It depends on why you are going as to "what they do"
Ive seen one for various reasons ...
When I competed (bodybuilding) they planned my food intake leading up to the competition and the depletion and carb loading phases.
I also used one for general weight loss (for normal people) as I tended to go onto a "bodybuilders diet" whenever I wanted to drop a few kgs and I wanted a more varied diet.
I did nutrition papers as part of my Personal Training papers .. but I like to get some "backup" support as its easier if someone else tells me what to do lol
Cost varies hugely depending on who you see, I would ring around.