There may be provision to have a call to discuss the work, or it may purely be the delivery of a structural report or a line edit or proofread manuscript. I've worked with professional editors for the last ten years and have never had a call to discuss, but if you're the type of person who wants that, then make sure you put that into the contract upfront along with anything else you are concerned about.
I'd suggest working through each change so you can learn for next time, rather than just clicking Accept All on the Track Changes version. This will take time, but it's well worth it. I usually accept 80-90% of my editor's changes and the manuscript is improved considerably by the experience. After the line edits are updated, I send the manuscript to a proofreader for the final check before publication.

I’d add that for UK writers, the Society for Editors and Proofreaders (SfEP) Directory is the best place to search for editorial professionals. Each editor has been vetted for professional competence through the Society (you have to be assessed to become a Professional Member or Advanced Professional Member), so it’s a pretty trustworthy source: http://www.sfep.org.uk/directory/directory.asp

The team at Ebook Launch was highly recommended by a publishing website I trust, and I turned to them for helping me format my ebook. They have been wonderful to work with! The turnaround was unexpectedly fast and I got incredible value for my money. But more importantly, Adrian gave my book the same care I would as an author. He offered suggestions that improved its appearance and provided a beautiful, clean format. I also appreciated his patience and friendliness. If you want great service at a great price, Ebook Launch is the way to go.

The quotes I posted are for a specialized genre – romance. These books are shorter than many other types of fiction and yes the editors are professional. Many do this as a favor to authors they love and work with in publishing houses…so they lower their rates for private work. Over time of course, their rates increase but the prices I quoted for my industry only.

I want to thank the author of this article, the people responsible for this website, and the helpful comments I’ve read here, before discontinuing my watching of this thread. I have reached out to several developmental editors through emails and by posting my need for such an editor on the-efa.org. If anyone decides to go that route, the response has been tremendous. Be aware of their policy for posting jobs, though. They require aspiring authors to adhere to the ‘going rates’ shown here: http://the-efa.org/res/rates.php.
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For my book, Career Change, I gave an early copy to people working in my department in the day job who I knew were dissatisfied with what they were doing. They came back with questions and suggestions for what to include as additional material. For The Healthy Writer, we asked medical doctors to read it as a sense check (even though my co-writer, Euan Lawson, is a doctor!)
^{Great article, Blake. I often receive ‘undercooked’ manuscripts from writers. Two other points come to mind: 1) Budgeting for an editor is important. You should start putting some money aside for editing fees whilst you’re still writing your first draft (preferably tuck it into an interest-earning account!). 2) Don’t leave it too late, either. Often writers don’t realise that editors are booked up several months in advance. Start contacting editors whilst you’re still at the self-editing stage or have your MS with beta-readers, to find out what their availability is.
My facility with words derives from a love of literature and a background in French, teaching English, and editing. Throughout my academic and professional experiences, I have had the opportunity to work on a variety of texts, from academic papers to blogs to web content to novels while respecting English grammar and mechanics within the context of various style guides, including AP, CMoS, APA, and MLA.}
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A good editor is invaluable when starting out. Later on it perhaps depends on how complex the story or writing is. Editors can be looking for similarity not originality. The final script a poor representation of the original story or article. An article of mine, which was picked up by Wikipedia for its originality and informative ideas was given forty edits from around the world! It was like a mechanical invention rather than an interesting article in the end!

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ROUND TWO: an in-depth, comprehensive, line-edit that includes rewriting sentences, improving word choice, organization, plotting and pacing. We’ll make the dialogue stronger and more believable, the action more tense and nail-biting, and the emotional peaks less melodramatic and cheesy. For non-fiction, we’ll strengthen your argument and make the writing more engaging.

An extensive critique of my first novel led to major changes in the format. I was very fortunate to have an experienced novel writer to give a detailed analysis, with corrections. I did not fully appreciate, at the time how valuable this process was, but do now. You need to acknowledge that there are likely to be inconsistencies leading up to the final manuscript and be prepared to make drastic changes. An editor is attuned to picking up on these, where you have accepted the script , even after numerous re-writes!