Cigna Group (CI) vs Elevance Health (ELV)
Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 7, 2026.
Summary
Elevance Health (ELV) has outperformed Cigna Group (CI) over the past year, gaining 13.1% versus a loss of 9.3%. Over five years, CI leads with a +35.1% price change compared with +2.9% for ELV. Elevance Health is the larger company by market cap ($87.68 billion vs $73.59 billion), about 1.2 times the size.
On valuation, Cigna Group trades at a lower forward P/E (8.3x vs 13.7x for Elevance Health). Cigna Group offers the higher dividend yield (2.20% vs 1.70%). Elevance Health converts more of its revenue into profit, with a net margin of 2.8% versus 2.2%.
Summary generated from market data by MetaCap's automated system. Methodology
Relative performance
Percent change in share price from the first common trading day shown; excludes dividends.
Head-to-head
| Metric | CI | ELV |
|---|---|---|
| Share price | $278.51 | $404.31 |
| Market cap | $73.59B | $87.68B |
| 1-day change | +1.51% | +1.05% |
| YTD return | +1.19% | +15.34% |
| 1-year return | -9.32% | +13.10% |
| 5-year return | +35.07% | +2.86% |
| P/E ratio (TTM) | 11.51 | 17.90 |
| Forward P/E | 8.31 | 13.69 |
| EPS (TTM) | $24.19 | $22.59 |
| Dividend yield | 2.20% | 1.70% |
| Annual dividend | $6.14 | $6.86 |
| Revenue (latest FY) | $274.90B | $199.13B |
| Revenue growth (YoY) | +11.24% | +12.49% |
| Net income (latest FY) | $5.96B | $5.66B |
| Gross margin | 21.79% | 89.36% |
| Operating margin | 3.35% | 3.62% |
| Net margin | 2.17% | 2.84% |
| 52-week high | $312.18 | $436.24 |
| 52-week low | $239.51 | $274.84 |
| Distance from 52-week high | -10.79% | -7.32% |
| Analyst consensus | buy | buy |
| Avg. price target upside | +22.90% | +11.67% |
| Average volume | 1.67M | 1.20M |
| Shares outstanding | 264.24M | 216.87M |
| Employees | 65,669 | 96,129 |
| Sector | Health Care | Health Care |
| Industry | Medical Specialities | Medical Specialities |
Highlighted cells mark the higher value for growth, returns, margins and yield, and the lower value for P/E ratios. Highlighting is a mechanical comparison, not a recommendation.
Key differences
- ELV has outperformed CI by 22.4 percentage points over the past year.
- Elevance Health trades at a higher earnings multiple (17.9x vs 11.5x trailing P/E).
About Cigna Group
CI stock →The Cigna Group, together with its subsidiaries, provides insurance and related products and services in the United States. It operates through two segments: Evernorth Health Services and Cigna Healthcare.
Health Care · Medical Specialities · 65,669 employees
About Elevance Health
ELV stock →Elevance Health, Inc., together with its subsidiaries, operates as a health benefits company in the United States. The company operates in four segments: Health Benefits, CarelonRx, Carelon Services, and Corporate & Other.
Health Care · Medical Specialities · 96,129 employees
CI vs ELV FAQ
Which is bigger, Cigna Group or Elevance Health?
Elevance Health (ELV) is larger, with a market capitalization of $87.68B compared with $73.59B for Cigna Group (CI).
Which stock has performed better over the past year, CI or ELV?
ELV returned +13.10% over the past 12 months, compared with -9.32% for CI (price return, excluding dividends). Past performance does not predict future results.
Which has the lower P/E ratio, CI or ELV?
CI has the lower trailing P/E at 11.5, versus 17.9 for ELV. A lower P/E is not by itself a sign of a better investment; it can reflect slower expected growth or higher risk.
Which pays a higher dividend, Cigna Group or Elevance Health?
Cigna Group has the higher yield at 2.20%, compared with 1.70% for Elevance Health.
Are Cigna Group and Elevance Health in the same industry?
Yes. Both are classified in the Medical Specialities industry within the Health Care sector.