There are many ways to pay tolls. The most popular are transponders or toll tags (primary or secondary) and license plates or videos. You can also pay by cash (note that some toll booths are cashless, though), credit/debit card, and prepaid card. If you have a choice, it is reasonable to select transponder payments.
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While toll roads are common around major cities of the US, they are few and far between otherwise. So, depending on your destination, it is possible to avoid toll roads across US states. However, avoiding them altogether may not be economical as the optional route may be too long or too busy.
Tolls on the Massachusetts Turnpike are cashless. You can pay with an E-ZPass MA or other compatible transponder or Pay by Plate with an invoice sent to you in the mail.