Mass Tort Lead Economics: What Cases Actually Cost

Cost-per-case economics: from $2,550 (Tylenol) to $9,950 (Paraquat). Attrition rates, settlement values, and ROI modeling by tort.

Mass tort advertising isn’t gambling. It’s math. Behind every TV commercial and Facebook ad is a detailed financial model. Understanding these economics explains why over $400 million flows into mass tort advertising annually.

For how these economics compare to personal injury, see our mass tort vs PI CTV comparison.

The Cost-Per-Case Landscape

MASS TORT ACQUISITION COSTS
~$2,550 lowest (Tylenol) Source: Industry Data
~$9,950 highest (Paraquat) Source: Industry Data
20-30% typical attrition rate Source: Industry Data

Not all mass torts are created equal. Industry benchmarks for acquisition costs vary nearly 4x across categories:

TortTypical CPAStageAttritionSettlement Range
Tylenol~$2,550Early30%$60K-$90K
PFAS~$3,000Mid/Late25%$75K-$175K
Hernia Mesh~$3,800Late30%$60K-$80K
NEC Baby Formula~$4,000Mid30%$100K-$300K
Hair Relaxer~$4,500Early30%$75K-$125K
Roundup~$5,500Late20%$100K-$125K
Talc~$5,500Late30%$100K-$125K
Camp Lejeune~$6,500Mid/Late30%$100K-$175K
Asbestos Lung Cancer~$7,500Late20%$90K-$185K
Paraquat~$9,950Mid/Late30%$105K-$250K

These figures represent industry benchmark averages. Optimized campaigns with better targeting, creative, and intake processes can meaningfully outperform these numbers.

Understanding Attrition

Not every acquired case makes it to settlement. Attrition reflects cases that:

  • Don’t meet medical criteria on deeper review
  • Have exposure documentation issues
  • Fall outside statute of limitations
  • Claimants become unresponsive
  • Cases are otherwise non-compensable

Attrition Rates by Tort

TortAttrition RateWhy
Asbestos20%Mature, well-understood criteria
Roundup20%Established medical qualification
PFAS25%Defined exposure populations
Most others30%Standard industry expectation

A 30% attrition rate means acquiring 100 cases yields approximately 70 compensable cases.

Campaign Economics: A $5M Example

Let’s model a $5 million mass tort campaign across different torts:

PFAS Campaign ($5M)

MetricCalculationResult
Cost per case,$3,000
Cases acquired$5M ÷ $3,000250
Attrition (25%)250 × 0.75188 final cases
Settlement range,$75K-$175K
Average settlement,$125,000
Total settlements188 × $125K$23.5M
40% fee$23.5M × 0.40$9.4M
ROI$9.4M ÷ $5M1.88x on fees

Camp Lejeune Campaign ($5M)

MetricCalculationResult
Cost per case,$6,500
Cases acquired$5M ÷ $6,50090
Attrition (30%)90 × 0.7063 final cases
Settlement range,$100K-$175K
Average settlement,$137,500
Total settlements63 × $137.5K$8.7M
40% fee$8.7M × 0.40$3.5M
ROI$3.5M ÷ $5M0.70x on fees

NEC Baby Formula Campaign ($5M)

MetricCalculationResult
Cost per case,$4,000
Cases acquired$5M ÷ $4,000150
Attrition (30%)150 × 0.70105 final cases
Settlement range,$100K-$300K
Average settlement,$200,000
Total settlements105 × $200K$21M
40% fee$21M × 0.40$8.4M
ROI$8.4M ÷ $5M1.68x on fees

The MOIC Calculation

Sophisticated mass tort investors use MOIC (Multiple on Invested Capital) to compare opportunities:

TortLow MOICHigh MOIC
Tylenol4.7x7.1x
PFAS5.0x11.7x
NEC Formula5.0x15.0x
Hair Relaxer3.3x5.6x
Hernia Mesh3.2x4.2x
Roundup3.6x4.5x
Talc3.6x4.5x
Camp Lejeune3.1x5.4x
Asbestos2.4x3.1x
Paraquat3.5x5.0x

Higher MOIC generally means:

  • Lower acquisition cost relative to settlement value
  • Lower attrition
  • Shorter time to settlement

Settlement Timing Matters

A dollar today is worth more than a dollar in three years. Settlement timing dramatically affects real returns:

StageTimeline to SettlementTorts
Early30-48 monthsTylenol, Hair Relaxer
Early/Mid24-36 monthsSome emerging
Mid18-30 monthsNEC Formula
Mid/Late12-24 monthsPFAS, Paraquat, Camp Lejeune
Late6-18 monthsRoundup, Talc, Hernia Mesh, Asbestos

Early-stage torts offer lower acquisition costs but longer waits and higher uncertainty. Late-stage torts cost more but settle faster with clearer economics.

