I know I just don't "get it," and have never been a part of the world most of you inhabit. But, why exactly does a physician agree let someone else tell them what he/she is worth? I charge X for service Y. It is a reasonable charge. I do not play documentation games trying to justify a higher charge. I do not do unnecessary tests. I follow guidelines. I expect to get paid for what I do. If someone has lousy insurance, that is their problem, not mine. I am willing to write-off anything in case of need, but not willing to let someone in Wichita tell me I am not worth what I charge. Their opinion is irrelevant.