Strativest CapitalSTRATIVEST RESEARCH
Independent research · Est. October 2026
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Stock X-Ray · Health Care · S&P 500 Full Coverage — Phase 1

Cigna (CI)

X-Ray dated Oct 28, 2026 · Share price as of Oct 28, 2026 intraday, when the valuation snapshot was captured · Financials from SEC filings (EDGAR) · Valuation multiples from a labelled secondary source
The verdict — valuation label: UNDERVALUED

Forward P/E is 9.38x against a peer median of 14.94x, a ratio of 0.63x — well below the fair range — with trailing P/E 12.37x and PEG 0.89. Latest-quarter revenue grew 6.7% year over year (PRIMARY, EDGAR), slightly above the group pace, so the value-trap check passes: revenue is growing, not shrinking. Delivered demand check: the health care payers, services & facilities group's median growth was 6.2% — demand steady, and Cigna is growing just above that pace.

9.4×
Forward P/E — price vs next year’s expected earnings (secondary source)
14.9×
Peer median forward P/E — closest comparable companies
12.4×
Trailing P/E — price vs the last twelve months of earnings
0.3×
Price / sales

What would change this label: Move to FAIRLY PRICED if the forward P/E rises to about 13.4x or above (0.90x the peer median) at unchanged estimates, or if revenue growth falls below 0% year over year. Move to OVERVALUED if the forward P/E rises above about 17.2x (1.15x the peer median) without a matching rise in growth.

In simple words

Cigna sells health insurance and manages pharmacy benefits for employers. Its shares trade at about 9 times expected earnings versus about 15 times for similar companies, while its sales grew 6.7%, in line with the group. That discount on steady growth makes the shares look undervalued.

Words we use, in plain English: P/E ratio — the share price divided by earnings per share; how many dollars you pay for one dollar of yearly profit. Forward P/E — the same, using next year’s expected earnings. Free cash flow — cash a company has left after running the business and buying equipment. TTM — the last twelve months. Drawdown — the worst fall from a peak to the low after it.
The share price vs the market — six years
Cigna (CI)S&P 500 (SPY)
811191561942312021202220232024202520262020-09-012026-10-27

Both lines start at 100 on 2020-09-01. Over the full window Cigna returned +69.33% and the S&P 500 +118.28% (price returns; dividends not reinvested). Worst peak-to-trough fall for Cigna: -33.4% (2024-09-16 to 2025-10-31). Source: Nasdaq official daily history.

What the label rests on

Forward P/E is 9.38x against a peer median of 14.94x, a ratio of 0.63x — well below the fair range — with trailing P/E 12.37x and PEG 0.89. Latest-quarter revenue grew 6.7% year over year (PRIMARY, EDGAR), slightly above the group pace, so the value-trap check passes: revenue is growing, not shrinking. Delivered demand check: the health care payers, services & facilities group's median growth was 6.2% — demand steady, and Cigna is growing just above that pace. The company’s forward P/E is 9.4× against a peer median of 14.9×. Its own history: UNVERIFIED — no sourced range available. Sector demand read: Delivered demand check: the health care payers, services & facilities group's median latest-quarter revenue growth was 6.2% year over year (SEC filings) — demand steady. Cigna, at 6.7% growth, is growing just above that pace. Latest-quarter sales growth was +6.7% versus a year earlier (SEC filings).

CompanyPrice (Oct 28, 2026)Forward P/ETrailing P/E
Cigna (CI)$299.159.4×12.4×
ELV$423.5514.7×18.1×
HCA$462.4514.9×15.3×
VEEV$317.9632.9×52.1×
HUM$420.0033.9×39.7×
CVS$91.1011.2×23.9×
Peer median14.9×

Multiples: stockanalysis.com (SECONDARY, S&P Global data), fetched Oct 28, 2026. Peer set chosen by sector; the median is the middle value of the set. The label and its numbers were recorded in the programme’s label registry on Oct 28, 2026 and will be scored at 6 and 12 months.

Sales, profit and cash

Sales and profit each quarter
SalesNet income (profit)
$0B$27B$54B$81BSep 2020Sep 2021Sep 2022Sep 2023Sep 2024Sep 2025Jun 2026

This company does not report a gross-profit line in its SEC facts (normal for banks, payment networks and some health insurers), so profit is shown as net income instead — gross margin is marked UNVERIFIED-absent rather than estimated.

Free cash flow by quarter is not shown for Cigna. Its SEC cash-flow facts do not separately tag spending on plant and equipment (normal for a bank), so a quarterly free-cash-flow figure cannot be built without estimating — and this programme does not estimate.

