Gravity

GROSS ~$274.9B/yr routed — 185M+ customer relationships + ~1.7M-provider network via Evernorth/Express Scripts (the widest footprint of the payers).

med confidence · as of 2026-07-26 · about Cigna

Sourced figures 2

Wikipedia — Cigna Evernorth Health Services (Express Scripts PBM) is the dominant segment; 2023 rebrand consolidated the group under it
2026-07 med
kestrel board.yaml cigna gravity axis — estimate 185M+ customer relationships + 1.7M providers (widest footprint)
2026-07 low

the working

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A claim is one metric we assert about a node — the value is the summary, this page is the receipt. Sourced from kestrel; supersedes-history not yet shown. Back to Cigna.