Understanding the Landscape
Pay-per-call campaigns offer a direct line to qualified customers, bypassing clicks for conversations. This report synthesizes 2025 pricing data for three high-value verticals, revealing the costs to acquire phone leads and signed clients. Key factors like call duration (buffer), conversion rates, and regional competition dictate market prices.
Motor Vehicle Accident (MVA) Campaigns
MVA is the most competitive legal vertical. Costs are heavily influenced by geography, with dense urban markets demanding premium prices for qualified leads.
Average MVA Call Cost by U.S. Region
The Northeast commands the highest prices, costing over 48% more per call than the Midwest.
U65 Private Health Insurance
This segment is highly scalable and offers a more affordable entry point, targeting consumers with incomes over $50k who purchase non-ACA insurance plans.
Phone Lead Conversion to Policy
From Call to Customer: The U65 Lead Flow
Mass Tort Campaigns
Targeting plaintiffs for high-value litigation commands premium prices. With scarce public data, costs are proxied from top-tier personal injury campaigns.
Estimated Cost Per Signed Case
Reflects high acquisition costs due to low plaintiff pools and extensive qualification needs.
Estimated Cost Per Qualified Call
Pricing mirrors high-end auto accident leads, varying by tort-specific factors like publicity and competition.
Key Takeaways for Investors
Budgeting for pay-per-call requires a nuanced understanding of each vertical's unique market dynamics.
MVA Requires Large Budgets
Dominating legal ad spend, acquiring a signed MVA case can cost $2,500–$3,800. Competitive states like New York can increase costs by over 20%, making regional budget allocation critical.
Health Insurance is Scalable
With calls as low as $20 and a new policy acquisition cost averaging around $200, the U65 health vertical offers an affordable and scalable channel for growth with clear qualification buffers.
Mass Torts are High Risk/Reward
Anticipate paying $300–$1,500 per call and potentially over $7,500 per signed case. Budgets must account for long intake scripts, high attrition, and fluctuating demand.
Data Quality is Paramount
Across all verticals, lead exclusivity, call duration, targeting precision, and volume commitments are key levers for negotiating better rates and ensuring campaign profitability.