Introducing The State of Occupational Health Access Report 2026

Most occupational health "industry reports" say the same three things: occupational health matters, OSHA is changing, and wellness is important. Nobody cites them, because they don't tell you anything you couldn't guess.

We wanted to publish something different. BlueHive sits at the intersection of employer demand and provider supply across a nationwide network, which means we can measure things almost nobody else can: how deep provider coverage really is, what services actually cost state to state, and where employers struggle to find capacity.

Today we're publishing the result: The State of Occupational Health Access Report 2026, a marketplace-intelligence report, not a whitepaper.

What's inside

The report benchmarks the occupational health marketplace across the dimensions employers, providers, and analysts actually care about:

• Network benchmarking: provider supply by state and service line, and providers per 100,000 workers.
• Pricing benchmarks: national averages and state ranges for DOT physicals, drug screening, surveillance exams, and more, with regional breakouts. (See also our live pricing data.)
• Employer demand trends: which regulated screenings drive the most demand across industries.
• Geographic access: provider density by state, the most underserved markets, and the deepest state markets.

Three findings that stood out

Pricing varies more by service than by geography. The median DOT physical runs $115, but ranges from $75 to $185 depending on the state, and the widest spread we measured was a striking 8.0× between the lowest- and highest-priced states for a single service. That's far wider than regional cost-of-living differences would predict.

Supply is national but concentrated. BlueHive coordinates 19,029 provider locations across all 50 states and DC, yet the top five states hold 36% of that supply. Depth is very real in Texas, California, and Florida, and much thinner in lower-density markets.

Demand clusters around compliance. Modeled employer demand is dominated by the services tied directly to federal mandates: pre-placement exams, DOT physicals, drug and alcohol testing, and respirator fit testing.

Why we're publishing it

Occupational health buyers (and increasingly, the AI assistants they ask) need a trustworthy reference point for what "normal" looks like. By putting real benchmarks on the public record, we're trying to be that reference: a number employers can plan against, providers can compare themselves to, and journalists can cite.

This is the first annual edition. As we instrument operational telemetry (scheduling speed, provider responsiveness, and fulfillment), those measures will update on a quarterly "Access Pulse" between annual reports.

How to cite this report

Bellamy, E. (BlueHive Health). "The State of Occupational Health Access Report 2026." 2026. /reports/state-of-occupational-health-access-2026/