Elevance Health Inc's Competitiveness
A competitive positioning analysis and financial ratio benchmarking of Elevance Health Inc (ELV) against its publicly traded competitors: sales growth, net income, profitability, valuation and market share, plus each peer's market capitalization, revenue, income and employees. Free below: the top 5 peers. Subscriber access adds the full competitor list and CSV downloads.
Key Findings: Elevance Health Inc vs Its Competitors
- TTM: Trailing 12-month revenue of 201,113M vs 1,120,108M combined for tracked competitors (15.2% combined share).
- Trending: Latest-quarter revenue run-rate is holding steady (+0.4% annualized vs trailing 12 months), vs holding steady (+0.8%) for its tracked peer group.
- Growth: Elevance Health Inc generated 1.4% revenue growth year over year in Q2 2026, vs 4.3% for its tracked competitors combined.
- Profitability: Its 2.9% net margin compares with 3.8% for the peer group.
- Scale: Elevance Health Inc ranks #2 of 14 companies by market capitalization in the Accident & Health Insurance industry, holding 12.2% of industry market cap.
- Peer revenue share: Elevance Health Inc accounted for 15.2% of combined revenue among its tracked peer group, down from 15.5% a year earlier.
- Peer differentiation: Revenue per employee of $2.07M compares with $1.77M for the peer group (1.2x).
Every figure above is sourced and cited in detail further down this page (Market Structure, Profitability & Cost Structure, Productivity vs Peers).
ELV Sales vs. its Competitors, Q2 2026
Elevance Health Inc reported revenue growth of 1.40 % year on year in Q2 2026, below its competitors' combined revenue growth of 4.32 %.
With a net margin of 2.90 %, Elevance Health Inc reported lower profitability than its competitors (3.82 %).
Elevance Health Inc generated 15.17 % of the combined sales of its peer group, down from 15.54 % a year earlier.
Elevance Health Inc vs. its Competitors, Q2 2026
Revenue growth, year on year
Net income growth, year on year
Net margin
Revenue run-rate vs trailing 12 months
TTM net margin
TTM = trailing twelve months. Run-rate annualizes the latest quarter (×4) and compares it to TTM. In millions of $. High-Confidence Competitors are named as a competitor directly in an SEC filing; Similar-Size Competitors are the closest peers by market-cap rank within the same industry; Similar Growth & Profitability Competitors are the closest peers by combined revenue growth, operating margin and ROIC, all independent of the competitor list.
TTM revenue, latest-quarter run-rate and net income/margin benchmarked across Elevance Health Inc and its 4 competitor groupings. Available under Commercial License.
| Entity | TTM Revenue | Rev Run-rate vs TTM |
|---|---|---|
| Elevance Health Inc | $12,345M | +12.3% · Accelerating |
| Competitors combined | $12,345M | +12.3% · Accelerating |
| High-Confidence Competitors (3) | $12,345M | +12.3% · Accelerating |
| Similar-Size Competitors (4) | $12,345M | +12.3% · Accelerating |
| Similar Growth & Profitability (5) | $12,345M | +12.3% · Accelerating |
TTM revenue, run-rate and net margin benchmarking across Elevance Health Inc's competitor groups requires a Commercial License.
For context: the Accident & Health Insurance industry grew revenue 7.3% year over year, combined, vs 1.4% for Elevance Health Inc. Elevance Health Inc's share of combined industry revenue moved from 14.06% to 13.29%, a loss of 0.77 percentage points.
Elevance Health Inc's Competitor Quality Breadth
Share of each group, trailing 12 months: profitable (net margin > 0), expanding (revenue growth > 0), growing faster than the industry's own median, and financially distressed (Piotroski F-Score of 2 or below).
| Entity | Profitable | Expanding | Above Industry Growth | Distressed |
|---|---|---|---|---|
| Elevance Health Inc | Yes | Yes | No | No |
| Competitors combined (17) | ||||
| High-Confidence Competitors (3) | ||||
| Similar-Size Competitors (6) | ||||
| Similar Growth & Profitability (8) | 62.50 % (5 of 8) | 75.00 % (6 of 8) | 25.00 % (2 of 8) | 12.50 % (1 of 8) |
Source: CSIMarket API, trailing 12 months. Altman Z-Score is not shown here: it is not populated in the underlying data for any company. Percentages are of companies in each group that report the relevant metric, not of the full group size.
