The road to the North doesn’t pass through the Twins but it passes right by the Twins (at least on the Lands of Westeros map), so if you’re taking the kingsroad, chances are the Freys are going to take their toll.
In terms of the crossing, the Twins matter for anyone coming from or to Seagard, which is the Riverlands’ only west coast port. Given the proximity to White Harbor, there’s probably a good deal of passing trade that’s trying to get from west coast to east coast or vice versa without having to go the whole way around.