Like Judy, for existing clients, it goes up by $1/yr. But I've been slowly increasing my rates since I moved to a new area to see how far up I could get it. Have stopped at $5 above local rate....now I see others starting to follow suit since I spoke with a couple local providers about my fees. They'd been at $40 for years, I guess too scared to try an increase. I'm happy to see this change happening It's nice to see people starting to command more for a tough job....glad I got to be part of that!