The Filing Desk

Cigna vs CVS Health

Cigna CI · CVS Health CVS · Health Care Services

CVS Health reported revenue of $402.1 billion in fiscal 2025, 1.5 times Cigna's $274.9 billion in fiscal 2025. Cigna's revenue grew 11.2% in its latest year, and CVS Health's grew 7.8%. Cigna had an operating margin of 3.4%, against 1.2% at CVS Health.

Side by side

CignaCVS Health
Latest fiscal yearFY2025, Dec 31, 2025FY2025, Dec 31, 2025
Revenue$274.9B$402.1B
Revenue growth11.2%7.8%
Revenue growth a year, last 5 years11.4%8.4%
Gross margin—45.0%
Operating margin3.4%1.2%
Net margin2.2%0.4%
Free cash flow—$7.8B
Free cash flow margin—1.9%
Return on capital11.7%2.9%
Net debt to EBITDA1.9x5.8x
Dividends and buybacks$5.2B$3.4B
Change in diluted share count−5.2%0.7%
Last close$305.78$92.53
P/E at the last close12.6×24.4×
Insider trades, last 12 monthsbought $999,932, sold $66.8 millionsold $323.7 million
Piotroski F-score7 of 87 of 9
Amounts in each company's own currency, US$ unless marked (a foreign company may report in another), each company's latest fiscal year from its 10-K, or 20-F or 40-F for a foreign company. Growth rates compare with the year before; the five-year rate is the average a year. Free cash flow is cash from operations minus capital spending; return on capital is after-tax operating income over the money invested in the business; P/E is the last close over the latest earnings per share. Banks are measured differently (return on equity, efficiency ratio), so some rows apply to one company only.

Ten years

Revenue
US$ billions, fiscal years
CignaCVS Health
Operating margin
Percent of revenue
CignaCVS Health
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
CignaCVS Health

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Source: the companies' Form 10-K filings, from SEC EDGAR, and the last close. For information only, not investment advice: the figures describe results, not which company is the better investment. The Filing Desk is not affiliated with either company. Full figures on the Cigna and CVS Health pages.