review completes. 30-day states follow the statutory period first.
State-specific guidance
What your state's law provides, how to make the written request, and where to escalate if a landlord pushes back.
How we compare
Same category of service, a real telehealth evaluation by a licensed clinician, and a $40 difference:
Covers up to 2 animals · licensed clinician evaluation · psychiatry-led team · state-rule compliant · guidance current to the May 2026 rules
Listed ESA letter price as of August 2026 · check pettable.com for current pricing
Competitor pricing is quoted from public listings on the date shown and may change. The full side-by-side: HeallyESA vs Pettable →
Looking for the cheapest ESA letter?
A word before you buy on price alone, because we'd rather lose the sale than watch it fail:
The $30 letter's real cost
Instant letters skip the evaluation, which is the only thing that gives a letter legal force. Rejected documentation mid-housing-dispute costs deposits, time, and sometimes the apartment.
Where cheap letters break
Out-of-state clinicians, no verifiable license number, non-compliance with 30-day states, and Florida's statute letting providers disregard internet certificates by name.
What fair actually looks like
$129 for a licensed clinician's time and independent judgment, less than the big-name alternative, with nothing fake on the invoice. That's the honest price of a letter that works.
Common questions
Current as of August 24, 2026.
How much does an ESA letter cost at HeallyESA?
$129, flat, and it covers up to two animals on the same letter. That includes your intake, a private consultation with a clinician licensed in your state, their independent review, and, if approved, your letter delivered by email the same day the review completes, plus state-specific guidance on using it.
How does that compare to other ESA services?
Pettable lists its ESA letter at $169 as of August 2026, which makes HeallyESA $40 less for the same category of service: a real telehealth evaluation by a licensed clinician. Our $129 also covers up to two animals, where many services price per animal, so a two-pet household can save considerably more than $40. Always check competitors' current pricing directly; prices change.
Why not just buy one of the $30 “instant letters”?
Because they fail exactly when you need them. Instant letters skip the evaluation, and post-2026, landlords, boards and universities check harder than ever: license verification, state rules like California's 30-day requirement, Florida's personal-knowledge standard. A letter that gets rejected mid-dispute costs far more than the difference.
Am I paying for approval?
No. Your $129 covers the clinical evaluation itself, and the clinician's determination is independent, which is exactly why the resulting letter carries weight. Services that sell guaranteed approval are selling paper landlords have learned to ignore.
Do I pay extra for a second animal?
No. One $129 evaluation covers up to two animals on the same letter, which is the situation most multi-pet households are in. Beyond that, there are no registry add-ons, no ID cards and no “expedite” fees; those products don't exist legitimately, so we don't sell them. Letters are conventionally renewed annually, as housing providers and universities expect current documentation.
One price, up to two animals
$129 covers the clinician, the review, the letter for up to two pets, and the guidance to use it. Start in five minutes.