Tort Costs
in America
An Empirical Analysis of
Costs and Compensation
of the U.S. Tort System
November 2022









01
02
03
Chapter Chapter Chapter
1
2
3
3
4


Tort Costs Over Time
Tort Costs per

Tort Costs
Across States
Efficiency of the
Tort System
5
6
8

The U.S. Tort System
A Consistent

Tort Costs
11
12
14
16
21

Costs and
Compensation
of the U.S.
Tort System
Tort Costs
Over Time
Tort Costs per

Across States
Efficiency of
the Tort System
Contents
04 A B
Chapter Appendix Appendix
23 
39 Endnotes
25
26
26
28


Tort Claims

Tort Liability
Compensation
for Common

Compensation

Liability
29
30
31
35
36
37
38
38



Commercial and

Liability



Efficiency of the
Tort System
Updates to

Important Caveats
 
Chapter 03
01
Executive
Summary
Chapter
  
Chapter 01




costs to the extent that

These national and

estimates provide a


reforms on the cost and


in liability costs across

impact of potential
excesses in the tort
system. A detailed
description of the data


in the appendices.

(the latest year for











and other claims;

accident claims; and

liability claims.
Tort Costs
Over Time
To provide comparative

analysis from 2020 back
to 2016 and explore the
development of tort costs


costs of the tort system

rate of six percent a year
over the period 2016 to


faster rate than personal
The American legal system is lauded for its underlying principles of
due process and equal justice under the law. But the costs of the legal


1
This study seeks to address


2
) using insurance
data and estimated self-insured costs.







2016 2017 2018 2019 2020


Commercial Liability













  358    





245








      

 
Chapter 01
or medical professional
liability. This rate exceeds



2.8 percent over the same

in the tort system has




has been exacerbated by






Table 1
direct economic tort


Tort Costs per

We estimate that U.S.





consistently since 2016.
Tort Costs
Across States

variations across states.
Tort system costs in
the most expensive


least expensive states.







See Table 3 for full results, explanation of calculations, and sources.
Differences in totals are the result of rounding.
  
Chapter 01

than 1.5 percent).
Tort system costs per










Tort System

the tort system is relatively

compensation to claimants.
Compensation to claimants
only represents 53 percent



costs and other expenses.


describe in detail the



recent trends in tort costs.

Sources: Bureau of Economic Analysis; United States Census Bureau.
2.20% $3,800
1.95%
2.15%
1.90% $3,200
2.10% $3,600
1.85%
2.05%
1.80% $3,000
2.00% $3,400
1.75%
1.70% $2,800
2016
Costs as % of GDP
Average Costs per Household
2019
Total Tort Costs as % of GDP Average Tort Costs per Household
2017 20202018
 
Chapter 03
02
Introduction
Chapter
  
Chapter 02
The tort system may be

important economic roles




responsible behavior.
The U.S. Tort System

the tort system has been




liability costs than other

3

differences in liability costs

the comprehensiveness



the existence of loser-pays


extensiveness of private





action mechanism.
4
Excessive costs of the
tort system can adversely




and liability risks that are


referred to as “externalities.



development and sale of


5
The perceived liability
risk of different




6

costs in the U.S. decrease












 
Chapter 03
[W]e nd for every
dollar paid in
compensation to
claimants, 88 cents
were paid in legal
and other costs.
competitiveness by at
least 3.2 percent
7
and

direct investment.
8

the tort system have



9
and these
effects can be severe




10


costs across states and
they have been explained
in part by differences in



of the competence of




11









Chapter 02
  
Chapter 02



every dollar received by



costs.
12



every dollar paid in


.
13
This raises the important



compensate claimants.
A Consistent

Tort Costs

estimates of tort costs for
the entire United States and
for each state. This research



of the U.S. tort system in
2016.
14


15





claims and enforcement
actions. The costs of the

the market-determined

as policyholders are




bear the transferred
liability risks.




