I have to agree with Alicia, if you let the client negotiate your fees you'll never be paid what you are worth. I always like to point out that we don't negotiate with our mortgage company, electric company, accountant, etc.. why would we do so with a medical billing company? State your rates, what they include, explain only what that rate is for and nothing more. A client who will try and negotiate you down is one you don't want. JMHO