I think every business wants to bill on value not usage. That's where the real money is made. If a diagnosis is worth $100 and takes $1 worth of tokens you want to bill as close to $100 as you can. Right now they're billing $1 and barely making money.
What makes the diagnosis "worth" $100? Right now it requires a highly paid human which sets a floor on the cost.
If there's competition from LLMs it's going to drive down the cost.
>What makes the diagnosis "worth" $100?
The opinion of the customer paying for it