CI vs HNGE vs ELV Stock Comparison

Cigna, Hinge Health and Elevance Health Prices as of Oct 27, 2026 Peers: Industry group
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CI Cigna Group
$298.29 +9.6% 1M -3.5% 1Y
Market cap
$78.82B
P/E
12.2x
Revenue (TTM)
$282.38B
Div. yield
2.08%
Managed Care Healthcare
6 wins
HNGE Hinge Health, Inc.
$113.88 +19.1% 1M +128.4% 1Y
Market cap
$9.13B
P/E
83.8x
Revenue (TTM)
$720.06M
Div. yield
–
Telehealth Healthcare
4 wins
ELV Elevance Health, Inc.
$421.37 +6.4% 1M +23.0% 1Y
Market cap
$91.06B
P/E
17.8x
Revenue (TTM)
$201.83B
Div. yield
1.63%
Managed Care Healthcare
2 wins

Head to Head

12 decided of 12

Cigna leads on 6 of the 12 questions below (Cigna 6, Hinge Health 4, Elevance Health 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionCIHNGEELVLeader
Larger companyMarket capitalisation $78.82B $9.13B $91.06B ELV
Cheaper on earningsLower P/E, profitable companies only 12.2x 83.8x 17.8x CI
Cheaper on forward earningsLower price / next fiscal year consensus EPS 9.2x 45.9x 14.0x CI
Faster revenue growthRevenue growth, trailing twelve months +7.8% +49.8% +3.6% HNGE
More profitableNet margin, trailing twelve months 2.3% 14.9% 2.5% HNGE
Better return on capitalReturn on invested capital 10.9% — 8.3% CI
Less leveragedLower net debt / EBITDA 1.9x — -0.5x ELV
Higher dividend yieldTrailing dividend yield 2.08% — 1.63% CI
Better 1-year returnPrice return, last 12 months -3.5% +128.4% +23.0% HNGE
Better 5-year returnAnnualised price return, 5 years +6.7%/yr — -0.6%/yr CI
Less volatileAnnualised volatility, 1 year 34.0% 53.5% 36.1% CI
Higher overall scoreMean of the five percentile scores vs peers 67/100 72/100 71/100 HNGE

Percentile Scorecard

CIHNGEELV

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

AxisCIHNGEELV
Valuation 92 #3 of 25 29 #66 of 92 83 #5 of 25
Growth 57 #11 of 24 98 #3 of 87 30 #17 of 24
Profitability 74 #7 of 24 100 #1 of 86 78 #6 of 24
Financial Health 28 #19 of 26 60 #39 of 97 72 #8 of 26
Shareholder Returns 86 #3 of 15 71 #17 of 56 93 #2 of 15
Overall 67 72 71
  • CI ranked among 27 companies in Healthcare Payers and Distributors
  • HNGE ranked among 102 companies in Healthcare Providers
  • 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

PeriodCIHNGEELVSPY
1 month +9.6%+19.1%+6.4% -0.2%
3 months -0.9%+51.3%+9.2% +3.9%
6 months +4.7%+154.5%+16.2% +8.2%
Year to date +8.4%+145.2%+20.2% +12.9%
1 year -3.5%+128.4%+23.0% +12.3%
3 years -1.6%—-4.6% +87.4%
3 years, per year -0.5%—-1.5% +23.3%
5 years +38.3%—-2.8% +67.9%
5 years, per year +6.7%—-0.6% +10.9%
10 years +142.4%—+241.2% +261.1%
10 years, per year +9.3%—+13.1% +13.7%

Risk

MeasureCIHNGEELVSPY
Volatility, 1Y 34.0%53.5%36.1% 12.7%
Downside volatility, 1Y 38.4%52.7%39.4% 12.7%
Beta vs S&P 500, 1Y 0.141.100.28 1.00
Return / volatility, 1Y -0.102.400.64 0.97
Max drawdown, 5Y -33.4%-48.5%-51.2% -25.4%
From 52-week high -5.6%0.0%-5.4% -1.2%
52-week high $315.88$113.88$445.45 $779.14
52-week low $244.41$31.17$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.

