In some rural areas there are still extremely high ratecenters that are costly to call. Looking at a ratedeck, 1240655 (Maryland), most Montana numbers and especially the Northwestern Territories (up in Canada) are the costliest to call, ranging from a few cents a minute to tens of cents a minute. Most flat rate VOIP operators won't deliver calls to those numbers, and if they do, they'll close your account if you call there too often.
The FCC has been cracking down on Traffic Pumping (which is what FreeConferenceCall, AOL, NetZero, etc were all created to do) to these prefixes, along with fake ringing that companies including T-Mobile do to make it seem like the call is being connected to these high cost areas, meanwhile the person your calling doesn't ever receive the call (or it gets through after attempting to call for multiple minutes).