How much does a DOT physical cost?

Rules checked against the eCFR and FMCSA guidance on November 11, 2026 · Not medical advice

There's no federal price for a DOT physical. Each clinic sets its own, so the only reliable number is the one the clinic quotes you. We don't publish prices that clinics haven't given us.

Why prices vary

• No set fee. FMCSA's rules say who can do the exam and what it must cover, not what it costs.^[1]
• Clinic type. Occupational health clinics, urgent care, chiropractors and primary care offices all do DOT physicals, as long as the examiner is on the National Registry. Their pricing models differ.
• Who pays. Many carriers pay for, or reimburse, their drivers' physicals. Health insurance coverage varies by plan, so check with your insurer.

Things that can add to the bill

• A DOT drug test. It's not part of the physical. If your employer needs one, it's a separate test, usually with a separate fee.
• Follow-up visits. If you get a short certificate (for example, for blood pressure), you'll pay for the next exam sooner.^[2]
• Specialist paperwork. Drivers on insulin need Form MCSA-5870 from their treating clinician, and drivers using the alternative vision standard need Form MCSA-5871 from an eye doctor. Those visits are billed separately.^[3][4]
• Extra tests the examiner asks for, such as a sleep study or records from a specialist, when a condition needs more information.

Questions to ask when you call

1. What's the cash price for a DOT physical?
2. Is the urinalysis included?
3. Do you take walk-ins, and how long is the wait?
4. If I need a repeat blood pressure check, is there a charge?
5. Do you also do DOT drug tests, and what do they cost?

Clinics can add their price to their listing. If you run one, see the clinic page.

Sources

1. 49 CFR 391.43, Medical examination (eCFR)
2. FMCSA, Effect on driver certification of hypertension stages (FAQ)
3. 49 CFR 391.46, Insulin-treated diabetes (eCFR)
4. 49 CFR 391.44, Alternative vision standard (eCFR)

This guide summarizes federal rules for interstate commercial drivers. It isn't medical or legal advice, and your medical examiner makes the final decision. Disclaimer.