Cigna posts $1.65B in profit in Q1 earnings beat

The Cigna Group beat the Street on both earnings and revenue in the first quarter of 2026, posting $1.65 billion in profit for Q1.

That’s up from the $1.3 billion haul the company reported in Q1 2025, according to its earnings report released Thursday morning. Revenues in the quarter were $68.5 billion, also rising year over year from a $65.5 billion haul.

Both figures surpassed analysts’ predictions, according to Zacks Investment Research.

Cigna attributed much of the revenue growth to expansion at its Evernorth Health Services unit, which houses multiple key businesses including Express Scripts, Accredo and EviCore. Growth was partially offset by the sale of its Medicare Advantage business to Health Care Service Corporation (HCSC), Cigna said in the report.

Shares in the company rose premarket on the revenue growth news.

“We continue to improve how people experience healthcare, leveraging innovation and technology to make it more personalized, more transparent and easier to navigate,” said David Cordani, CEO of the Cigna Group, in the press release. “Our strong first quarter results were driven by disciplined execution, deliberate portfolio shaping and a continued focus on targeted innovation.”

Revenues at Evernorth were $58.4 billion in Q1 2026 compared to $53.7 billion in the prior-year quarter. The company said this reflects growth at both the pharmacy services unit and the specialty and care services division.

The number of pharmacy customers slimmed in the first quarter to 121 million, down from 122.3 million in the prior-year quarter and 123.6 million at the end of 2025.

Revenue at Cigna Healthcare, meanwhile, was down to $11.5 billion from $14.5 billion in the prior-year quarter. Cigna said that again reflects the HCSC transaction. For comparison, revenue for this segment in Q4 2025 was $11.2 billion, according to the report.

The company reported a medical loss ratio of 79.8% in Q1, a favorable shift from the 82.2% posted a year ago. This decrease also reflects the sale of the MA business, Cigna said.

Medical membership in the quarter was 18.3 million, up from 18 million in the prior-year quarter.