What to know if you'll be driving Italian autostrada, which are toll roads. When you exit the autostrada you must pay the toll in cash. Do not go. Autostrade per l'Italia has standardised signs indicating how payments are made . The prepaid Viacard can be used at all Italian highway toll gates, at both the. Italy has an extensive system of toll roads that cover the mainland from north to You will pay at a toll booth when you get off although, in a few.