CI vs CVS vs ELV Stock Comparison

Cigna, Cvs Health and Elevance Health Prices as of Oct 23, 2026 Peers: Industry group
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CI Cigna Group
$306.95 +14.4% 1M +0.6% 1Y
Market cap
$80.48B
P/E
12.5x
Revenue (TTM)
$282.38B
Div. yield
0.02%
Managed Care Healthcare
6 wins
CVS CVS HEALTH Corp
$93.49 +8.9% 1M +15.3% 1Y
Market cap
$118.17B
P/E
24.2x
Revenue (TTM)
$415.09B
Div. yield
–
Managed Care Healthcare
2 wins
ELV Elevance Health, Inc.
$439.75 +10.3% 1M +27.0% 1Y
Market cap
$93.43B
P/E
18.2x
Revenue (TTM)
$201.83B
Div. yield
–
Managed Care Healthcare
3 wins

Head to Head

11 decided of 12

Cigna leads on 6 of the 12 questions below (Cigna 6, Elevance Health 3, Cvs Health 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionCICVSELVLeader
Larger companyMarket capitalisation $80.48B $118.17B $93.43B CVS
Cheaper on earningsLower P/E, profitable companies only 12.5x 24.2x 18.2x CI
Cheaper on forward earningsLower price / next fiscal year consensus EPS 9.5x 10.9x 15.6x CI
Faster revenue growthRevenue growth, trailing twelve months +7.8% +7.4% +3.6% CI
More profitableNet margin, trailing twelve months 2.3% 1.2% 2.5% ELV
Better return on capitalReturn on invested capital 10.9% 5.0% -153.2% CI
Less leveragedLower net debt / EBITDA 1.9x 3.7x 0.0x ELV
Higher dividend yieldTrailing dividend yield 0.02% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +0.6% +15.3% +27.0% ELV
Better 5-year returnAnnualised price return, 5 years +7.2%/yr +1.3%/yr +0.3%/yr CI
Less volatileAnnualised volatility, 1 year 34.0% 32.3% 36.0% CVS
Higher overall scoreMean of the five percentile scores vs peers 66/100 55/100 51/100 CI

Percentile Scorecard

CICVSELV

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisCICVSELV
Valuation 88 #4 of 25 92 #3 of 25 50 #13 of 25
Growth 57 #11 of 24 52 #12 of 24 30 #17 of 24
Profitability 78 #6 of 24 61 #10 of 24 44 #14 of 24
Financial Health 28 #19 of 26 16 #22 of 26 44 #15 of 26
Shareholder Returns 81 #4 of 17 56 #8 of 17 88 #3 of 17
Overall 66 55 51
  • CI ranked among 27 companies in Healthcare Payers and Distributors
  • CVS ranked among 27 companies in Healthcare Payers and Distributors
  • ELV ranked among 27 companies in Healthcare Payers and Distributors

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodCICVSELVSPY
1 month +14.4%+8.9%+10.3% -1.0%
3 months +5.9%-13.2%+16.5% +2.9%
6 months +11.4%+20.0%+27.6% +6.4%
Year to date +11.5%+17.8%+25.4% +11.4%
1 year +0.6%+15.3%+27.0% +13.1%
3 years +0.8%+35.6%-2.8% +79.4%
3 years, per year +0.3%+10.7%-1.0% +21.5%
5 years +41.8%+6.8%+1.5% +67.7%
5 years, per year +7.2%+1.3%+0.3% +10.9%
10 years +147.2%+7.0%+256.1% +255.2%
10 years, per year +9.5%+0.7%+13.5% +13.5%

