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How Much Does a Drug and Alcohol Evaluation Cost?

Quick answer

We found no official price list for drug and alcohol evaluations, and prices vary by provider. For US DOT-regulated workers, federal rule 49 CFR 40.289 says who pays for a substance abuse professional (SAP) evaluation is left for employers and employees to decide. Ask the provider, your employer or insurer for a quote.

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In this article
  1. What the federal rule says
  2. What we could not confirm
  3. How to find out your cost

What the federal rule says

For workers covered by US Department of Transportation drug and alcohol rules, 49 CFR 40.289 sets out who pays for a substance abuse professional (SAP) evaluation.

  • An employer is not required to provide a SAP evaluation or any recommended education or treatment to an employee who violated a DOT rule.
  • If the employer offers a return to safety-sensitive duty, it must first make sure the employee gets a SAP evaluation and follows its recommendations.
  • Employers and employees decide who pays. Existing management-labor agreements and health care benefits may govern payment.

What we could not confirm

No federal page we opened gives a price. Fees differ by provider and state, and a court-ordered or employer-ordered evaluation may follow different rules than a DOT SAP evaluation. We will not quote a dollar figure without an official source.

How to find out your cost

  • Ask your employer whether its written policy or union contract covers the fee.
  • Check whether your health insurance or employee assistance program (EAP) covers it.
  • Ask each provider for the fee in writing, including any follow-up sessions.
  • If a court or agency ordered the evaluation, ask them for approved providers and rules on payment.

This is general information, not legal advice. Ask a lawyer about your own case.

People also ask

Who pays for a DOT SAP evaluation?

49 CFR 40.289 says employers and employees decide who pays. Union agreements and health benefits may also apply.

Does the employer have to provide a SAP evaluation?

Not required under 40.289(a), but if the employer offers a return to safety-sensitive duty, the employee must first complete a SAP evaluation.

Is there a set price for a drug and alcohol evaluation?

We found no official price. Fees vary by provider, so ask for a quote.

General information only, not medical or legal advice. If you have a health condition, take medicines or are pregnant, ask your doctor before drinking alcohol. Never drink and drive.

Sources

  1. eCFR: 49 CFR 40.289, read 4 Nov 2026
  2. Cornell LII: 49 CFR 40.289, read 4 Nov 2026
Written by A to Z Alcohol Editorial Team · Published May 12, 2023 · Updated Nov 4, 2026
About · How we verify this · Editorial policy · Corrections

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