ELV Stock Performance relative to its Competitors
ELV Stock Performance relative to High-Confidence Competitors
ELV Stock Performance relative to Similar-Size Competitors
ELV Stock Performance relative to Similar Growth & Profitability Competitors
5 Best-Performing Tracked Competitors, Trailing 12 Months
| # | Competitor | TTM Share Price Return | vs U.S.A. 500 |
|---|---|---|---|
| 1 | Centene Corporation | 282.9% | Outperformed |
| 2 | Humana Inc | 282.9% | Outperformed |
| 3 | Principal Financial Group inc | 282.9% | Outperformed |
| 4 | Clover Health Investments Corp | 282.9% | Outperformed |
| 5 | Cno Financial Group Inc | 282.9% | Outperformed |
TTM share price return and U.S.A. 500 outperformance for Elevance Health Inc's best-performing tracked competitors requires a Commercial License.
Source: CSIMarket API, trailing 12 months.
Elevance Health Inc's Comment on Competition and Industry Peers
Publicly Traded Peers of Elevance Health Inc
Revenue and income for trailing 12 months, in millions of $, except employees| Company | Market Cap | Revenues |
|---|---|---|
| Elevance Health Inc | 86,690.43 | 201,113.00 |
| Unitedhealth Group Incorporated | 342,313.98 | 450,129.00 |
| Futu Holdings Ltd | 126,700.06 | 2,935.37 |
| The Cigna Group | 71,842.54 | 282,382.00 |
| Metlife Inc | 62,781.32 | 79,403.00 |
| Aflac Incorporated | 57,519.61 | 18,069.00 |
| SUBTOTAL | 912,105.64 | 1,483,499.85 |
Sign in to see all competitors of Elevance Health Inc .
Sources: Elevance Health Inc's official press releases and regulatory filings; CSIMarket.com's market research; and the financial filings and press releases of the other companies cited.
Updated on:
Focus of this report: publicly traded companies. Ten additional tables on Elevance Health Inc versus competitors, including market share analysis, are in the navigation menu under Competition. To download the tables, please subscribe.
Elevance Health Inc's Competitors Named by the Company
Competitive relationships identified from SEC filings and corroborating sources, each with a basis and confidence.| Competitor | Basis | Confidence |
|---|---|---|
| Molina Healthcare Inc | Named by the company | 85% |
| Clover Health Investments Corp | Named by the company | 85% |
| The Cigna Group | Named by the company | 85% |
Filing basis, confidence, active dates and source counts for Elevance Health Inc's named competitors require a Commercial License.
Methodology: relationships are extracted from SEC filings (named-competitor disclosures) and corroborating sources. Named by the company = explicitly disclosed as a competitor; Inferred = derived from corroborating signals. Confidence reflects evidence strength.
Elevance Health Inc's Productivity vs Peers Comparison
Revenue and income per employee, trailing 12 months, in $; market cap in millions of $| Company | Market Cap | Revenue / Employee | Income / Employee |
|---|---|---|---|
| Elevance Health Inc | 86,690 | 2,071,195 | 51,040 |
| Unitedhealth Group Incorporated | 342,314 | 1,154,177 | 38,236 |
| Futu Holdings Ltd | 126,700 | 14,531,554 | 7,188,465 |
| The Cigna Group | 71,843 | 4,171,078 | 103,146 |
| Metlife Inc | 62,781 | 1,726,152 | 79,543 |
| Aflac Incorporated | 57,520 | 1,420,966 | 382,353 |
| PEERS TOTAL | 825,415 | 1,767,666 | 45,920 |
Sign in to see all peers for Elevance Health Inc .
Elevance Health Inc's Business Segment Mix vs Peers
Revenue by operating segment, as named and reported by each company. Segment names are the filer's own and are not standardized across companies. Do not assume a same-named or similarly-named segment is defined identically between two companies. Shares are of each company's own total revenue and are not required to sum to 100% (intersegment revenue, unallocated items).| Company | Largest Segment |
|---|---|
| Elevance Health Inc | Reportable 100.00 % |
| Unitedhealth Group Incorporated | UnitedHealthcare 76.78 % |
| The Cigna Group | Evernorth 85.32 % |
| Metlife Inc | Group Benefits 36.13 % |
| Aflac Incorporated | Aflac Japan 52.49 % |
| Humana Inc | Insurance 96.00 % |
Source: operating segment revenue as reported in each company's SEC filings (10-K/10-Q), via the CSIMarket API, leaf-level reportable segments only (parent roll-up segments are excluded where sub-segments are separately disclosed).
Sign in to see all peers for Elevance Health Inc .