Risk

MeasureCICVSELVSPY
Volatility, 1Y 34.0%32.3%36.0% 12.7%
Downside volatility, 1Y 38.4%34.5%39.3% 12.7%
Beta vs S&P 500, 1Y 0.160.150.29 1.00
Return / volatility, 1Y 0.020.470.75 1.03
Max drawdown, 5Y -33.4%-60.5%-51.2% -25.4%
From 52-week high -2.8%-15.4%-1.3% -2.5%
52-week high $315.88$110.55$445.45 $779.14
52-week low $244.41$70.08$280.74 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleCICVSELV
P/E now vs peer median 12.6xmedian 24.5x 24.5xmedian 24.5x 18.5xmedian 24.5x
P/S now vs peer median 0.3xmedian 0.3x 0.3xmedian 0.3x 0.5xmedian 0.3x
EV/EBITDA now vs peer median 8.3xmedian 14.4x 13.0xmedian 14.4x -0.6xmedian 14.4x
P/FCF now vs peer median 8.9xmedian 15.8x 10.2xmedian 15.8x 14.6xmedian 15.8x
P/B now vs peer median 1.9xmedian 2.5x 1.5xmedian 2.5x 2.1xmedian 2.5x
PEG now vs peer median 4.80median 1.35 1.35median 1.35 -7.93median 1.35

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsCICVSELV
Revenue $282.38B $415.09B $201.83B
Gross profit $58.25B $184.68B $53.35B
Operating income $9.96B $8.29B -$142.23B
Net income $6.98B $4.93B $5.13B
Free cash flow $9.11B $11.76B $6.51B
EPS (diluted) $24.31 $3.80 $23.62
Cash & equivalents $6.30B $11.33B $10.35B
Total debt $128.28B $255.72B $30.76B
Shares (diluted) 263.96M 1.29B 217.60M
Enterprise value $49.73B $70.58B -$49.15B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricCICVSELV
P/E 12.6x 24.5x 18.5x
P/FCF 8.9x 10.2x 14.6x
P/Operating cash flow 7.9x 8.1x 12.5x
P/S 0.3x 0.3x 0.5x
P/B 1.9x 1.5x 2.1x
P/Tangible book 5.1x 2.2x 2.8x
EV/EBITDA 8.3x 13.0x -0.6x
EV/EBIT 10.6x 20.1x -0.6x
EV/Revenue 0.4x 0.4x 0.4x
EV/FCF 11.6x 14.2x 13.8x
EV/Operating cash flow 10.3x 11.3x 11.9x
PEG (3Y EPS CAGR) 4.80 1.35 -7.93

Growth

14 metrics
MetricCICVSELV
Revenue growth (1Y) 7.8% 7.4% 3.6%
Revenue CAGR (3Y) 14.9% 7.0% 6.2%
Gross profit growth (1Y) -8.7% 6.5% 4.3%
Gross profit CAGR (3Y) 0.5% 11.8% 5.5%
Operating income growth (1Y) 10.3% -7.4% -4.2%
Operating income CAGR (3Y) 7.0% 8.9% -7.2%
Net income growth (1Y) 29.3% 8.6% -7.4%
Net income CAGR (3Y) 0.8% 18.2% -5.2%
EPS growth (1Y) 29.9% 6.5% -4.5%
EPS CAGR (3Y) 2.6% 18.1% -2.3%
Operating cash flow growth (1Y) 94.2% 95.3% 54.6%
Operating cash flow CAGR (3Y) -7.3% -10.4% -7.2%
Free cash flow growth (1Y) 131.1% 146.0% 72.9%
Free cash flow CAGR (3Y) -7.2% -12.7% -7.6%

Profitability

14 metrics
MetricCICVSELV
Gross margin 20.6% 44.5% 26.4%
EBITDA margin 4.5% 3.1% -69.7%
Operating margin 3.5% 2.0% -70.5%
Pretax margin 3.1% 1.4% 3.1%
Net margin 2.3% 1.2% 2.5%
FCF margin 3.2% 2.8% 3.2%
Operating cash flow margin 3.6% 3.6% 3.8%
Return on equity 16.4% 6.2% 11.4%
Return on assets 4.5% 1.9% 4.0%
Return on invested capital 10.9% 5.0% -153.2%
Return on capital employed 10.0% 5.0% -176.8%
Asset turnover 1.8x 1.6x 1.6x
Cash conversion (OCF / net income) 1.5x 3.0x 1.5x
Stock comp / revenue – 0.2% 0.1%

