The report is based on analysis from data provided by the North Carolina Department of Transportation and other agencies.
It states poor roads cost the residents six and a half million dollars annually -- meaning the average motorist loses about $1,000 a year in lost efficiency while waiting in backed up traffic and in repair costs linked to potholes and other damage to road surfaces.
According to the report, 26 percent of roads in the Raleigh Durham region are in poor or mediocre condition, and 30 percent of bridges are deficient.
At the same time, money in the federal highway trust fund is running low and that funding for road repairs could be eliminated as early as this summer to avoid federal insolvency.
Advocates for improved transportation efficiency admit that fees of some kind may be part of the long term solution.
"It's going to cost jobs; you're going to see vehicle operating costs go up," said Will Wilkins, executive director of TRIP. "Our hope is the public is not let this happen, that they will tell their elected leaders that they want solutions to their congestion, transportation and things of that nature."
They also point out that the relative lack of truly crippling congestion now is an opportunity to get ahead of the problem before it gets much worse.