One specialist I go to for Fibromyalgia charges by the 15 mins....15 mins with him cost $94.00. My first visit with him was over $500, as I spent 2hrs plus with him....face to face the entire time talking and exam. Did I mind paying that? No not really. As I have discovered, this doctor truly cares about you...and approaches your care from a holistic point of view. Now, after almost four years with him, I am in and out in under 15 min, and get the care that I want. I think when you find a doctor you are really comfortable with, it is a little (notice I said a little) easier to pay a higher fee. Just my thoughts.