Loading…

CignaCICompetitor analysis, valuation and peers

United States · USD·Health Care›Managed Health Care

US health services company combining Cigna Healthcare insurance plans with Evernorth's pharmacy benefit management and care services.

Momentum strong 67
Mkt cap
$77.6B
US dollars, full cap
Free float
98%
of shares outstanding
$/day
$496M
20-day average traded
Fwd P/E
9.0×
forward earnings
ROIC−WACC
n/a
WACC 6.1%
Hurdle
-17 pp
Req g minus delivered
Official | Implied
A- / A-
agencies · bond market
Next earnings
90 days
4 Feb 2027
Close · USD$293.59
1D-2.6%
1W-1.6%
1M+4.5%
3M+5.5%
6M+2.5%
YTD+7.9%
1Y+15.0%
ATR %2.9%
Beta0.09
52w lowhigh7.7% off high

What Cigna does

US health services company combining Cigna Healthcare insurance plans with Evernorth's pharmacy benefit management and care services.

Most revenue is Evernorth: pharmacy-benefit fees for managing drug spending for employers and health plans, plus pharmacy and care-service income. Cigna Healthcare mainly serves employers that fund their own claims and pay fees rather than insure the risk. It bought Express Scripts in 2018 and sold its Medicare Advantage business to HCSC in 2025.

Products and services

  • Cigna Healthcare plans
  • Evernorth (Express Scripts PBM)
  • Specialty pharmacy/care services

Customers

  • Employers
  • Individuals
  • Medicare beneficiaries
  • Health plans (PBM clients)

Where it sits in the supply chain

  • Healthcare
  • Managed care/health insurance + PBM
  • Diversified payer + Evernorth services

What could go right

  • PBM specialty-drug volume growth
  • Self-insured employer client wins

What could go wrong

  • PBM pricing/transparency regulatory scrutiny
  • Medical cost trend

Moat: narrow (scale, switching costs). Express Scripts PBM scale and a large self-insured employer client base.

Headquarters: Bloomfield, Connecticut, USA · Founded: 1982 · Employees: 67,700

Named competitors

Cigna at a glance

Size Cigna (CI) is a United States Health Care company (Managed Health Care) with a market value of $77.6B, the 175th largest of 3,117 United States companies the cockpit tracks. Shares closed at $293.59 on 6 Nov 2026.

Performance Over six months the shares gained 2.5%, against +13.0% for the median peer and -1.1% for the United States market (cap-weighted) — 2nd lowest of 8 in its peer set.

Growth Revenue grew 8.2% over the last twelve months (peer median +9.7%); the operating margin is 3.9% (peer median 1.9%).

Valuation It trades at 9.0× forward earnings against a peer median of 17.4× (cheapest of 8).

Price implies For today's price to make sense, revenue must grow about -5% a year for seven years (Req g). Recent delivered growth is +11%, so the hurdle is -17 pp: the price already allows for a slowdown.

Credit Cigna has 24 bonds outstanding ($30.1B), rated A- by the agencies and trading like A- at a weighted spread of 79 bp.

Short interest Short interest is 2.6% of the free float (15 Oct 2026).

Next results Next results expected around 4 Feb 2027 (exchange calendar; dates can move).

Relative performance

9010011012011 May 202611 Aug 20266 Nov 2026Peer median 113CI 102
Six months, rebased to 100: Cigna against the median of its 7 peers (local-currency closes).

Cigna financials

Reported figures in USD; fiscal year ends 2025-12-31. TTM = trailing twelve months.
TTMFY2025FY2024FY2023FY2022
Revenue$282B$275B$244B$195B$180B
Revenue growth—+12%+25%+8%—
Net income$6.42B$5.96B$3.43B$5.16B$6.70B
Free cash flow$9.11B$8.39B$8.96B$10.2B$7.36B
Capital expenditure$1.16B$1.21B$1.41B$1.57B$1.29B
Total debt$31.9B$31.5B$32.0B$31.5B$31.7B

Quarterly statements and history in the cockpit →

Cigna competitor charts

The default views of Competitor Analysis ▸ Charts, drawn from the same data. Open them in the cockpit to change the axes, pin companies and read every value.

Performance: 6-month against 1-month return

-50%0%+50%-10%0%+10%ELVHUMCNCUNHOSCRALHCCI6-month return →1-month return →
Up and to the right = strong over both horizons. Cigna is the large dot.

