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The Cigna GroupWBO:CIGN +1.11%42 EV-to-OCF is 11.53 as of Jul. 22, 2026, which is 9% below its 10-year median of 12.68. GuruFocus rates WBO:CIGN with a GF Score™ of 42/100. The stock has 4 warning signs investors should review. Among 18 Healthcare Plans companies, The Cigna Group ranks better than 55.56% on this metric.
EV-to-OCF is calculated as enterprise value divided by its cash flow from operations. As of today, The Cigna Group's Enterprise Value is €86,542 Mil.
The Cigna Group's Cash Flow from Operations for the trailing twelve months (TTM) ended in Mar. 2026 was €7,507 Mil. Therefore, The Cigna Group's EV-to-OCF for today is 11.53.
The historical rank and industry rank for The Cigna Group's EV-to-OCF or its related term are showing as below:
WBO:CIGN'
s EV-to-OCF Range Over the Past 10 Years
Min: 7.18 Med: 12.68 Max: 151.44
Current: 11.37
During the past 13 years, the highest EV-to-OCF of The Cigna Group was 151.44. The lowest was 7.18. And the median was 12.68.
WBO:CIGN's EV-to-OCF is ranked better than 55.56% of 18
companies
in the Healthcare Plans industry
Industry Median: 15.155
vs WBO:CIGN: 11.37
EV-to-OCF is a valuation multiple that allows analysts and investors to compare stocks, preferably in the same sector or industry. This important multiple is often used in conjunction with, or as an alternative to, the PE Ratio (TTM) to determine the fair market value of a company.
EV-to-OCF is a valuation multiple that allows analysts and investors to compare stocks, preferably in the same sector or industry. This important multiple is often used in conjunction with, or as an alternative to, the PE Ratio (TTM) to determine the fair market value of a company.
The Cigna Group's PE Ratio (TTM) for today is calculated as:
The Cigna Group's share price for today is €254.60.
The Cigna Group's Earnings per Share (Diluted) for the trailing twelve months (TTM) ended in Mar. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was €20.276.
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
Enterprise Value is used because it is a more complete measure in reflecting how much an investor pays when buying a company. Cash Flow from Operations is an important financial metric because it represents the cash generated from operating activities at a company's disposal. Companies with a low EV-to-OCF ratio, combined with a strong balance sheet are generally considered as undervalued.
The Cigna Group EV-to-OCF Related Terms
The Cigna Group EV-to-OCF Historical Data
* Premium members only.
The historical data trend for The Cigna Group's EV-to-OCF can be seen below:
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
For the Healthcare Plans subindustry, The Cigna Group's EV-to-OCF, along with its competitors' market caps and EV-to-OCF data, can be viewed below:
* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.
The Cigna Group EV-to-OCF vs Healthcare Plans Industry
For the Healthcare Plans industry and Healthcare sector, The Cigna Group's EV-to-OCF distribution charts can be found below:
* The bar in red indicates where The Cigna Group's EV-to-OCF falls into.
The Cigna Group's current Enterprise Value is €86,542 Mil.
The Cigna Group's Cash Flow from Operations for the trailing twelve months (TTM) ended in Mar. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was €7,507 Mil.
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
The Cigna Group (WBO:CIGN) has a EV-to-OCF of 11.53 as of Jul. 22, 2026. This is near median its historical median of 12.68. Over the past decade, The Cigna Group's EV-to-OCF has ranged from 7.18 to 151.44. According to the industry distribution chart, The Cigna Group ranks #8 out of 18 companies in the Healthcare Plans industry, placing it in the top 44.4%.
Is The Cigna Group's EV-to-OCF too high?
The Cigna Group's current EV-to-OCF of 11.53 is near median its 10-year median of 12.68. Over the past 10 years, this metric has ranged from a low of 7.18 to a high of 151.44. The Healthcare Plans industry median EV-to-OCF is 15.16. The Cigna Group's value of 11.53 is 23.9% below this industry median. Based on the distribution chart, The Cigna Group ranks #8 out of 18 companies in the Healthcare Plans industry, which is above the industry midpoint. Overall, The Cigna Group has a GF Score™ of 42/100, reflecting its overall financial health beyond just this single metric.
How does The Cigna Group's EV-to-OCF compare to ELV and HUM?
According to the Healthcare Plans industry distribution chart, The Cigna Group ranks #8 out of 18 companies for EV-to-OCF. This puts The Cigna Group in the upper half of its industry. The industry median EV-to-OCF is 15.16. The Cigna Group's value of 11.53 is 23.9% below this benchmark. Historically, The Cigna Group's own EV-to-OCF has ranged from 7.18 to 151.44 over the past decade. While the company's 10-year median is 12.68 vs. the industry median of 15.16, The Cigna Group has consistently been below the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good EV-to-OCF for a Healthcare Plans company?
The median EV-to-OCF among Healthcare Plans companies is 15.16, based on 18 companies in the industry. Companies in the top quartile (top 25%) have a EV-to-OCF significantly above this median, while those in the bottom quartile fall well below. However, EV-to-OCF should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. The Cigna Group's current EV-to-OCF of 11.53 is 23.9% below the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high EV-to-OCF mean?
A high EV-to-OCF can signal that a stock is expensive relative to its fundamentals. For the Healthcare Plans industry, the median EV-to-OCF is 15.16 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. The Cigna Group's current EV-to-OCF is 11.53, which is near median its own 10-year median of 12.68. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is The Cigna Group stock overvalued right now?
The Cigna Group (WBO:CIGN) has a current EV-to-OCF of 11.53. The current EV-to-OCF is 11.53, which is near median its 10-year median of 12.68 and 23.9% below the Healthcare Plans industry median of 15.16. The Cigna Group's overall GF Score™ is 42/100 with 4 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is EV-to-OCF calculated?
EV-to-OCF is calculated from a company's financial statements. For The Cigna Group (WBO:CIGN), the current EV-to-OCF is 11.53 as of Jul. 22, 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.
Cigna primarily provides pharmacy benefit management and health insurance services. Its PBM and specialty pharmacy services, which were greatly expanded by its 2018 merger with Express Scripts, are mostly sold to health insurance plans and employers. Its largest PBM contract is with the Department of Defense, and it recently won a multiyear deal with top-tier insurer Centene. In health insurance and other benefits, Cigna primarily serves employers through self-funding arrangements, and the company operates mostly in the US with 16 million US and 2 million international medical members covered as of December 2025.
42GF Score
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