Nessus is very good at what it does, but a 'proper' security scanning vendor would not just deliver you a Nessus report. At the very least, you need to go through the report and validate to remove false positives - you probably do this internally anyway, but unless you request it a vendor may not.
There is a major disconnect in what customers expect and what vendors offer. We have been working with various vendors and industry bodies to generate a taxonomy to try and remove some of this disconnect.
Apologies if this Security Testing Taxonomy is a bit beyond scope of question. It is meant to inspire discussion between you and your vendor so you can understand what they will provide:
The purpose of this stage is to identify systems within scope and the services in use. It is not intended to discover vulnerabilities, but version detection may highlight deprecated versions of software / firmware and thus indicate potential vulnerabilities.
Following the discovery stage this looks for known security issues by using automated tools to match conditions with known vulnerabilities. The reported risk level is set automatically by the tool with no manual verification or interpretation by the test vendor. This can be supplemented with credential based scanning that looks to remove some common false positives by using supplied credentials to authenticate with a service (such as local windows accounts).
This uses discovery and vulnerability scanning to identify security vulnerabilities and places the findings into the context of the environment under test. An example would be removing common false positives from the report and deciding risk levels that should be applied to each report finding to improve business understanding and context.
Builds upon Vulnerability Assessment by adding manual verification to confirm exposure, but does not include the exploitation of vulnerabilities to gain further access. Verification could be in the form of authorised access to a system to confirm system settings and involve examining logs, system responses, error messages, codes, etc. A Security Assessment is looking to gain a broad coverage of the systems under test but not the depth of exposure that a specific vulnerability could lead to.
Penetration testing simulates an attack by a malicious party. Building on the previous stages and involves exploitation of found vulnerabilities to gain further access. Using this approach will result in an understanding of the ability of an attacker to gain access to confidential information, affect data integrity or availability of a service and the respective impact. Each test is approached using a consistent and complete methodology in a way that allows the tester to use their problem solving abilities, the output from a range of tools and their own knowledge of networking and systems to find vulnerabilities that would/ could not be identified by automated tools. This approach looks at the depth of attack as compared to the Security Assessment approach that looks at the broader coverage.
Driven by an Audit / Risk function to look at a specific control or compliance issue. Characterised by a narrow scope, this type of engagement could make use of any of the earlier approaches discussed (vulnerability assessment, security assessment, penetration test).
Verification that industry or internal security standards have been applied to system components or product. This is typically completed through gap analysis and utilises build / code reviews or by reviewing design documents and architecture diagrams. This activity does not utilise any of the earlier approaches (Vulnerability Assessment, Security Assessment, Penetration Test, Security Audit)