I had some older books rebound by a company near Omaha, NE. Visited their place and it seems they do things old school. I had three books that were from the early 1950's. They were thick books and I had to save to have it done but for the three it cost me $300. Depending on the size of your book, you can look at them.
The company:
Perfect Touch Binding - http://www.perfecttouchbinding.com/perfect-touch-binding.html
Lucy was who I worked with and the books came out beautifully. I chose the style of the lettering of the print, what I wanted on the spine, the color and the texture of the Leather and some other little odd n ends. I thought it was worth it. For me, I had to save for it to get it done but it was worth it.
Edit: Maybe I should have asked if you were looking for help just anywhere or if you wanted to stay in VA. Sorry.
Edit #2: To answer your question, if the book is special, that alone is worth it...to me anyway. I could have bought other books but these were a gift. Just my thoughts.