MultipleCIHNGEELV
P/E now vs peer median 12.2xmedian 23.9x 83.8xmedian 24.6x 17.8xmedian 23.9x
P/S now vs peer median 0.3xmedian 0.3x 12.7xmedian 1.6x 0.5xmedian 0.3x
EV/EBITDA now vs peer median 8.2xmedian 13.4x 54.5xmedian 14.6x 9.4xmedian 13.4x
P/FCF now vs peer median 8.6xmedian 15.5x 31.5xmedian 21.6x 14.0xmedian 15.5x
P/B now vs peer median 1.8xmedian 2.5x 26.5xmedian 3.2x 2.0xmedian 2.5x
PEG now vs peer median 4.66median 1.34 —median 0.66 -7.60median 1.34

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 monthsCIHNGEELV
Revenue $282.38B $720.06M $201.83B
Gross profit $58.25B $608.41M $53.35B
Operating income $9.96B $93.67M $7.70B
Net income $6.98B $109.07M $5.13B
Free cash flow $9.11B $290.12M $6.51B
R&D – $129.07M –
EPS (diluted) $24.31 $1.29 $23.62
Cash & equivalents $6.30B $286.22M $10.35B
Total debt $31.88B – $30.76B
Shares (diluted) 263.96M 83.42M 217.60M
Enterprise value $48.36B $7.58B -$51.41B

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
MetricCIHNGEELV
P/E 12.2x 83.8x 17.8x
P/FCF 8.6x 31.5x 14.0x
P/Operating cash flow 7.7x 31.4x 12.0x
P/S 0.3x 12.7x 0.5x
P/B 1.8x 26.5x 2.0x
P/Tangible book 4.9x 26.7x 2.7x
EV/EBITDA 8.2x 54.5x 9.4x
EV/EBIT 10.4x 93.3x 11.2x
EV/Revenue 0.4x 12.1x 0.4x
EV/FCF 11.4x 30.1x 13.2x
EV/Operating cash flow 10.1x 30.1x 11.3x
PEG (3Y EPS CAGR) 4.66 – -7.60

Growth

14 metrics
MetricCIHNGEELV
Revenue growth (1Y) 7.8% 49.8% 3.6%
Revenue CAGR (3Y) 14.9% – 6.2%
Gross profit growth (1Y) -8.7% 63.0% 4.3%
Gross profit CAGR (3Y) 0.5% – 5.5%
Operating income growth (1Y) 10.3% 117.0% -9.2%
Operating income CAGR (3Y) 7.0% – -4.2%
Net income growth (1Y) 29.3% 120.5% -7.4%
Net income CAGR (3Y) 0.8% – -5.2%
EPS growth (1Y) 29.9% 113.2% -4.5%
EPS CAGR (3Y) 2.6% – -2.3%
Operating cash flow growth (1Y) 94.2% 216.5% 54.6%
Operating cash flow CAGR (3Y) -7.3% – -7.2%
Free cash flow growth (1Y) 131.1% 218.2% 72.9%
Free cash flow CAGR (3Y) -7.2% – -7.6%

Profitability

14 metrics
MetricCIHNGEELV
Gross margin 20.6% 84.5% 26.4%
EBITDA margin 4.5% 22.3% 4.6%
Operating margin 3.5% 13.0% 3.8%
Pretax margin 3.1% 15.4% 3.1%
Net margin 2.3% 14.9% 2.5%
FCF margin 3.2% 40.3% 3.2%
Operating cash flow margin 3.6% 40.4% 3.8%
Return on equity 16.4% 47.8% 11.4%
Return on assets 4.5% 14.0% 4.0%
Return on invested capital 10.9% – 8.3%
Return on capital employed 10.0% 31.6% 9.6%
Asset turnover 1.8x 0.9x 1.6x
Cash conversion (OCF / net income) 1.5x 2.7x 1.5x
Stock comp / revenue – 11.5% 0.1%