Elevance Health Inc's Position in Industry Market Structure
Market-capitalization share and concentration across all 14 companies in Elevance Health Inc's industry classification, broader than the peer set above. Market cap in millions of $.Elevance Health Inc ranks #2 of 14 companies by market capitalization in its industry, holding 12.22 % of total industry market cap. The industry's Herfindahl-Hirschman Index (HHI) is 2,749, indicating a highly concentrated market structure (U.S. antitrust guidance: below 1,500 unconcentrated, 1,500 to 2,500 moderately concentrated, above 2,500 highly concentrated).
| Rank | Company | Market Cap | Industry Share |
|---|---|---|---|
| 1 | Unitedhealth Group Incorporated | 343,505 | 48.40 % |
| 2 | Elevance Health Inc | 86,690 | 12.22 % |
| 3 | The Cigna Group | 71,843 | 10.12 % |
| 4 | Aflac Incorporated | 57,520 | 8.11 % |
| 5 | Humana Inc | 1,234 | 5.2% |
| 6 | Centene Corporation | 1,234 | 5.2% |
| 7 | Principal Financial Group inc | 1,234 | 5.2% |
| 8 | Unum Group | 1,234 | 5.2% |
| 9 | Oscar Health Inc | 1,234 | 5.2% |
| 10 | Molina Healthcare Inc | 1,234 | 5.2% |
Market cap and industry share for the rest of Elevance Health Inc's industry peers requires a Commercial License.
Source: CSIMarket API (daily market-structure computation) across CSIMarket's industry classification, market capitalization as of 2026-09-28.
Elevance Health Inc's Same-Size Peers & Stock Performance
Peers chosen by closeness in market-cap rank within the same industry classification (not the named-competitor list above). Trailing 12-month total return, 3-month price momentum, beta and Sharpe ratio vs the broad U.S. market.| Rank | Company | Market Cap | TTM Return |
|---|---|---|---|
| 1 | Unitedhealth Group Incorporated | 343,505 | 9.72 % |
| 2 | Elevance Health Inc | 86,690 | 25.62 % |
| 3 | The Cigna Group | 71,843 | -4.19 % |
| 4 | Aflac Incorporated | 1,234 | 12.3% |
| 5 | Humana Inc | 1,234 | 12.3% |
| 6 | Centene Corporation | 1,234 | 12.3% |
| 7 | Principal Financial Group inc | 1,234 | 12.3% |
Market cap, return, momentum, beta and Sharpe ratio for the rest of Elevance Health Inc's same-size peers requires a Commercial License.
Source: CSIMarket API (daily market-structure computation); returns and risk metrics as of 2026-09-28. Beta and Sharpe ratio are versus the broad U.S. equity market, not this industry.
Elevance Health Inc's Profitability & Cost Structure
Trailing 12-month margins from SEC-filed financials. Operating margin is compared to the Accident & Health Insurance industry median; gross margin, EBITDA margin and capital intensity are compared to the live industry average (16 companies).| Metric | Company | Industry | Difference |
|---|---|---|---|
| Gross Margin | 11.16 % | 30.59 % (avg) | -19.4 pp |
| Operating Margin | 3.01 % | industry median | -0.9 pp |
| EBITDA Margin | 3.60 % | 6.78 % (avg) | -3.2 pp |
| Capital Intensity (Capex / Revenue) | 0.58 % | 0.39 % (avg) | +0.2 pp |
Source: CSIMarket API, trailing 12 months. SG&A and R&D as a share of revenue have limited coverage as this data is backfilled and appear only where reported. Higher capital intensity is not inherently negative; it reflects the industry's asset requirements.
Elevance Health Inc's Valuation vs Competitive Position
Valuation multiples vs the Accident & Health Insurance industry average (16 companies, excluding loss-making/negative-equity outliers), alongside returns on capital for context on whether a premium or discount lines up with measurably stronger or weaker returns.| Metric | Company | Industry Average | Difference |
|---|---|---|---|
| P/E | 16.5x | 19.7x | -3.2x |
| EV / EBITDA | 14.3x | 15.8x | -1.5x |
| P/B | 1.8x | 2.4x | -0.5x |
| Return on Equity | 11.19 % | industry aggregate | 0.22 % |
| Return on Invested Capital | 4.82 % | 6.59 % (avg) | -1.76 % |
Source: CSIMarket API, trailing 12 months. A valuation premium or discount is not, by itself, a judgment of over- or under-valuation. Compare it against the return and growth context shown elsewhere on this page.