United States to develop a
consistent and transparent



commercial marketplace.



estimate of tort costs the








16
The liabilities



costs to the extent that
certain tort claims are

17
While the



are consistently estimated


trends and to compare tort




incorporate the impact of
private settlements on tort






liability for personal

and in some cases

liability related to






liability;
 
Chapter 02

certain environmental
liabilities;

liability;


investor protection liability;
labor and employment
liability;


non-discrimination
protections); and


Liability costs covered
by the commercial

directly estimated from












the costs





MarketStance
®




estimates U.S. commercial




18
We apply loss ratios and

ratios from the National

Commissioners (NAIC)
to the estimated liability


are paid in compensation




  
Chapter 03
An additional advantage
of relying on insurance
data is that our
estimates incorporate
the impact of private
settlements on tort
costs, which are missing
from studies that rely
only on public records
of adjudicated cases.
Chapter 02
 
Chapter 03
03
Results
Chapter
  
Chapter 03
We estimate that the aggregate tort costs in the U.S. amounted to $443
 As shown in Figure 2


Costs and
Compensation
of the U.S.
Tort System




tort costs that correspond



all other commercial and
personal liabilities. We
report tort costs as either







Table

across these dimensions


billion relate to liabilities







Medical Liability

Sources: MarketStance; NAIC.
Commercial/

Medical
Liability
 Total
[A] [B] [C] [D]
    
  -  
   - 
    
  -  
Tota l    


Sources and Notes:
Differences in totals are the result of rounding.
[A]: Includes general/professional liability and liability portion of individual homeowners’
exposure. Operating, professional, and self-insured segments are from MarketStance,
NAIC, and SERFF.
[B]: MarketStance, NAIC.
[C]: Includes personal and commercial auto liability.
[D] = [A] + [B] + [C]
 
Chapter 03Chapter 03
liability and professional

billion relate to medical


liability. Commercial











employment practices

errors and omissions
liability; and









a small fraction of the



in total tort costs.
3
billion relate to liability


We estimate that
the aregate tort
costs in the U.S.
amounted to $443
billion in 2020.
  
Chapter 03
Tort Costs
Over Time


estimate tort costs for the
years 2016-2020. Total direct
economic tort costs by


Table 3 and 4.






2016 2017 2018 2019 2020


Commercial Liability

Medical






















       







2.9
135.1








       
       
















       

Sources and Notes:
MarketStance; NAIC; Bureau of Economic Analysis; Bureau of Labor Statistics.
Differences in totals are the result of rounding.
Tort economic costs include losses, direct defense costs and cost containment expenses, plaintiffs’ legal costs, and cost of risk
transfer. Average Annual Growth is the compound annual growth rate from 2016-2020: i.e., (value
2020
/value
2016
)
1/4
-1.
[4] = [1] + [2] + [3]
[7] = [5] + [6]
[8] = [4] + [7]
[10]: CPI is non-seasonally adjusted for all urban consumers; all items in U.S. city average. Base period: 1982-84=100.
[11] = [8] / [9]
 
Chapter 03


of 6.0 percent a year over
the period 2016 to 2020


than personal liability. This




same time period.
19




1.9 percent to 2.1 percent.



persisted in 2020 despite










costs of all tort liabilities that
relate to either claims made

Sources and Notes: MarketStance; NAIC; Bureau of Economic Analysis; Bureau of Labor Statistics.
$450
$400
$350
$300
$250
$200
$150
$100
$50
$0
2016
Billions ($)
20192017 20202018
Personal Homeowners Medical Liability Commercial Auto
Commercial General/Professional
Personal Auto







  
Chapter 03

policy year.
20





and expenses for liabilities


in losses and expenses










Tort Costs per

Across States

costs of the tort system per




21


state or territory based on
the physical location of the





be allocated to the location


22
MarketStance



other characteristics of each
operation. MarketStance






estimates of tort costs across




Chapter 03
The total national
tort cost gure of
$443 billion in 2020
amounts to $3,621
per household.
 
