Bull case
ELV would need investors to value it at roughly 34x earnings — about 20x more generous than today's 14x forward P/E. That requires meaningful multiple expansion on top of continued earnings growth.
Wall Street verdict, consensus price target, and analyst rating breakdown — everything needed to frame the risk/reward at today's price.
Three scenarios for where ELV stock could go
ELV would need investors to value it at roughly 34x earnings — about 20x more generous than today's 14x forward P/E. That requires meaningful multiple expansion on top of continued earnings growth.
At 18x on FY1 earnings, the base case reflects a reasonable but not stretched valuation. It prices in continued growth without assuming an exceptional setup.
The bear case assumes sentiment or fundamentals disappoint enough to push ELV down roughly 7% from the current price.
Not financial advice. Model confidence reflects internal scenario assumptions, not a guarantee of returns. Past performance does not predict future results.

Elevance Health is a major health benefits company that provides medical insurance and integrated health services to millions of Americans. It generates revenue primarily through health insurance premiums — accounting for the vast majority of its income — supplemented by pharmacy benefit management and care delivery services. The company's competitive advantage lies in its massive scale, diversified portfolio of health solutions, and deep integration across insurance, pharmacy, and clinical care.
Quarterly beat-or-miss track record against analyst estimates, plus forward revenue and EPS outlook for the next two fiscal years.
| Quarter | EPS (Actual / Est) | EPS Surprise | Revenue (Actual / Est) | Rev Surprise |
|---|---|---|---|---|
| Q3 2025 | $8.84/$8.91 | -0.8% | $49.8B/$48.2B | +3.3% |
| Q4 2025 | $6.03/$4.93 | +22.3% | $50.7B/$49.4B | +2.7% |
| Q1 2026 | $3.33/$3.10 | +7.4% | $49.3B/$49.8B | -1.1% |
| Q2 2026 | $12.58/$11.03 | +14.1% | $49.5B/$48.2B | +2.7% |
ELV beat EPS estimates in 3 of 4 tracked quarters. A strong delivery record supports forward estimate credibility.
Product and geographic revenue mix from the latest annual disclosure, with year-over-year growth by segment.
Latest annual revenue by segment or product family
Tap, hover, or focus a slice to inspect segment detail.
Latest annual revenue by reported region
Current multiples compared to the S&P 500, the company's sector, and its own five-year average.
Fair value est. $549 — implies +47.2% from today's price.
| Metric | ELV | S&P 500 | Healthcare | 5Y Avg ELV |
|---|---|---|---|---|
| Forward PE | 14.0x | 19.1x-27% | 19.0x-26% | — |
| Trailing PE | 14.9x | 25.2x-41% | 22.1x-33% | 17.4x-14% |
| PEG Ratio | 2.16x | 1.75x+24% | 1.52x+42% | — |
| EV/EBITDA | 10.9x | 15.3x-29% | 14.1x-23% | 12.2x-11% |
| Price/FCF | 25.6x | 21.3x+20% | 18.7x+37% | 18.6x+38% |
| Price/Sales | 0.4x | 3.1x-87% | 2.8x-86% | 0.6x-35% |
| Dividend Yield | 1.84% | 1.88% | 1.40% | 1.38% |
Forward P/E and PEG reflect analyst consensus estimates. Historical averages use trailing ratios where forward data is unavailable.S&P 500 and sector benchmarks both use trailing median P/E — similar readings indicate the broader index and sector are priced alike.
Open valuation toolELV posts 2.6% net margin with 11.9% ROE — the core signals of underwriting discipline and capital efficiency.
Premium revenue, margins, and returns
ROIC, leverage, and debt serviceability
Traditional FCF and debt/FCF ratios are not meaningful for financial companies. Focus on ROE and ROA above.
How capital is returned to owners
All figures from the trailing twelve months. For financial companies, ROE and ROA are the primary health signals — FCF-based metrics are not applicable.
Open full ratios pageKey factors that could pressure the stock price, compress the multiple, or weigh on future results.
AI analysis · updated April 11, 2026
Changes in healthcare policy, especially Medicare and Medicaid, can alter enrollment and reimbursement rates. CMS has already scrutinized Elevance for compliance issues, and further regulatory shifts could reduce future revenue streams.
The company faces investigations for potential securities fraud and sanctions related to historical data submissions. These proceedings could result in fines, reputational damage, and investor confidence erosion.
Elevance competes with numerous established insurers and new entrants, requiring constant product innovation and pricing adjustments. Failure to keep pace could erode market share and margin compression.
A downturn in commercial sector membership threatens growth, as pricing strategies and member retention become critical. Reduced enrollment directly impacts revenue and scale.
Variable-rate debt exposes the firm to rising borrowing costs, while loss of key executives could disrupt operations. Both factors could negatively affect profitability.
Investments in AI and digital health platforms carry risks of failed integration and scaling. Poor execution could limit cost savings and competitive advantage.
These are risk mechanisms, not predictions. The key question is which would force a cut to earnings estimates or a lower multiple than the market currently prices in.
Structural drivers behind the upside case and why the stock could outperform over the next 12 months.
