Written by

Tara Farmer

October 30, 2024

Edited by

Jennifer Carlson

Fact-checked by

Kristen Cramer

Average DOT physical cost

A DOT physical costs $50 to $150 on average, depending on the location, provider type, and if you need additional testing or follow-up visits. Some employers cover all or a portion of the cost of a DOT physical, though you may need to pay upfront and get reimbursed later.

What is a DOT physical, and who needs one?

A DOT physical is a comprehensive medical exam designed to ensure CDL drivers are physically capable of safely operating commercial vehicles. The exam is required by the Federal Motor Carrier Safety Administration (FMCSA) for commercial motor vehicle drivers and must be performed by a certified medical examiner listed on the FMCSA National Registry.

You need a DOT physical if you:

• Drive vehicles weighing over 10,000 pounds

• Transport hazardous materials

• Drive a vehicle that can carry more than 15 passengers

• Are paid to drive a vehicle that carries 8 people

• Cross state lines for commercial purposes

What does a DOT physical consist of?

A DOT physical exam takes about 45 minutes and includes a review of your medical history and several physical tests to confirm you are fit to handle the demands of driving a commercial vehicle. The table below provides a breakdown of a typical DOT exam.

DOT physical exam cost factors

Factors that impact the cost of a DOT physical exam include:

• Geographic location: The cost of a DOT physical varies depending on your state and locale. Average costs range from less than $90 in Alabama to more than $200 in California. Exams in major cities typically cost more than they do in small towns.

• Your health: Your overall cost increases if the exam results in additional tests or required follow-up visits.

• Provider's qualifications: Providers with higher levels of experience, degrees, or certifications typically charge more for their services. However, many licensed chiropractic physicians offer low-cost DOT physicals.

• Employer: Some companies cover or reimburse you for part of or all the cost of a DOT physical exam.

FAQs about a DOT physical exam

What are the new DOT physical requirements?

Recent updates to DOT physical requirements include:

• All medical examiners must be certified and listed on the FMCSA National Registry.

• Enhanced screening for sleep apnea and other sleep disorders

• Stricter blood pressure requirements

• More detailed vision testing and hearing requirements

• Updated diabetes management requirements

• Enhanced documentation requirements for existing medical conditions

What will make you fail a DOT physical?

Common reasons for failing a DOT physical include:

• Blood pressure over 140/90

• Vision worse than 20/40 (with or without correction)

• Insulin-dependent diabetes (without proper documentation)

• Heart conditions

• Epilepsy

• Usage of certain medications

• Severe hearing loss

• Untreated sleep apnea

Do plenty of research before your DOT physical exam so you know what to expect and what is required.

Does a DOT physical include a drug test?

A standard DOT physical does not include drug testing. However, many employers require separate DOT drug testing, which typically costs an additional $30 to $85.

Where can I get a DOT physical?

You can get a DOT physical at:

• Urgent care centers

• Occupational health clinics

• Private medical practices

• Certified chiropractor offices

• Some retail health clinics

Is a DOT physical covered by insurance?

Standard health insurance plans typically don’t cover DOT physicals. However, you can use some Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to pay for a DOT physical. Check with your insurance provider and employer about coverage options before scheduling your exam.

What if I fail the DOT physical exam?

If you fail the DOT physical exam, it doesn't mean you're permanently disqualified from driving commercial vehicles. Common reasons for failure include high blood pressure, diabetes, or vision issues. Make sure you understand the specific reasons for your failure and consult a qualified physician to address any manageable conditions.

You can retake the exam after making any necessary improvements, and in some cases, you may apply for an exemption or waiver if your condition is well-managed. Failing the exam may temporarily affect your commercial driver's license, but with proactive steps, you can work towards regaining certification.

How often do you need a DOT physical?

Most CDL drivers need a DOT physical every 24 months. However, drivers with certain health conditions may need to recertify with a new DOT physical exam every 3 to 12 months, depending on the condition.

How to prepare for a DOT physical

Follow these tips to ensure the best possible outcome and avoid unnecessary repeat visits and costs:

• Schedule morning appointments when possible to ensure accurate blood pressure readings.

• Get adequate sleep the night before.

• Avoid excess caffeine, salt, and alcohol for 24 hours before the exam.

• Bring all required documentation. Check with the provider to make sure you don't forget anything.

• Ask your provider if and how long you need to fast for the urinalysis.

• Wear comfortable clothing for the physical examination.

What to bring to a DOT physical

The required documents for a DOT physical appointment vary by state, but typically include:

• Valid photo ID

• Complete list of medications

• Medical records related to existing conditions

• Corrective lenses or hearing aids if needed

• Letter from your primary physician or specialists if you have any medical conditions

• Previous DOT medical certificate (if applicable)

• Medical waiver or exemption documentation (if applicable)