CI vs. ZBH: Cigna vs. Zimmer Biomet Stock Comparison

November 11, 2026

How do Cigna (CI) and Zimmer Biomet (ZBH) stack up? This page sets them side by side across company profile, performance and risk, profitability, growth, financial strength, dividends, and valuation, with selected fundamentals also measured against each stock's industry-group peers.

Company Profile

Cigna (CI) and Zimmer Biomet (ZBH) both fall under the Health Care Equipment & Services industry group, but CI is classified in Health Care Providers & Services while ZBH is classified in Health Care Equipment & Supplies.

Company profile comparison for Cigna (CI) and Zimmer Biomet (ZBH)
Profile Item	CI	ZBH
Name	The Cigna Group	Zimmer Biomet Holdings Inc.
Country/Region	United States	United States
GICS Sector	Health Care	Health Care
GICS Industry Group	Health Care Equipment & Services	Health Care Equipment & Services
GICS Industry	Health Care Providers & Services	Health Care Equipment & Supplies
GICS Sub-Industry	Health Care Services	Health Care Equipment
Market Capitalization	77.36 billion USD	19.98 billion USD
Currency	USD	USD
Exchange	NYSE	NYSE
Listing Date	March 31, 1982	July 25, 2001
Security Type	Common Stock	Common Stock

Price Performance

Cumulative Growth

ZBH

GSPC

Cigna (CI) vs. Zimmer Biomet (ZBH), with S&P 500 (GSPC) for reference: Growth of a $10,000 investment over the past five years. Adjusted for dividends and splits.

Trailing Returns

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Trailing total returns for Cigna (CI) and Zimmer Biomet (ZBH). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for Cigna (CI) and Zimmer Biomet (ZBH). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for Cigna (CI) and Zimmer Biomet (ZBH)
Metric	CI	ZBH
Total Return (1Y)	13.95%	24.04%
Total Return (3Y, Annualized)	2.65%	2.38%
Total Return (5Y, Annualized)	8.40%	-2.74%

Risk Profile

Drawdown History

ZBH

GSPC

Cigna (CI) vs. Zimmer Biomet (ZBH), with S&P 500 (GSPC) for reference: Drawdown from the running peak over the past five years. Each line shows the decline from its prior peak; 0% marks a new high.

Return Distribution

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Distribution of monthly total returns for Cigna (CI) and Zimmer Biomet (ZBH). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Risk profile metrics for Cigna (CI) and Zimmer Biomet (ZBH)
Metric	CI	ZBH
Volatility (1Y, Annualized)	26.82%	32.39%
Beta (5Y)	0.24	0.42
Max Drawdown (5Y)	-32.10%	-43.94%
Avg. Volume (3M)	1.55M	2.09M

Risk-Adjusted Performance

Risk-Return Positioning

CI and ZBH are plotted by 1-year volatility (risk) and 1-year return. The dashed Capital Allocation Line runs from the risk-free rate through the shared industry median.

Risk-Adjusted Metrics

Risk-adjusted metrics for Cigna (CI) and Zimmer Biomet (ZBH)
Metric	CI	ZBH
Sharpe Ratio (1Y)	0.36	0.61
Sortino Ratio (1Y)	0.54	0.93

Profitability

ROE (TTM)

Cigna (CI) at 15.65% sits in the top ROE quartile, while Zimmer Biomet (ZBH) at 6.03% is closer to the peer norm — stronger capital efficiency for CI.

CI

Health Care Equipment & Services industry group

15.65%

Max: 47.61%
CI: 15.65%
Q3: 14.36%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

ZBH

Health Care Equipment & Services industry group

6.03%

Max: 47.61%
Q3: 14.36%
ZBH: 6.03%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

Cigna (CI) vs. Zimmer Biomet (ZBH): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

Net Margin (TTM)

Both Cigna (CI) at 2.09% and Zimmer Biomet (ZBH) at 8.95% keep about the typical share of revenue as profit for their industries — neither bottom line stands out from peers.

