How should I handle a patient who keeps pushing for fees? Defer first, and only frame a range if they will not let it go. In a free consult, the honest answer is that you cannot quote accurately before you have a diagnosis, so tell them you would prefer to answer once you have looked at everything. If they keep pushing, it is okay to give a rough range. But be up front that it is rough, because without diagnostics you are far less accurate and you owe them that disclosure. The rules change at the diagnostic visit. There, fee framing [...]