Cost of Revenue

Medical costs

Cigna Medical costs decreased by 4.1% to $7.92B in Q1 2026 compared to the prior quarter. Year-over-year, this metric declined by 24.5%, from $10.50B to $7.92B. Over 4 years (FY 2021 to FY 2025), Medical costs shows relatively stable performance with a 0.6% CAGR. This increase may warrant attention — for this metric, lower values are generally preferred.

Analysis

StatementIncome Statement
SectionCost of Revenue
CategoryProfitability
SignalLower is better
VolatilityStable
First reportedQ1 2013
Last reportedQ4 2025

How to read this metric

A lower ratio of medical costs to premiums (Medical Loss Ratio) generally indicates better underwriting profitability.

Detailed definition

Expenses related to the provision of healthcare services and the settlement of medical claims for insurance policyholder...

Peer comparison

Specific to health insurance providers; not applicable to traditional banking institutions.

Metric ID: is_unh_medical_costs

Historical Data

20 periods
 Q2 '21Q3 '21Q4 '21Q1 '22Q2 '22Q3 '22Q4 '22Q1 '23Q2 '23Q3 '23Q4 '23Q1 '24Q2 '24Q3 '24Q4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Value$8.48B$8.33B$8.74B$8.27B$8.19B$7.75B$7.99B$9.05B$9.03B$8.93B$9.28B$9.44B$9.52B$9.53B$10.17B$10.50B$7.75B$7.84B$8.26B$7.92B
QoQ Change-1.8%+5.0%-5.4%-0.9%-5.3%+3.1%+13.2%-0.1%-1.2%+4.0%+1.7%+0.8%+0.1%+6.7%+3.3%-26.2%+1.2%+5.3%-4.1%
YoY Change-3.4%-6.9%-8.6%+9.4%+10.3%+15.1%+16.1%+4.4%+5.3%+6.7%+9.5%+11.2%-18.6%-17.7%-18.7%-24.5%
Range$7.75B$10.50B
CAGR-1.4%
Avg YoY Growth-0.6%
Median YoY Growth+4.8%

Business Segments

View all
SegmentQ1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$10.39B$7.48B$7.58B$8.03B$7.66B
Evernorth Health Services$0.00$0.00$0.00$0.00$0.00
Total$10.50B$7.75B$7.84B$8.26B$7.92B

Frequently Asked Questions

What is Cigna's medical costs?
Cigna (CI) reported medical costs of $7.92B in Q1 2026.
How has Cigna's medical costs changed year-over-year?
Cigna's medical costs decreased by 24.5% year-over-year, from $10.50B to $7.92B.
What is the long-term trend for Cigna's medical costs?
Over 4 years (2021 to 2025), Cigna's medical costs has grown at a 0.6% compound annual growth rate (CAGR), from $33.56B to $34.35B.
What does medical costs mean?
The cost of paying for medical services and claims for insurance members.