No shows are high. Costs are steep and per patient which is not beneficial over time. In my cash practice, it has negative value.
Edit: If you are starting/ramping up a high volume insurance practice, you could double/triple book evals at the possibility of staying late. While costs are still high, it may be worth it if used this way for 1 year. When you have the referral sources within 1 year, the cost wouldn’t be worth continuing.