I ride fixed, mostly for time trials. These are mostly 10's on a typical flattish course, when you would only use a few ratios if you did ride with gears. A couple of seasons ago, I tried mixing between gears and fixed on two otherwise similar bikes and by the end of the season there was only a 20 sec difference between the two bikes. The fastest was on gears, but it was also towards the end of the season at the peak of my fitness for that year.
Now if you configure costs into the reasons, the fixed set up wins by a mile. It is difficult to justify the cost of gears just for a gain of 20 secs.