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Cigna (CI) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Feb 26, 2026

Cigna (CI) reported revenue of $72.5B for the fourth quarter 2025 (Q4 2025), +10% from a year earlier and +4% from the quarter before. Operating margin was 3.2%, net earnings $1.2B (1.7% of revenue).

Revenue$72.5B
Year over year+10%
Quarter over quarter+4%
Operating margin3.2%
Net earnings$1.2B

Cigna, Q4 2025: revenue $72.5B (+10% year over year), operating margin 3.2%, net earnings $1.2B, operating cash flow $6.1B. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$72.5B+4%+10%
Operating profit$2.3B-9%+8%
Net earnings$1.2B-34%-13%
Operating cash flow$6.1B+80%+18%

What changed

Revenue was $72.5B in Q4 2025, up 10% year over year and up 4% from the previous quarter.

Operating profit was $2.3B, a 3.2% margin (down 0.1 points year over year). Of the extra revenue versus a year earlier, 3% reached operating profit, below the 3% margin then. Total costs grew 10% against revenue growth of 10%. The fastest-growing cost line was Cost of revenue (+18%). Net earnings were $1.2B, down 13% year over year. The effective tax rate was 29.9%.

Operating cash flow was $6.1B (up 18% year over year), 483% of net income including minority interests. Non-cash charges added back $0.72B of depreciation and amortization. Working capital and other items added $4.2B.

Questions

What was Cigna's revenue in the fourth quarter 2025?

Cigna (CI) reported revenue of $72.5B for the fourth quarter 2025 (Q4 2025), +10% from a year earlier and +4% from the quarter before.

Was Cigna profitable in the fourth quarter 2025?

Operating profit was $2.3B (3.2% of revenue) and net earnings $1.2B.

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Source: Cigna 10-K on SEC EDGAR.