Seems like the fee schedule drives dentists irrespective of being in a big practice or what pricing schedule is being used. I suppose if the pricing schedule is out of whack (procedure A nets $100/hr and procedure B nets $50/hr) that would create some incentive to lean toward A. Without any insurance company pressure, when a dentist sets his own rates, are they really the same $ per hour? I'd think that the basics would be loss leaders so that if you need a bigger procedure, you'd go to "your dentist" to get it done and that's where the high margins would be achieved. But yeah, the plans put the squeeze on prices, and I imagine if I had enough business, I'd reject the least generous ones. As a patient, I don't want the cheapest rates, I just don't want to pay double what the guy with insurance does, which is what I've run into. Luckily this year, I've got negotiated prices.