CI

Health Care Equipment & Services industry group

2.09%

Max: 29.35%
Q3: 9.33%
Median: 2.18%
CI: 2.09%
Q1: -6.29%
Min: -28.46%

ZBH

Health Care Equipment & Services industry group

8.95%

Max: 29.35%
Q3: 9.33%
ZBH: 8.95%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

Cigna (CI) vs. Zimmer Biomet (ZBH): A comparison of their net margin against the Health Care Equipment & Services industry group benchmark.

Operating Margin (TTM)

Zimmer Biomet (ZBH) at 17.35% operates in the top operating margin quartile, ahead of Cigna (CI) at 3.48%, which runs around its industry’s norm.

CI

Health Care Equipment & Services industry group

3.48%

Max: 35.43%
Q3: 14.14%
Median: 6.81%
CI: 3.48%
Q1: -0.28%
Min: -16.29%

ZBH

Health Care Equipment & Services industry group

17.35%

Max: 35.43%
ZBH: 17.35%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

Cigna (CI) vs. Zimmer Biomet (ZBH): A comparison of their operating margin against the Health Care Equipment & Services industry group benchmark.

Profitability Metrics

Profitability metrics for Cigna (CI) and Zimmer Biomet (ZBH)
Metric	CI	ZBH
ROE (TTM)	15.65%	6.03%
ROA (TTM)	4.29%	3.81%
Net Margin (TTM)	2.09%	8.95%
Operating Margin (TTM)	3.48%	17.35%
Gross Margin (TTM)	9.09%	69.33%

Growth

Revenue Growth

Both Cigna (CI) at 11.26% and Zimmer Biomet (ZBH) at 7.20% land near their industries' usual revenue growth ranges, so top-line momentum looks broadly in line with peers on both sides.

Cigna (CI) vs. Zimmer Biomet (ZBH): A comparison of their Revenue Growth across different time periods.

EPS Growth

Cigna (CI) at 83.00% sits in the top EPS growth quartile, while Zimmer Biomet (ZBH) at -19.86% is closer to the peer norm — faster per-share earnings growth for CI.

Cigna (CI) vs. Zimmer Biomet (ZBH): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Cigna (CI) and Zimmer Biomet (ZBH)
Metric	CI	ZBH
Revenue Growth (YoY)	11.26%	7.20%
Revenue Growth (3Y CAGR)	15.15%	5.85%
EPS Growth (YoY)	83.00%	-19.86%
EPS Growth (3Y CAGR)	1.36%	47.78%

Financial Strength

Current Ratio (MRQ)

Zimmer Biomet (ZBH) at 1.46 keeps current ratio within its industry’s typical mid-range, while Cigna (CI) at 0.84 runs in the tighter-liquidity quartile — a thinner cushion against current liabilities for CI.

CI

Health Care Equipment & Services industry group

0.84

Max: 7.59
Q3: 4.00
Median: 1.98
Q1: 1.37
CI: 0.84
Min: 0.30

ZBH

Health Care Equipment & Services industry group

1.46

Max: 7.59
Q3: 4.00
Median: 1.98
ZBH: 1.46
Q1: 1.37
Min: 0.30

Cigna (CI) vs. Zimmer Biomet (ZBH): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Both Cigna (CI) at 0.71 and Zimmer Biomet (ZBH) at 0.60 fund their balance sheets with roughly industry-typical debt-to-equity mixes.

CI

Health Care Equipment & Services industry group

0.71

Max: 1.88
Q3: 0.91
CI: 0.71
Median: 0.58
Q1: 0.16
Min: 0.00

ZBH

Health Care Equipment & Services industry group

0.60

Max: 1.88
Q3: 0.91
ZBH: 0.60
Median: 0.58
Q1: 0.16
Min: 0.00

Cigna (CI) vs. Zimmer Biomet (ZBH): A comparison of their debt-to-equity ratio against the Health Care Equipment & Services industry group benchmark.

Financial Strength Metrics

Financial strength metrics for Cigna (CI) and Zimmer Biomet (ZBH)
Metric	CI	ZBH
Current Ratio (MRQ)	0.84	1.46
Debt / Equity (MRQ)	0.71	0.60
Net Debt / EBITDA	1.87	2.85

Dividends

Dividend Yield (TTM)

Both Cigna (CI) at 2.05% and Zimmer Biomet (ZBH) at 0.90% yield above their industries’ entire benchmark ranges — high enough that dividend safety, not income, becomes the first question.

