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Cigna vs Elevance Health: CI and ELV compared

Cigna is the larger company: $73.7B of revenue in its latest quarter (Q3 2026) against $51.4B for Elevance Health (Q3 2026). Cigna is growing faster (+6% against +1% a year earlier). Cigna is more profitable, with an operating margin of 3.3% against 2.5%.

Cigna vs Elevance Health, latest quarterCigna vs Elevance Health, latest quarterCigna (CI)Elevance Health (ELV)Revenue$73.7B$51.4BRevenue growth, Y/Y+6%+1%Operating margin3.3%2.5%Net margin2.0%2.6%

Where the money goes: CI and ELV

Cigna (CI) · Q3 2026

Cigna, Q3 2026: revenue $73.7B (+6% year over year), operating margin 3.3%, net earnings $1.4B, operating cash flow $2.6B. The chart follows the revenue to costs, profit and cash.

Elevance Health (ELV) · Q3 2026

Elevance Health, Q3 2026: revenue $51.4B (+1% year over year), operating margin 2.5%, net earnings $1.3B, operating cash flow $1.3B. The chart follows the revenue to costs, profit and cash.

Cigna (CI)Elevance Health (ELV)
Latest quarterQ3 2026Q3 2026
Revenue$73.7B$51.4B
Revenue growth, Y/Y+6%+1%
Operating margin3.3%2.5%
Net earnings$1.4B$1.3B
Net margin2.0%2.6%
Operating cash flow$2.6B$1.3B
Free cash flow—$1.0B
Market value$79.5B$94.0B
P/E11.9×18.4×
Analysts’ mean target$342.56$482.38

Questions

Which is bigger, Cigna or Elevance Health?

Cigna is the larger company: $73.7B of revenue in its latest quarter (Q3 2026) against $51.4B for Elevance Health (Q3 2026).

Is Cigna or Elevance Health growing faster?

Cigna is growing faster (+6% against +1% a year earlier).

Which is more profitable, Cigna or Elevance Health?

Cigna is more profitable, with an operating margin of 3.3% against 2.5%.

More: Cigna earnings · how Cigna makes money · Elevance Health earnings · how Elevance Health makes money

From the companies' latest 10-Q, 10-K or earnings release (10-Q filed Nov 5, 2026; 10-Q filed Oct 21, 2026). Fiscal quarters can end on different dates. Not investment advice.