What I want is not possible without legislation. I want you to charge your rate and the insurance companies not be able to negotiate other than walking away. The only way the insurance company can save money then is to not cover the full amount and pass the rest on to the patient. Now you have to compete with others like you, and insurance companies have to compete with others like them. The super-awesome doctors can charge whatever they like and only take cash because insurance companies won't cover their services, and that's fine too - I know of a couple guys like that already and they are awesome at what they do.