Fundamentals: revenue growth against valuation

0%+20%+40%0×500×1,000×ELVHUMCNCUNHMOHOSCRALHCCIRevenue growth (TTM) →Forward P/E →
Further right = faster growth; higher = more expensive. The dashed lines are the peer medians. Cigna is the large dot.

Capital: growth delivered against growth the price implies

0%+25%+50%+75%0%50%ELVHUMCNCMOHOSCRALHCCIGrowth delivered (Del g) →Growth the price implies (Req g, 7 yrs) →
Above the diagonal = the price needs more growth than the company has been delivering; below = the price already allows for a slowdown. Cigna is the large dot.

Cigna competitors and peer comparison

Head to head with its named competitors (CI vs UNH vs ELV vs CVS)
CompanyMarket cap6M returnRevenue growthOp. marginForward P/EReq g
Cigna CI$77.6B+3%+8%4%9.0×-5.3%
UnitedHealth UNH$353B+4%+3%5%17.4×4.3%
Elevance Health ELV$92.0B+13%+4%4%14.8×4.7%
CVS Health CVS$107B-7%+7%4%9.9×-3.9%
Humana HUM$52.1B+58%+18%2%32.9×15.2%

How Cigna compares with its peers

Peer set: Industry: the same industry and sector in any market, nearest in size. This is the same default set the interactive Competitor Analysis opens with.

Cigna against its 7 peers (data as of 6 Nov 2026)
MeasureCIPeer medianRank in peer set
1-month return+4.5%+6.2%3rd lowest of 8
6-month return+2.5%+13.0%2nd lowest of 8
Distance from 52-week high-7.7%-14.6%3rd highest of 8
Revenue growth (TTM)+8.2%+9.7%4th lowest of 8
Operating margin3.9%1.9%3rd highest of 8
Forward P/E9.0×17.4×cheapest of 8
Growth the price implies (Req g, 7 yrs)-5.3%4.7%2nd least demanding of 8
Growth delivered (Del g)+11.4%+11.9%3rd lowest of 8
Hurdle (Req g minus delivered)-16.7 pp-7.4 pp3rd least demanding of 8
Bond spread79 bp108 bp2nd tightest of 6

Peer table

Peer set: Industry: the same industry and sector in any market, nearest in size
CompanyMarketMarket cap6M returnRevenue growthOp. marginForward P/EReq gDelivered g
Cigna CIUnited States$77.6B+3%+8%4%9.0×-5.3%+11.4%
Elevance Health ELVUnited States$92.0B+13%+4%4%14.8×4.7%+10.3%
Humana HUMUnited States$52.1B+58%+18%2%32.9×15.2%+10.9%
Centene CNCUnited States$34.5B+25%+10%1%13.3×1.1%+11.9%
UnitedHealth UNHUnited States$353B+4%+3%5%17.4×4.3%+11.7%
Molina Healthcare MOHUnited States$10.9B+12%-1%1%25.0×26.9%+18.7%
Oscar Health OSCRUnited States$8.38B+44%+43%4%14.0×-19.1%+90.8%
Alignment Healthcare ALHCUnited States$1.54B-59%+36%1%1,052.5×13.2%+32.7%

Cigna bonds and credit

Cigna has 24 bonds outstanding with $30.1B face value. The agencies rate it A-; its bonds trade like A-. Weighted yield 5.67%, a spread of 79 bp over government bonds.

Every bond, yield and spread in the cockpit →

Questions

Who are Cigna's main competitors?
Named competitors: UnitedHealth Group (UNH), Elevance Health (ELV), CVS Health (CVS), Humana (HUM). The cockpit's measured peer set (industry) also includes Elevance Health (ELV), Humana (HUM), Centene (CNC), UnitedHealth (UNH), Molina Healthcare (MOH), Oscar Health (OSCR).
Is Cigna expensive compared with its peers?
On forward p/e it trades at 9.0× against a peer median of 17.4×, cheapest of 8 in its peer set. For today's price to make sense, revenue must grow about -5% a year for seven years (Req g). Recent delivered growth is +11%, so the hurdle is -17 pp: the price already allows for a slowdown.
How has Cigna stock performed?
Over six months to 6 Nov 2026 the shares returned +2.5% against +13.0% for the median peer; over one year +15.0%.

How these numbers are made. Returns are close-to-close in local currency. Revenue growth and margins are trailing twelve months. Req g is the revenue growth that today's enterprise value requires for seven years at the company's own cost of capital; Delivered g is what it actually grew; the gap is the hurdle (honest precision about ±8 points, so read the ranking more than the decimal). No fair values, price targets or analyst ratings are shown, by design. Method and validation.