There's already a very negative option if he doesn't ascend. You can tell him you're surprised because you thought he was "just a power hungry mad man."
This option still does not allow me to leave scene. Need an option to interrupt the scene. It's strange this is one of the few scenes that you can't interrupt in any way. You can't refuse go to the cemetery. You have three "yes" options. I remember a meme with Mass Effect, where you have three answers that mean the same thing, but sound different. They could really write:
1. Yes 2. OK. 3. Of course
and this would be the same as what we have in the game now.
I would have agreed to use this option if it was interrupting scene and Astarion was angry, instead of tolerating my aggression. But this is not happening. It's as if you didn't have the opportunity to leave scene with Ascended Astarion until the moment he tells you to kneel.
And even when you're in the cemetery, you can be rude to him again, but it won't interrupt the scene. That's what I don't really like.