Trupanion (TRUP) vs Exagen (XGN)
Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 9, 2026.
Summary
Exagen (XGN) has outperformed Trupanion (TRUP) over the past year, losing 25.6% versus a loss of 39.0%. Over five years, XGN leads with a -35.3% price change compared with -71.7% for TRUP. Trupanion is the larger company by market cap ($1.13 billion vs $197.9 million), about 5.7 times the size.
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 | TRUP | XGN |
|---|---|---|
| Share price | $25.82 | $8.17 |
| Market cap | $1.13B | $197.92M |
| 1-day change | +4.83% | -1.57% |
| YTD return | -30.91% | +34.38% |
| 1-year return | -38.99% | -25.59% |
| 5-year return | -71.68% | -35.31% |
| P/E ratio (TTM) | 48.72 | — |
| Forward P/E | 6.06 | — |
| EPS (TTM) | $0.53 | $-0.80 |
| Dividend yield | 0.00% | 0.00% |
| Annual dividend | $0.00 | $0.00 |
| 52-week high | $46.98 | $12.23 |
| 52-week low | $21.16 | $2.59 |
| Distance from 52-week high | -45.04% | -33.20% |
| Analyst consensus | buy | none |
| Avg. price target upside | +32.65% | +24.11% |
| Average volume | 473.25K | 328.42K |
| Shares outstanding | 43.62M | 24.23M |
| Employees | 1,121 | 216 |
| 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
- Trupanion is about 5.7 times larger than Exagen by market value ($1.13B vs $197.92M).
- XGN has outperformed TRUP by 13.4 percentage points over the past year.
About Trupanion
TRUP stock →Trupanion, Inc., together with its subsidiaries, provides medical insurance for cats and dogs on subscription basis in the United States, Canada, and Continental Europe. The company operates in two segments, Subscription Business and Other Business.
Health Care · Medical Specialities · 1,121 employees
About Exagen
XGN stock →Exagen Inc. designs, develops, and commercializes various testing products under the AVISE brand in the United States.
Health Care · Medical Specialities · 216 employees
TRUP vs XGN FAQ
Which is bigger, Trupanion or Exagen?
Trupanion (TRUP) is larger, with a market capitalization of $1.13B compared with $197.92M for Exagen (XGN).
Which stock has performed better over the past year, TRUP or XGN?
XGN returned -25.59% over the past 12 months, compared with -38.99% for TRUP (price return, excluding dividends). Past performance does not predict future results.
Are Trupanion and Exagen in the same industry?
Yes. Both are classified in the Medical Specialities industry within the Health Care sector.