Chapter 03



entirely explained by the




costs in the least expensive

Table 4 reports

tort costs in 2020 by state















State
General/
Commercial
Medical
Liability

Total
Costs
Tort Costs as %

Tort Costs per

AK      
AL      
      
AZ      
CA      
CO      
CT      
DC      
DE      
FL      
GA      
      
IA      
ID      
IL      
IN      
KS      
      
LA      
MA      
MD      
  
Chapter 03Chapter 03
  

Note: Homeowner (liability portion) is included under General/Commercial Liability.
State
General/
Commercial
Medical
Liability

Total
Costs
Tort Costs as %

Tort Costs per

ME      
MI      
MN      
MO      
MS      
MT      
NC      
ND      
NE      
      
      
NM      
      
      
      
OK      
      
      
      
SC      
SD      
TN      
TX      
UT      
      
      
WA      
WI      
      
      
National      
 
Chapter 03
Table 5
expensive states in terms of






to 2.98 percent of the total


most expensive states in
terms of tort costs per






each of the 43.8 million

State
Total Tort Costs 
Tort Costs as %

[1] [2] [3]
FL   
LA   
NM   
DE   
   
MT   
MS   
   
GA   
SC   
   

Sources and Notes:
[2]: Bureau of Economic Analysis, Gross Domestic Product by state: All industry total. Last updated: March 31, 2022.
[3] = [1] / [2].
Chapter 03
  
Chapter 03
State
Total Tort Costs



Tort Costs per

[1] [2] [3]
DE   
   
FL   
   
CA   
CT   
GA   
LA   
CO   
MA   
   

Sources and Notes:
Washington D.C. had the sixth largest tort costs per household but is excluded.
[2]: U.S. Census.
[3] = [1] / [2].


2.42.11.8
1.5

Tort System






compensation received by












and the cost of risk
transfer.
23
The cost of risk
transfer represents 21








offer a basis to assess its

of the portions of total









received by the claimants.
24



compensation that claimants
receive for their claims. Loss





25















 
Chapter 03




go toward compensating





Cost of

Claims

Other (Cost of


Compensation to


  
Chapter 03

attorneys.
26
We estimate
the portion of losses that








27




Table 7



data from the NAIC







costs are estimated to be


Claimant compensation is








Losses
Loss

Expense


Compensation


Total




Transfer
Total
     


     

     

     

(liability portion)
     
      

 3.3    


 1.8    

 7.4    
      
Tota l












Notes:
Differences in totals are the result of rounding.
[1] = [3] - [2]
[2] = [4] x (4/3)
[3] = [6] × (Incurred Losses / Earned Premiums)
[4] = [6] × (Incurred Losses / Earned Premiums)
[5] = [6] - [4] - [3]
[6]: Total estimated cost and compensation.
04
Conclusion
Chapter
  
Chapter 04





These tort costs exhibit










The tort system is relatively

compensation to claimants.
We estimate that only 53

in the tort system are paid



risk transfer costs.


costs and transparent cost


research and policy debate.
 
Chapter 03
Included
Categories of
Tort Claims
A
Appendix
  

costs for the entire United States and for each state. These estimates





Tort Liability



to seek compensation
from the person or entity






28
This


tort liabilities.


actions are typically



2930
While t
his



makes it
possible to estimate the



United States provides


civil remedies for harm






1. 



2. 



labor and employment


data are reported by line of


claims based on common


do not separately estimate



To the extent that both are


Compensation for






Appendix A




of liability that

 

31

in the tort system depends
on the type of claim.


may cover economic





32
In other

seek compensation for









claims arises from






These are claims that arise


to abide by the terms or






tort claims in connection





33






breach of contract.


34






.












provision of professional










and asbestos liabilities

across the United States.
35

environmental toxic torts

specialty environmental


These specialty lines are

Many environmental







of the tort system.
36
Appendix A
Compensation for

Civil liabilities can also


arise from a combination





liability claims can be






criminal liabilities are







deceptive practices acts;


discrimination protections;

37
and




and costs of compliance



of the tort system.
38

compensation liabilities are



Appendix A



 
Chapter 03
Methodology
B
Appendix
  






We estimate tort costs






the estimated tort costs for




(1) compensation paid
to claimants (covered

and settlements);

(defense costs and cost



claims); and
(3) the cost of risk transfer
(claims administration






the liability risks).
Since the price of liability


39










of risk transfer.



have several important

them to administer and pay












be less expensive for
a policyholder to pay a




40







liabilities that are self-




The cost of risk transfer is


Appendix B
 
Appendix B
in liability costs for self-



operate similarly to carriers
and often hire third parties



losses and perform their








certain direct and indirect
costs of the tort system.