CI

Health Care Equipment & Services industry group

2.05%

CI: 2.05%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

ZBH

Health Care Equipment & Services industry group

0.90%

ZBH: 0.90%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

Cigna (CI) vs. Zimmer Biomet (ZBH): A comparison of their dividend yield against the Health Care Equipment & Services industry group benchmark.

Dividend Payout Ratio (TTM)

Both Cigna (CI) at 27.29% and Zimmer Biomet (ZBH) at 24.24% pay out more of their earnings than any of their industry peers — the thinnest cover in their groups, so dividend headroom deserves attention.

CI

Health Care Equipment & Services industry group

27.29%

CI: 27.29%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

ZBH

Health Care Equipment & Services industry group

24.24%

ZBH: 24.24%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

Cigna (CI) vs. Zimmer Biomet (ZBH): A comparison of their payout ratio against the Health Care Equipment & Services industry group benchmark.

Dividend Metrics

Dividend metrics for Cigna (CI) and Zimmer Biomet (ZBH)
Metric	CI	ZBH
Dividend Yield (TTM)	2.05%	0.90%
Dividend Payout Ratio (TTM)	27.29%	24.24%

Valuation

P/E Ratio (TTM)

Cigna (CI) at 12.94 sits in the cheaper P/E ratio quartile, while Zimmer Biomet (ZBH) at 26.66 is closer to its industry’s usual earnings multiple — a discount for CI, though growth and earnings durability still matter.

CI

Health Care Equipment & Services industry group

12.94

Max: 80.41
Q3: 47.62
Median: 29.93
Q1: 21.19
CI: 12.94
Min: 4.21

ZBH

Health Care Equipment & Services industry group

26.66

Max: 80.41
Q3: 47.62
Median: 29.93
ZBH: 26.66
Q1: 21.19
Min: 4.21

Cigna (CI) vs. Zimmer Biomet (ZBH): A comparison of their P/E ratio against the Health Care Equipment & Services industry group benchmark.

P/S Ratio (TTM)

Cigna (CI) at 0.27 sits in the cheaper P/S ratio quartile while Zimmer Biomet (ZBH) at 2.33 prices around its industry’s middle — CI costs less per dollar of sales, though read it alongside growth and margins.

CI

Health Care Equipment & Services industry group

0.27

Max: 8.80
Q3: 4.32
Median: 2.13
Q1: 1.10
CI: 0.27
Min: 0.03

ZBH

Health Care Equipment & Services industry group

2.33

Max: 8.80
Q3: 4.32
ZBH: 2.33
Median: 2.13
Q1: 1.10
Min: 0.03

Cigna (CI) vs. Zimmer Biomet (ZBH): A comparison of their P/S ratio against the Health Care Equipment & Services industry group benchmark.

P/B Ratio (MRQ)

Zimmer Biomet (ZBH) at 1.58 sits in the lower P/B ratio quartile against book while Cigna (CI) at 1.79 is valued near its industry’s middle — ZBH is cheaper on assets, though weigh it against ROE and asset quality.

CI

Health Care Equipment & Services industry group

1.79

Max: 11.68
Q3: 6.12
Median: 3.00
CI: 1.79
Q1: 1.73
Min: -1.31

ZBH

Health Care Equipment & Services industry group

1.58

Max: 11.68
Q3: 6.12
Median: 3.00
Q1: 1.73
ZBH: 1.58
Min: -1.31

Cigna (CI) vs. Zimmer Biomet (ZBH): A comparison of their P/B ratio against the Health Care Equipment & Services industry group benchmark.

Valuation Metrics

Valuation metrics for Cigna (CI) and Zimmer Biomet (ZBH)
Metric	CI	ZBH
P/E Ratio (TTM)	12.94	26.66
P/S Ratio (TTM)	0.27	2.33
P/B Ratio (MRQ)	1.79	1.58
Free Cash Flow Yield (TTM)	10.59%	7.22%