AI analysis · updated April 11, 2026
Elevance Health has delivered a trailing‑12‑month EPS growth of 36.29%, placing it in the top 25% of its industry. This momentum underpins expectations for continued earnings expansion.
The company reports a return on equity of 12.90% and a gross profit margin of 100%, both ranking in the top 10% of its sector. These figures signal efficient capital use and high pricing power.
Elevance has increased its dividend for 15 straight years, yielding 2.42% today. The long‑term dividend track record supports a stable income stream for investors.
Recent favorable court rulings, particularly in the Blue Cross/Shield segment, have reinforced the company’s market position and revenue base. These decisions mitigate regulatory uncertainty and support growth.
Significant investments in technology are aimed at optimizing operations across the organization. The focus on digital transformation is expected to reduce costs and improve service delivery.
The company projects at least 12% adjusted EPS growth in 2027, driven by a repositioned Medicare Advantage book and expanded Carelon Services. Free cash flow is forecast to surge as timing distortions from delayed Medicaid payments reverse.
A real bull case compounds — each driver matters most when it strengthens margins, supports capital returns, and keeps the company above the market's minimum growth bar simultaneously.
52-week range context and price returns across multiple time horizons. Dividend contribution is shown separately in the Capital Return section.
Range context matters because valuation compression and earnings misses rarely hit from the same starting point. A stock already far below its high can still fall, but it is no longer carrying the same embedded optimism as one pressing a fresh peak.
Valuation, growth, and margin comparison against the closest publicly traded peers for this company.
| Company | Mkt Cap | Fwd PE | Rev Grw | Margin | Rating | Upside |
|---|---|---|---|---|---|---|
ELV ELV Elevance Health Inc. | $81.4B | 14.0x | +4.0% | 2.6% | Buy | +2.0% |
UNH UNH UnitedHealth Group Incorporated | $333.4B | 20.1x | +3.2% | 2.7% | Buy | +4.9% |
CVS CVS CVS Health Corporation | $111.3B | 12.1x | +3.5% | 0.7% | Buy | +9.6% |
CI CI Cigna Corporation | $74.3B | 9.3x | +7.5% | 2.3% | Buy | +16.3% |
HUM HUM Humana Inc. | $29.6B | 27.6x | +14.8% | 0.8% | Hold | -0.1% |
CNC CNC Centene Corporation | $27.3B | 16.4x | +7.6% | -3.3% | Buy | -7.8% |
This peer comparison reflects companies with similar business models, product lines, or market positioning, supplemented by industry grouping when direct matches are limited.
ELV returns capital mainly through $2.6B/year in buybacks (3.3% buyback yield), with a modest 1.87% dividend — combining for 5.1% total shareholder yield. The dividend has grown for 15 consecutive years.
Yield, cadence, and growth quality
How much per-share support comes from repurchases
| Year | Div / Share | YoY Grw | BB Yield | Total Yield |
|---|---|---|---|---|
| 2026 | $3.44 | — | — | — |
| 2025 | $6.84 | +4.9% | 3.4% | 5.3% |
| 2024 | $6.52 | +10.1% | 3.4% | 5.1% |
| 2023 | $5.92 | +15.6% | 2.4% | 3.6% |
| 2022 | $5.12 | +13.3% | 1.9% | 2.8% |
Common questions answered from live analyst data and company financials.
Elevance Health Inc. (ELV) is rated Buy by Wall Street analysts as of 2026. Of 37 analysts covering the stock, 26 rate it Buy or Strong Buy, 11 rate it Hold, and 0 rate it Sell or Strong Sell. The consensus 12-month price target is $382, implying +2.0% from the current price of $375. The bear case scenario is $403 and the bull case is $910.
The Wall Street consensus price target for ELV is $382 based on 37 analyst estimates. The high-end target is $425 (+13.4% from today), and the low-end target is $331 (-11.7%). The base case model target is $494.
ELV trades at 14.0x times forward earnings. The stock currently trades at a discount to the broader market. Based on current multiples versus the peer group, the relative model signals significantly undervalued. Whether the stock is over or undervalued ultimately depends on whether consensus earnings estimates are achievable.
The primary risks for ELV in 2026 are: (1) Regulatory Uncertainty — Changes in healthcare policy, especially Medicare and Medicaid, can alter enrollment and reimbursement rates. (2) Legal & Regulatory Investigations — The company faces investigations for potential securities fraud and sanctions related to historical data submissions. (3) Competitive Pressures — Elevance competes with numerous established insurers and new entrants, requiring constant product innovation and pricing adjustments. Each factor has the potential to pressure earnings or compress the stock's valuation multiple.
Analyst consensus estimates ELV will report consensus revenue of $208.5B (+4.0% year-over-year) and EPS of $28.17 (+18.4% year-over-year) for the upcoming fiscal year. The following year, analysts project $227.6B in revenue.
A confirmed upcoming earnings date for ELV is not yet available. Check the Earnings section above for the most recent quarterly report dates and forward estimates.
Elevance Health Inc. (ELV) generated $6.5B in free cash flow over the trailing twelve months — a free cash flow margin of 3.2%. ELV returns capital to shareholders through dividends (1.9% yield) and share repurchases ($2.6B TTM).