Ernst & Young's biennial national water and wastewater rate surveys collect information on bills, rate structures, billing cycles, and special charges for utilities serving the 100 largest metropolitan statistical areas in the United States. This article presents trends and patterns observed in these surveys, which have been conducted since 1986, and provides a discussion of national and regional pricing trends supported by the survey results. The most significant trend evidenced from the surveys is a shift toward conservation rate structures, which promote more efficient use of water resources through use of uniform and inverted-block rates, seasonal and excess-use surcharges, and, in some cases, marginal cost pricing. Includes 3 references, figures.