The Camp Lejeune Economics Shift

Camp Lejeune perfectly illustrates how economics change:

Before August 2022 (pre-legislation):

  • Case acquisition: ~$1,000
  • Risk: High (law might not pass)
  • Settlement: Unknown

August-December 2022 (gold rush):

  • Case acquisition: $1,000 → $5,000+
  • Risk: Moderate (law passed, settlement unknown)
  • Competition: Exploding

2024 (mature):

  • Case acquisition: ~$6,500
  • Risk: Lower (settlement frameworks developing)
  • Economics: Tighter margins

Firms that acquired at $1,000 have 6.5x better economics than those entering at $6,500.

Cost Components

That $6,500 Camp Lejeune case cost includes:

Media/Advertising (40-50%)

  • TV airtime
  • Digital campaigns
  • Social media
  • Creative production

Intake/Call Center (15-20%)

  • Call handling
  • Initial qualification
  • Data collection
  • Follow-up

Contract Processing (10-15%)

  • Retainer agreements
  • Document collection
  • Client communication

Medical Records (15-20%)

  • Record retrieval (~$300/case)
  • Medical review
  • Qualification assessment

Overhead/Margin (10-15%)

  • Operations
  • Technology
  • Compliance
  • Profit margin

What Drives Cost Differences

Why does Tylenol cost $2,550 while Paraquat costs $9,950?

Lower Cost Torts

Tylenol ($2,550):

  • Broad exposure population (everyone uses acetaminophen)
  • Easy to reach via mass media
  • High awareness of controversy
  • BUT: Significant legal uncertainty

PFAS ($3,000):

  • Defined populations (firefighters, military)
  • Efficient targeting
  • Growing awareness
  • Moderate legal development

Higher Cost Torts

Paraquat ($9,950):

  • Narrow population (agricultural workers)
  • Harder to reach
  • Requires specialized media
  • Medical qualification is complex

Asbestos ($7,500):

  • Aging, shrinking population
  • Saturated with decades of advertising
  • High competition for remaining claimants
  • Complex exposure documentation

For PI Firms: Reading the Economics

Even without direct mass tort participation, understanding these economics matters:

Referral Value

Mass tort referral fees typically range 15-33% of the handling firm’s fee. On a $100,000 settlement with 40% contingency and 25% referral fee:

  • Settlement: $100,000
  • Handling firm fee: $40,000
  • Referral fee: $10,000

Knowing acquisition costs helps evaluate whether to pursue cases directly or refer.

Competitive Context

When $6,500 is flowing into Camp Lejeune case acquisition, that capital competes with traditional PI advertising for TV inventory and digital space. Understanding mass tort economics helps contextualize your own personal injury advertising costs.

Opportunity Assessment

If a client mentions exposure to an emerging tort, these economics help evaluate whether to:

  • Refer immediately
  • Investigate further
  • Build direct capability

The Bottom Line

Mass tort advertising is a financial operation. The firms and funders winning are those who:

  1. Identify torts early. capturing $1,000 cases before they become $6,500 cases
  2. Model accurately. understanding true attrition and settlement expectations
  3. Deploy capital efficiently. matching tort selection to risk tolerance and timeline
  4. Scale appropriately. $5-20 million campaigns per tort is typical deployment

The math is transparent. The execution is what separates winners from losers. For context on how these numbers compare to broader firm budgets, see what 3,720 firms actually spend on advertising.

References

  1. Industry modeling data, various sources
  2. Bloomberg Law, Camp Lejeune Lead Economics
  3. Institute for Legal Reform, Mass Tort Economics