What are Usual, Customary and Reasonable (UCR) fees?
The Usual fee is the fee usually charged for a given service by an individual provider to his or her private patient. The Customary fee is the range of usual fees charged by providers of similar training and experience in an area. The Reasonable fee is a fee that meets the two previous criteria or, in the opinion of the responsible medical or dental association’s review committee, is justifiable considering the special circumstances of the particular case in question.