direct economic cost of
the tort system does not



















any positive effects that
the tort system may have



parties
.
Non-economic










(1) commercial liability and
medical professional




of tort costs for each of

Commercial
and Medical

Liability

of U.S. liability costs are
covered by commercial


of the market for liability


the tort costs for commercial
and medical professional

data on the cost of liability


and detailed information








MarketStance estimates the




  

that are retained either



in excess of carried limits.
MarketStance scales the




each state by domestic


collected by the National

Commissioners (NAIC)




liabilities (described in


described in more detail

Type of

NAIC Line  
Commercial

(Liability)


Umbrella Liability
Excess Liability


Other Liability -



Umbrella Liability
Excess Liability
Cyber Liability
D&O Liability


Other Liability -
Claims Made




Cyber Liability
D&O Liability

   


1. The NAIC insurance lines in this table include the following types of insurance: 5.0002 Business Owners, 5.0003 Commercial
Package Policy, 5.0006 Commercial Farm and Ranch, 5.0007 Other CMP Policies, 17.0001 Commercial General Liability, 17.0002
Completed Operations, 17.0003 Comprehensive Personal Liability, 17.0004 Contractual Liability, 17.0005 Day Care Centers, 17.0006
Directors and Ofcers Liability, 17.0007 Elevators and Escalators Liability, 17.0008 Employee Benet Liability, 17.0009 Employers
Liability, 17.001 Employment Practices Liability, 17.0011 Environmental Pollution Liability, 17.0012 Fire Legal Liability, 17.0013 Kidnap
and Ransom Liability, 17.0014 Liquor Liability, 17.0015 Municipal Liability, 17.0016 Nuclear Energy Liability, 17.0017 Personal Injury
Liability, 17.0018 Premises and Operations (OL&T and M&C), 17.0019 Professional Errors and Omissions Liability, 17.002 Umbrella and
Excess (Commercial), 17.0021 Umbrella and Excess (Personal), 17.0022 Other, 17.0023 Veterinarian, 17.0024 Internet Liability, 17.0025
Provider Excess Stop Loss, 17.0026 Excess Stop Loss, 17.0027 Other Excess Stop Loss, 17.0028 Cyber Liability, 18.0001 Occurrence,
and 18.0002 Claims Made.
2. While aviation, ocean, and marine policies provide some liability coverage, they are relatively small lines and predominantly cover
property losses. Since NAIC data do not separately report the cost of liability coverage included in other lines, these liability costs
are excluded from our estimates.
Appendix B
 


Commercial liability costs





to state and federal


available. These data are



41
Table 8




protects doctors and
hospitals from liability



or death of patients.
42
MarketStance separately

professional liability

reported separately by



are interested in direct




calendar year.
43










the estimates of commercial






We also estimate the
fraction of tort costs not



rates.
44

data provide an estimate
of tort costs for those





are covered. At the smaller





limits. At the other end of











45



market. We rely on data and
Appendix B



interested in direct



that relate to

2020 calendar year.
  

by MarketStance—a



—to
develop estimates of the

medical professional liability
costs. We do not estimate


these to be immaterial to


The key steps in the


 



 



 


based on total reported
















information on the cost of

each state and identify
the risk factors that


These risk factors and






or hospital.
MarketStance estimates







data that affects liability









professional liability also


or hospital beds covered.







MarketStance models






Umbrella and Excess
(Commercial)


46

Omissions Liability
Appendix B
 
Directors and


Liability

Cyber Liability

Liability
















exposed to different types of



they retain. Many physician








47
MarketStance estimates







MarketStance calibrates its





MarketStance combines






48
MarketStance








part of the market.



estimated from the costs of















Table 9













Appendix B
  




by NAIC to estimate personal




they are the most likely





costs are not material.