QuarterSalesGross marginNet incomeEPS (GAAP, diluted)Free cash flow
Q/E Jun 2026
2026-06-30
$71.7B—$1.7B6.29—
Q/E Mar 2026
2026-03-31
$68.5B—$1.7B6.26—
Q/E Dec 2025
2025-12-31
$72.5B—$1.3B——
Q/E Sep 2025
2025-09-30
$69.7B—$1.9B6.98—
Q/E Jun 2025
2025-06-30
$67.2B—$1.5B5.71—
Q/E Mar 2025
2025-03-31
$65.5B—$1.3B4.85—
Q/E Dec 2024
2024-12-31
$65.6B—$1.4B——
Q/E Sep 2024
2024-09-30
$63.7B—$739M2.63—
Q/E Jun 2024
2024-06-30
$60.5B—$1.5B5.45—
Q/E Mar 2024
2024-03-31
$57.3B—$-277M-0.97—
Q/E Dec 2023
2023-12-31
$51.1B—$1.0B——
Q/E Sep 2023
2023-09-30
$49.0B—$1.4B4.74—

The last twelve reported quarters. Full 24-quarter history sits in the data pack behind this page. A dash means the figure is not tagged as a standalone quarter in the company’s SEC facts (the usual case is the fourth quarter, which many companies only report inside the full-year filing) — it is missing, not zero.

Earnings: getting better or worse?

Each box is one quarter’s earnings per share (EPS). Green means EPS was higher than the same quarter a year earlier; red means lower; a dash means the figure is not tagged in the filings.

Sep 2022
8.97
Dec 2022
—
Mar 2023
4.24
Jun 2023
4.92
Sep 2023
4.74
Dec 2023
—
Mar 2024
-0.97
Jun 2024
5.45
Sep 2024
2.63
Dec 2024
—
Mar 2025
4.85
Jun 2025
5.71
Sep 2025
6.98
Dec 2025
—
Mar 2026
6.26
Jun 2026
6.29

Basis: GAAP diluted EPS from SEC company facts, compared with the same quarter a year earlier.

Key facts

ItemValue
Company (legal name in filings)Cigna Group
Chief executiveBrian Evanko (source: https://www.thecignagroup.com/our-leaders/leadership-team/brian-evanko)
SectorHealth Care — Health Care Services — sells health insurance and pharmacy benefit management services
Share price (Oct 28, 2026)$299.15
Market value (market cap)$78.8B — share price times shares outstanding of 264,240,486 (SEC filings; SEC EDGAR dei EntityCommonStockSharesOutstanding (latest))
Sales, last twelve months$282.4B
Net income, last twelve months$6.5B
Free cash flow, last twelve months—
Latest reported quarterQ/E Jun 2026 (of 24 quarters in the data pack)
Six-year price return vs S&P 500+69.33% vs +118.28%
Worst peak-to-trough fall-33.4% (2024-09-16 to 2025-10-31)

What we could not verify

  • Gross profit / gross margin: not tagged as a standalone line in this company's EDGAR company facts (common for banks, payment networks and some healthcare payers) — shown as UNVERIFIED-absent; the page charts revenue and net income instead.
  • TTM GAAP diluted EPS could not be summed from company facts because at least one of the last four quarters (typically Q4) has no standalone tagged EPS; trailing P/E is therefore taken from the labelled secondary source in valuation_label.md.
  • Free cash flow is absent for one or more quarters: either the filer does not separately tag PP&E purchases in its EDGAR cash-flow facts (common for banks), or — for a successor registrant's newest quarter — the cash-flow lines are year-to-date without the prior-quarter rung needed to difference them. Affected quarters are null in the data, never estimated.
  • Own-history P/E range not yet compiled for this company in the Phase 1 batch run; the label rests on peer-median, growth and PEG evidence.
  • Guidance record (each quarter scored against the guidance the company gave the quarter before) is not yet compiled for this company — it is a Phase 2 layer. The earnings strip below therefore uses reported EPS versus a year earlier, which is fully sourced from filings.

The IT factor — the most exciting thing the market is overlooking — is not assessed on an X-Ray page. It belongs to the Deep Dive (Phase 2), where it gets the evidence standard it needs. Leadership-era scoring (the six years split by chief executive) is likewise a Phase 2 layer; this page names the current chief executive only, from a sourced profile.

Sources

  • SEC EDGAR submissions — Filing index; company legal name. https://data.sec.gov/submissions/CIK0001739940.json
  • SEC EDGAR company facts — Quarterly financial spine: revenue, gross profit, net income, GAAP diluted EPS, operating cash flow, PP&E capex, buybacks, dividends, diluted shares. https://data.sec.gov/api/xbrl/companyfacts/CIK0001739940.json
  • Nasdaq official daily history — Daily closes for the company; SPY (assetclass=etf) saved as raw/nasdaq_spy_raw.json over identical dates. https://api.nasdaq.com/api/quote/CI/historical?assetclass=stocks
  • Valuation multiples and peer figures — stockanalysis.com (SECONDARY, S&P Global data), fetched Oct 28, 2026; see valuation_label.md in the data pack.

Conventions: earliest-filed value per period, as first reported; cash-flow years-to-date differenced quarter by quarter; EPS never differenced; free cash flow = operating cash flow minus plant-and-equipment spending. This page is a dated snapshot — updates are new versions, never silent edits.

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