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Business Segments · Total operating costs

Optum Rx — Total operating costs

UnitedHealth Group Optum Rx — Total operating costs decreased by 10.4% to $34.54B in Q1 2026 compared to the prior quarter. Year-over-year, this metric grew by 2.2%, from $33.81B to $34.54B. Over 3 years (FY 2022 to FY 2025), Optum Rx — Total operating costs shows an upward trend with a 15.7% CAGR. This is a positive signal — lower values indicate better performance for this metric.

Analysis

StatementSegment
CategoryEfficiency
SignalLower is better
VolatilityStable
First reportedQ1 2022
Last reportedQ1 2026May 5, 2026

How to read this metric

An increase relative to revenue suggests margin compression, while a decrease relative to revenue indicates improved operational efficiency.

Detailed definition

The total expenses incurred to operate the pharmacy benefit management segment, including cost of goods sold, administra...

Peer comparison

Comparable to operating expenses reported by other pharmacy benefit managers and healthcare service firms.

Metric ID: unh_segment_optum_rx_total_operating_costs

Historical Data

17 periods
 Q1 '22Q2 '22Q3 '22Q4 '22Q1 '23Q2 '23Q3 '23Q4 '23Q1 '24Q2 '24Q3 '24Q4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Value$23.83B$23.83B$23.83B$23.83B$27.74B$27.74B$27.74B$27.74B$29.69B$31.01B$32.66B$34.04B$33.81B$37.02B$38.13B$38.57B$34.54B
QoQ Change+0.0%+0.0%+0.0%+16.4%+0.0%+0.0%+0.0%+7.0%+4.4%+5.3%+4.2%-0.6%+9.5%+3.0%+1.2%-10.4%
YoY Change+16.4%+16.4%+16.4%+16.4%+7.0%+11.8%+17.7%+22.7%+13.9%+19.4%+16.7%+13.3%+2.2%
Range$23.83B$38.57B
CAGR+9.7%
Avg YoY Growth+14.6%
Median YoY Growth+16.4%

Frequently Asked Questions

What is UnitedHealth Group's optum rx — total operating costs?
UnitedHealth Group (UNH) reported optum rx — total operating costs of $34.54B in Q1 2026.
How has UnitedHealth Group's optum rx — total operating costs changed year-over-year?
UnitedHealth Group's optum rx — total operating costs increased by 2.2% year-over-year, from $33.81B to $34.54B.
What is the long-term trend for UnitedHealth Group's optum rx — total operating costs?
Over 3 years (2022 to 2025), UnitedHealth Group's optum rx — total operating costs has grown at a 15.7% compound annual growth rate (CAGR), from $95.34B to $147.53B.
What does optum rx — total operating costs mean?
Total costs required to run the pharmacy benefit management business.