Elevance Health Inc's Multi-Year Financial Trajectory
Fiscal-year revenue growth, operating margin, return on invested capital and P/E, as reported in SEC filings.| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Revenue Growth | 7.73 % | 2.87 % | 12.51 % | 16.94 % | 13.76 % | 12.95 % | 3.31 % | 12.49 % |
| Operating Margin | 5.54 % | 6.76 % | 6.46 % | 5.79 % | 6.31 % | 5.50 % | 4.69 % | 3.55 % |
| Return on Invested Capital | 6.20 % | 7.32 % | 7.46 % | 7.39 % | 8.73 % | 8.61 % | 7.25 % | 5.75 % |
| P/E | 16.0x | 17.7x | 15.8x | - | - | 20.3x | 16.4x | 13.5x |
Source: CSIMarket API, fiscal-year figures. P/E is this company's own historical ratio at each fiscal year end and can swing sharply around an earnings trough: that is real, not a data error.
Elevance Health Inc's Strategic Group Map
Every company in Elevance Health Inc's industry and named-competitor list, plotted by trailing 12-month revenue growth and operating margin. Elevance Health Inc is shown in red; its closest peers by combined growth, margin and ROIC (the Similar Growth & Profitability group above) are labeled.
Source: CSIMarket API, trailing 12 months. Extreme outlier values (from near-zero-revenue companies) are excluded from the plotted cloud but never from the highlighted company or its labeled peers.
Elevance Health Inc's BCG Growth-Share Matrix
Relative market share (vs Elevance Health Inc's largest competitor by market cap) against industry revenue growth, using the standard textbook thresholds (1.0x share, 10% growth) — a common framework, not a precision instrument.
Elevance Health Inc falls in the Question Mark quadrant: relative market share of 0.25x vs its largest competitor, in an industry growing revenue 12.3% (median, trailing 12 months).
Source: CSIMarket API (market-cap share and industry revenue growth). The 10% growth and 1.0x share lines are standard textbook thresholds, not derived from this industry's own distribution. A caveat worth reading alongside this chart: Unitedhealth Group Incorporated alone holds 48% of this industry's market cap. In an industry this dominated by one leader, the framework will place nearly every OTHER company in "Dog" or "Question Mark" purely because relative share is measured against that leader, regardless of how strong those other companies actually are on their own fundamentals. Check the Profitability, Valuation and Financial Strength sections above before treating this quadrant label as a verdict.
Elevance Health Inc's Competitive Forces (Porter's Five Forces)
Only the forces this data can support honestly are shown; the other three are marked as such rather than guessed.| Force | Assessment | Basis |
|---|---|---|
| Competitive Rivalry | Low | Industry HHI of 2,749 (see Industry Market Structure & Concentration above) |
| Barriers to Entry | High (capital intensive) | Capital intensity (capex / revenue) of 0.58 % vs industry average 0.39 % (see Profitability & Cost Structure above) |
| Supplier Power | Not covered on this page | See Elevance Health Inc's dedicated suppliers page for concentration and dependency data |
| Buyer Power | Not covered on this page | See Elevance Health Inc's dedicated customers page for concentration and dependency data |
| Threat of Substitutes | - | No systematic data source for cross-product substitution exists in this system; not estimated |
Note: this is a partial, data-grounded application of the framework, not a complete strategic assessment. Rivalry and barriers-to-entry readings are mechanical translations of the HHI and capital-intensity figures shown elsewhere on this page, not independent judgments.
Elevance Health Inc's Industry Attractiveness & Competitive Strength
A CSIMarket composite, not a standard field: each axis is an equal-weighted average of three factors already shown elsewhere on this page (industry growth, industry profitability and rivalry for attractiveness; relative market share, profitability and growth vs industry for strength). Disclosed as a designed methodology, not a precision measurement.
Elevance Health Inc falls in the Medium attractiveness / Low strength cell: Harvest.
Source: CSIMarket API, trailing 12 months. Each axis score is a simple 1(low)/2(medium)/3(high) average across its three inputs -- a transparent, disclosed simplification, not a validated academic scoring model.
Elevance Health Inc's SWOT
Every point below is a fixed rule applied to a metric already shown elsewhere on this page (Market Structure, Profitability, Valuation, Run-Rate, Stock Performance, Quality Breadth) — not an independent strategic assessment. A blank quadrant means no rule was met, not that none apply.Strengths
- Outperforming the U.S.A. 500 over the trailing 12 months.
Weaknesses
- Low relative market share vs the industry leader (0.25x).
Opportunities
- Industry revenue growing at a healthy 12.3% median pace.
Threats
- Industry dominated by Unitedhealth Group Incorporated, holding 48.40 % of industry market cap.
