Most calls start with something you can feel. The upstairs is hot by afternoon, the room over the garage never matches the rest of the house, or the power bill keeps creeping up. Pop the hatch and you'll often find a few inches of old insulation, packed flat or pushed aside, with gaps around pipes, wires and the hatch letting air straight through.
The price moves with the size of your attic, how much insulation is up there already, and whether the old layer is clean enough to stay or soaked and full of droppings and has to come out first. A cramped attic and a lot of gaps to close add work too. Foam costs more than loose fill, so the material matters as well.
The schedule turns mostly on what I find up there. If something has to be fixed by another trade before we cover it, that comes first, and some jobs need a permit. Once I've been in the attic, the written estimate lays out the work, anything that has to happen first, and the price.