49











the total earned liability





50









motorist;
medical payments; and
other liability.





that they can be exempt







retain some or all of the


earned for commercial





for Liability


States
  
  


 


Source: SERFF Filings.
Appendix B
 

estimated based on the

information on the fraction

liability that is retained.
51

Tort System

of the tort system to be

are paid to claimants as
compensation instead



claims. To assess the


the total tort costs are paid




estimates not only of the




and administer claims.


to claimants to resolve
their tort claims. In the

are typically paid on a




of tort costs that are
retained by claimants
as compensation for



from the reported losses.






approximately 33 percent


52

claims is reported in







as total reported losses less














defense costs are


cost of risk transfer is


losses and loss



of tort costs are paid as


have data to compare the
Appendix B









  



nearly half of costs in the





Updates to



estimates from 2016






estimates of medical
liability costs to rely on

53

commercial liability loss


54

analysis of non-employee


55
The


total tort costs in 2016 is


Important Caveats


for several reasons.







claims administration
costs and the cost of risk


costs for certain

captives operate similarly
to carriers and may hire
third parties to administer


for expected losses and




and indirect costs of the


economic cost of the tort














externalities of the tort











as certain torts that are


and toxic tort claims.






Appendix B
 
Chapter 03
Endnotes
  
1






2




3
International Comparisons
of Litigation Costs: Europe, the United States and Canada (U.S.

4
See generallyLitigation
Patterns in Automobile Bodily Injury Claims 1977-1997: Effects
of Time and Tort Reforms


determinants of tort costs across states. See 
Determinants of State Tort Costs: The Predictive Power of the
Harris State Liability Systems Ranking Study (U.S. Chamber of

5
Punishing Robots: Issues in
the Economics of Tort Liability and Innovation in Articial
Intelligence.

6


7
How Structural Costs Imposed on U.S.
Manufacturers Harm Workers and Threaten Competitiveness


8
SeeThrough Their Eyes: How Foreign Investors
View and React to the U.S. Legal System (U.S. Chamber of

The U.S. Litigation Environment and
Foreign Direct Investment: Supporting U.S. Competitiveness by
Reducing Legal Costs and Uncertainty (Oct. 2008).
9
The Causes and Effects of
Liability Reform: Some Empirical Evidence

10

The Impact of Asbestos Liabilities on Workers in Bankrupt
Firms 
11
See
Determinants of State Tort Costs: The Predictive Power of
the Harris State Liability Systems Ranking Study, available
at  and




See
The Costs of Excess Medical Claims for Automobile Personal
Injuries
12
Tort Liability Litigation Costs
for Commercial Claims 

13

See


14
Costs
and Compensation of the U.S. Tort System

15






®







provided research assistance.
16



17





18




19

 
20


reported. A claims-made policy only covers incidents that happen

21




22
See e.g.,


by States and Territories.
23









24
SeeCosts and
Compensation Paid in Tort Litigation 37 

25
See e.g., Statutory Issue Paper No. 55 Unpaid Claims, Losses and
Loss Adjustment Expenses

26

See The Market for Contingent Fee Financed
Tort Litigation: Is it Price Competitive?
Contingent Fee Litigation in New York
City
27
SeeCosts and
Compensation Paid in Tort Litigation







28








29











30









Debunking the Myth that Insurance
Coverage Is Not Available or Allowed for Intentional Torts or
Damages
31



liability torts. Tor t
.
32
42 USC § 14505(1) and 42 USC § 247d-6d(e)(8). Also see
Non-Economic Damages in Personal Injury Cases. 
.
33

and defamation.
34

Commercial
general liability insurance

.
35







  

and TCE.
36









See Asbestos
Claims Payments Show No Sign of Slowing Down Despite Drop
in Incurred Losses
37





38





environmental liability lines.
39



See National Association of Insurance Commissioners, 2016
Competition Database Report 
see also Report on Protability by Line by
State in 2016

40
See On the Demand for
Corporate Insurance: Creating Value, Handbook of Insurance,

41
See e.g.,


42



See Claims, errors, and compensation
payments in medical malpractice litigation 2024-2033

43


44


45
Medical malpractice insurance report:
A study of market conditions and potential solutions to the
recent crisis

46


47
 Medical malpractice insurance report:
A study of market conditions and potential solutions to the
recent crisis

48


does not separately model.
49






50
Auto Insurance Database Report 2014/2015


51


52
SeeCosts and
Compensation Paid in Tort Litigation

53





54



SNL Financial.
55







202.463.5724 main