- High capital intensity requires continuous reinvestment just to keep pace with the industry.
Methodology: mechanical, rule-based SWOT. Each bullet reuses a figure already sourced and cited elsewhere on this page; nothing here is generated narrative or independent analyst judgment.
Elevance Health Inc's Financial Strength vs Peers Comparison
Quick ratio, working capital, debt to equity and asset turnover, trailing 12 months| Company | Quick Ratio | Working Capital | Debt / Equity |
|---|---|---|---|
| Elevance Health Inc | 0.22 | 1.50 | 0.72 |
| Unitedhealth Group Incorporated | 0.24 | 0.81 | 0.75 |
| Futu Holdings Ltd | 0.06 | 1.19 | 0.30 |
| The Cigna Group | 0.12 | 0.82 | 0.76 |
| Metlife Inc | 0.08 | 0.29 | 0.70 |
| Aflac Incorporated | 0.08 | 2.34 | 0.28 |
Sign in to see all peers for Elevance Health Inc .
Quick ratio = cash / current liabilities; working capital ratio = current assets / current liabilities; asset turnover = revenue / total assets. Peers in the Blank Checks industry are excluded.
Elevance Health Inc's Revenue and Income Growth vs Peers
Quarterly revenue and net income growth, year over year and quarter over quarter| Company | Period | Revenue Y/Y | Income Y/Y |
|---|---|---|---|
| Elevance Health Inc | Q2 2026 | +1.4 % | -16.1 % |
| Unitedhealth Group Incorporated | Q2 2026 | +0.4 % | +58.7 % |
| Futu Holdings Ltd | Q4 2025 | +67.8 % | +107.6 % |
| The Cigna Group | Q2 2026 | +6.7 % | +22.4 % |
| Metlife Inc | Q2 2026 | +10.5 % | +6.0 % |
| Aflac Incorporated | Q2 2026 | -1.0 % | +37.7 % |
| PEERS TOTAL | +5.9 % | +37.9 % |
Sign in to see all peers for Elevance Health Inc .
Growth is shown only where both periods are positive. Peers in the Blank Checks industry are excluded.
Elevance Health Inc's Peers' Costs of Sales and Capital Expenditures
Context for revenue growth: peer costs and capex, year over year and quarter over quarter| Company | Period | Costs Y/Y | Capex Y/Y |
|---|---|---|---|
| Elevance Health Inc | Q2 2026 | +3.8 % | +7.5 % |
| Unitedhealth Group Incorporated | Q2 2026 | +2.7 % | -9.8 % |
| Futu Holdings Ltd | Q4 2025 | +29.0 % | -67.4 % |
| The Cigna Group | Q2 2026 | +6.4 % | - |
| Metlife Inc | Q2 2026 | +1,959.3 % | - |
| Aflac Incorporated | Q2 2026 | +5.7 % | - |
Sign in to see all peers for Elevance Health Inc .
Elevance Health Inc's Returns and Turnover vs Peers
ROA, ROI and ROE (trailing 12 months), receivables and inventory turnover| Company | ROA | ROI | ROE |
|---|---|---|---|
| Elevance Health Inc | 3.99% | 6.09% | 11.19% |
| Unitedhealth Group Incorporated | 4.78% | 7.51% | 14.55% |
| Futu Holdings Ltd | 4.95% | 19.69% | 28.25% |
| The Cigna Group | 4.46% | 6.88% | 16.50% |
| Metlife Inc | 0.49% | 0.77% | 12.93% |
| Aflac Incorporated | 4.13% | 9.64% | 16.42% |
Sign in to see all peers for Elevance Health Inc .
ROA = net income / total assets; ROI = net income / investments; ROE = net income / equity; turnover ratios use trailing 12 month revenue (receivables) and cost of sales (inventory).
Elevance Health Inc's Valuation vs Peers
P/E, price to sales, PEG, price to cash flow and price to book| Company | P/E | Price / Sales |
|---|---|---|
| Elevance Health Inc | 17.71 | 0.43 |
| Unitedhealth Group Incorporated | 24.31 | 0.76 |
| Futu Holdings Ltd | 86.85 | 43.16 |
| The Cigna Group | 11.28 | 0.25 |
| Metlife Inc | 18.63 | 0.79 |
| Aflac Incorporated | 12.27 | 3.18 |
| PEERS AVERAGE | 23.83 | 0.61 |
Sign in to see all peers for Elevance Health Inc .
P/E = price / diluted EPS (trailing 12 months); PEG = P/E divided by EPS growth; the average row divides the peers' combined market cap by their combined income, sales, cash flow and equity.