Financial Health

11 metrics
MetricCICVSELV
Debt / assets 20.3% 24.2% 24.1%
Debt / equity 0.7x 0.8x 0.7x
Net debt / EBITDA 1.9x 3.7x 0.0x
Debt / FCF 3.5x 5.2x 4.7x
Liabilities / assets 72.7% 68.5% 65.0%
Equity / assets 27.3% 31.5% 35.0%
Interest coverage – 2.7x -98.4x
Current ratio 0.8x 0.9x 1.5x
Quick ratio 0.7x 0.8x 1.2x
Cash ratio 0.1x 0.2x 0.8x
Altman Z-score 2.82 2.46 -0.79

Shareholder Returns

7 metrics
MetricCICVSELV
Dividend yield 2.0% 2.9% 1.6%
Net buyback yield 1.3% -0.4% 2.1%
Shareholder yield 3.3% 2.5% 3.7%
Payout ratio (earnings) 23.3% – –
Payout ratio (FCF) 17.8% – –
Dividend growth (1Y) 2.3% – –
Dividend CAGR (3Y) 4.9% – –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusCICVSELV
Forward P/E 9.5xFY2026 10.9xFY2026 15.6xFY2026
EPS, next fiscal year $32.34FY2026 $8.55FY2026 $28.24FY2026
EPS growth, next FY +8.4%FY2026 +26.7%FY2026 -6.8%FY2026
EPS growth, the year after +9.8% +2.2% +8.9%
Revenue, next fiscal year $303.43BFY2026 $426.79BFY2026 $208.75BFY2026
Revenue growth, next FY +10.4%FY2026 +6.1%FY2026 +5.7%FY2026
Revenue growth, the year after -6.4% -4.7% -0.2%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersCICVSELV
Held by institutions 89.7% 89.1% 91.8%
Institutions holding 1,701 2,069 1,610
Change in shares held, QoQ +0.9% +3.5% +1.7%
Institutions buying 837 1,101 859
Institutions selling 574 730 540
Buyers to sellers 1.46 1.51 1.59

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

CICVSELV
CI 1.00 0.53 0.46
CVS 0.53 1.00 0.54
ELV 0.46 0.54 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, CI, CVS and ELV?

Cvs Health (CVS) is the largest by market capitalisation: Cigna (CI) $80.48B, Cvs Health (CVS) $118.17B, Elevance Health (ELV) $93.43B.

Which stock is cheaper, CI, CVS and ELV?

Cigna (CI) trades on the lowest price-to-earnings ratio (Cigna (CI) 12.5x, Cvs Health (CVS) 24.2x, Elevance Health (ELV) 18.2x). On next year's consensus earnings, Cigna (CI) is cheapest (Cigna (CI) 9.5x, Cvs Health (CVS) 10.9x, Elevance Health (ELV) 15.6x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Cigna (CI) grew revenue fastest over the trailing twelve months: Cigna (CI) +7.8%, Cvs Health (CVS) +7.4%, Elevance Health (ELV) +3.6%.

Which company is more profitable?

Elevance Health (ELV) has the highest net margin (Cigna (CI) 2.3%, Cvs Health (CVS) 1.2%, Elevance Health (ELV) 2.5%). On return on invested capital, Cigna (CI) leads (Cigna (CI) 10.9%, Cvs Health (CVS) 5.0%, Elevance Health (ELV) -153.2%).

Which stock has performed better?

Over the past year Elevance Health (ELV) returned the most: Cigna (CI) +0.6%, Cvs Health (CVS) +15.3%, Elevance Health (ELV) +27.0%. Over five years, Cigna (CI) compounded fastest (Cigna (CI) +7.2%/yr, Cvs Health (CVS) +1.3%/yr, Elevance Health (ELV) +0.3%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Cigna (CI) 0.02%, Cvs Health (CVS) 0.00%, Elevance Health (ELV) 0.00%. Cvs Health (CVS) and Elevance Health (ELV) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Cvs Health (CVS) has been the steadiest (Cigna (CI) 34.0%, Cvs Health (CVS) 32.3%, Elevance Health (ELV) 36.0%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, CI, CVS and ELV?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Cigna (CI) leads on 6. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.