Glossary · Costs
What is usual, customary, and reasonable (UCR)?
UCR is the amount paid for a medical service in a geographic area based on what providers there usually charge for the same or similar service. Plans sometimes use it to set the allowed amount.
Definition and figures from HealthCare.gov glossary, checked October 23, 2026. This page explains the term; it does not recommend a plan.
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UCR: the facts
| Item | Fact | Source |
|---|---|---|
| Used for | Setting the allowed amount | HealthCare.gov glossary: UCR (usual, customary, and reasonable) |
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What does UCR mean in health insurance?
UCR is the amount paid for a medical service in a geographic area based on what providers there usually charge for the same or similar service. Plans sometimes use it to set the allowed amount.