Financial Health

11 metrics
MetricCIHNGEELV
Debt / assets 20.3% – 24.1%
Debt / equity 0.7x – 0.7x
Net debt / EBITDA 1.9x – -0.5x
Debt / FCF 3.5x – 4.7x
Liabilities / assets 72.7% 58.4% 65.0%
Equity / assets 27.3% 41.6% 35.0%
Interest coverage – – 5.3x
Current ratio 0.8x 1.3x 1.5x
Quick ratio 0.7x 1.2x 1.2x
Cash ratio 0.1x 0.8x 0.8x
Altman Z-score 2.80 11.18 3.05

Shareholder Returns

7 metrics
MetricCIHNGEELV
Dividend yield 2.1% – 1.6%
Net buyback yield 1.3% 1.3% 2.2%
Shareholder yield 3.4% 1.3% 3.8%
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.

ConsensusCIHNGEELV
Forward P/E 9.2xFY2026 45.9xFY2026 14.0xFY2026
EPS, next fiscal year $32.34FY2026 $2.48FY2026 $30.04FY2026
EPS growth, next FY +8.4%FY2026 -5.3%FY2026 -0.8%FY2026
EPS growth, the year after +9.8% +22.6% +4.4%
Revenue, next fiscal year $303.67BFY2026 $880.31MFY2026 $211.76BFY2026
Revenue growth, next FY +10.5%FY2026 +49.7%FY2026 +7.2%FY2026
Revenue growth, the year after -6.5% +28.8% -0.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersCIHNGEELV
Held by institutions 89.7% 71.3% 91.8%
Institutions holding 1,702 279 1,610
Change in shares held, QoQ +0.9% +2.5% +1.7%
Institutions buying 838 198 859
Institutions selling 574 66 540
Buyers to sellers 1.46 3.00 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.

CIHNGEELV
CI 1.00 0.11 0.47
HNGE 0.11 1.00 0.11
ELV 0.47 0.11 1.00

Add a Peer

Largest companies in the same industry

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Frequently Asked Questions

Which is bigger, CI, HNGE and ELV?

Elevance Health (ELV) is the largest by market capitalisation: Cigna (CI) $78.82B, Hinge Health (HNGE) $9.13B, Elevance Health (ELV) $91.06B.

Which stock is cheaper, CI, HNGE and ELV?

Cigna (CI) trades on the lowest price-to-earnings ratio (Cigna (CI) 12.2x, Hinge Health (HNGE) 83.8x, Elevance Health (ELV) 17.8x). On next year's consensus earnings, Cigna (CI) is cheapest (Cigna (CI) 9.2x, Hinge Health (HNGE) 45.9x, Elevance Health (ELV) 14.0x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Hinge Health (HNGE) grew revenue fastest over the trailing twelve months: Cigna (CI) +7.8%, Hinge Health (HNGE) +49.8%, Elevance Health (ELV) +3.6%.

Which company is more profitable?

Hinge Health (HNGE) has the highest net margin (Cigna (CI) 2.3%, Hinge Health (HNGE) 14.9%, Elevance Health (ELV) 2.5%). On return on invested capital, Cigna (CI) leads (Cigna (CI) 10.9%, Elevance Health (ELV) 8.3%).

Which stock has performed better?

Over the past year Hinge Health (HNGE) returned the most: Cigna (CI) -3.5%, Hinge Health (HNGE) +128.4%, Elevance Health (ELV) +23.0%. Over five years, Cigna (CI) compounded fastest (Cigna (CI) +6.7%/yr, Elevance Health (ELV) -0.6%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Cigna (CI) has the highest dividend yield: Cigna (CI) 2.08%, Elevance Health (ELV) 1.63%. Hinge Health (HNGE) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Cigna (CI) has been the steadiest (Cigna (CI) 34.0%, Hinge Health (HNGE) 53.5%, Elevance Health (ELV) 36.1%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, CI, HNGE 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.