CI · 10-Q · 2026Q3 · Full report

Revenue Performance and Mix

Cigna Group · 2026-11-05 · Importance 49 · Surprise 32

Total revenues were $73.683 billion in the third quarter of 2026, up from $69.748 billion year over year, and $213.845 billion for the first nine months, up from $202.428 billion. Third-quarter pharmacy revenues rose 5% to $58.982 billion, while nine-month pharmacy revenues increased 7% to $170.191 billion; the filing attributes the increases primarily to claims composition in Pharmacy Benefit Services. Cigna Healthcare adjusted revenues rose 9% in the quarter to $11.708 billion, mainly on higher premiums, but declined 3% for the nine months to $34.913 billion, including a $3.850 billion reduction from the HCSC transaction. Evernorth Health Services adjusted revenues increased 6% in the quarter to $63.774 billion and 7% for the nine months to $183.684 billion, driven mainly by claims composition in Pharmacy Benefit Services and customer claims volume in Specialty and Care Services.

Key facts

• Cigna Healthcare adjusted revenues increased 9%, or $953 million, in the third quarter of 2026, driven by higher premiums of $748 million, mostly in employer insured ($313 million) and stop loss ($283 million), primarily reflecting premium rate increases. source
• Cigna Healthcare adjusted revenues decreased 3%, or $1.078 billion, in the first nine months of 2026, primarily due to the HCSC transaction (-$3.850 billion), partly offset by higher premiums (+$2.167 billion), mostly employer insured (+$926 million) and stop loss (+$790 million), primarily reflecting premium rate increases. source
• Cigna shareholders' net income decreased 23% in the third quarter of 2026, primarily reflecting the absence of an after-tax gain on sale of businesses recognized in third-quarter 2025 (-13%) and lower net investment performance (-6%). source
• Cigna pharmacy revenues increased 5% in the third quarter and 7% in the first nine months of 2026, primarily reflecting changes in claims composition in Pharmacy Benefit Services. source
• Cigna premiums increased 9% in the third quarter of 2026, primarily driven by premium rate increases within Cigna Healthcare. source
• Cigna premiums decreased 5% in the first nine months of 2026, primarily because of the HCSC transaction (-12%), partly offset by Cigna Healthcare premium rate increases. source
• Cigna fees and other revenues increased 3% in the third quarter and 7% in the first nine months of 2026, primarily reflecting growth in fee-based services within Evernorth Health Services. source
• Cigna shareholders' net income increased 1% for the nine months ended September 30, 2026, reflecting higher consolidated income from operations (+7%) and higher net investment performance (+1%), partly offset by the absence of a 2025 after-tax gain on sale of businesses (-7%). source