Cigna Q4 results beat Wall Street estimates; 2026 guidance underwhelms

Cigna reported earnings results that beat Wall Street estimates in Q4, but delivered underwhelming guidance for the year ahead.

For the last three months of 2025, Cigna reported:

Adjusted earnings per share of $8.08, compared to the $7.88 analysts polled by FactSet were expecting.
Revenue of $72.4 billion, compared to the $70.3 billion the Street was penciling in.

For the full year in 2026, Cigna expects:

Annual adjusted earnings per share of at least $30.25, compared to the $30.30 analysts were expecting.
Annual revenues of about $280 billion, compared to the $285.8 billion analysts had penciled in.
Its medical cost ratio to sit between 83.7% and 84.7%, where analysts had expected 83.9%.

Health insurers have been under pressure for the past year amid rising health costs, though Cigna has been outperforming its peers.

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