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Reasonable & Customary Fee

From Kelly Montgomery, for About.com

Created: November 23, 2005

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Definition: The fee charged for a certain specified procedure by a particular type of health care provider practicing within a specified geographic area. Insurance companies often use "reasonable & customary fee" to define the amount they will cover for a particular procedure. If your doctor charges more than the "reasonable & customary fee" you may be responsible for paying the additional amount out of your own pocket.
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