CI options flow: unusual options activity in Cigna Group
Updated 28 September 2026, 09:54 ET
Over the last week the tape recorded 51 unusual options prints in Cigna Group (CI), $7.5M of tracked premium, leaning bullish. Bullish premium was $4.0M against $3.0M bearish; $6.4M went into calls and $1.0M into puts, a put call ratio of 0.16. The largest print was $1.0M of CI 21 Jan 2028 $240 calls on 25 September 2026, executed at ask. The last session with prints, 28 September 2026, added 1 print and $105K of premium. CI closed at $272.01 on 25 September 2026, up 2.5%.
This week's unusual flow
Prints from 21 September 2026 to 28 September 2026, 6 sessions. Delayed tier: every print is shown twenty minutes after it executed, and the page is rebuilt after each session.
Net premium is bullish minus bearish premium. The put call ratio is put premium divided by call premium, weighted by money rather than by contract count. Sweeps is the share of prints executed across several exchanges at once. Read the guide: Reading the Pulse.
Largest prints of the week
| Date | Contract | Type | Size | Open int. | Premium | Execution | Sentiment | Tier |
|---|---|---|---|---|---|---|---|---|
| 25 Sep 2026 | CI 21 Jan 2028 $240 calls | Trade | 166 | 593 | $1.0M | At ask | Bullish | Whale |
| 21 Sep 2026 | CI 21 Jan 2028 $240 calls | Trade | 150 | 744 | $948K | At ask | Bullish | Notable |
| 25 Sep 2026 | CI 21 Jan 2028 $240 calls | Trade | 150 | 593 | $910K | At ask | Bullish | High conviction |
| 25 Sep 2026 | CI 19 Jan 2029 $240 calls | Trade | 110 | 200 | $825K | At bid | Bearish | Notable |
| 25 Sep 2026 | CI 21 Jan 2028 $240 calls | Trade | 84 | 593 | $509K | At ask | Bullish | Notable |
| 22 Sep 2026 | CI 21 Jan 2028 $230 calls | Trade | 60 | 26 | $426K | At bid | Bearish | Notable |
| 25 Sep 2026 | CI 19 Jan 2029 $240 calls | Trade | 50 | 200 | $375K | At bid | Bearish | |
| 23 Sep 2026 | CI 2 Oct 2026 $277.50 puts | Trade | 209 | 4 | $165K | At bid | Neutral | Notable |
| 24 Sep 2026 | CI 16 Oct 2026 $262.50 puts | Sweep | 176 | 51 | $121K | At ask | Bearish | High conviction |
| 24 Sep 2026 | CI 2 Oct 2026 $270 puts | Sweep | 148 | 82 | $117K | At ask | Bearish | High conviction |
| 23 Sep 2026 | CI 17 Jun 2027 $260 calls | Sweep | 30 | 74 | $110K | At bid | Bearish | Notable |
| 22 Sep 2026 | CI 2 Oct 2026 $275 puts | Sweep | 195 | 32 | $107K | At bid | Bullish | High conviction |
Size above open interest means the trade opened a position larger than everything that existed in the contract the night before. Above ask and below bid are the most aggressive executions. Read the guide: Size versus open interest.
Where the money is aimed
| Expiry | Prints | Premium | Calls share | Net premium |
|---|---|---|---|---|
| 21 Jan 2028 | 7 | $3.9M | 99% | +$3.1M |
| 19 Jan 2029 | 7 | $1.6M | 100% | -$1.5M |
| 2 Oct 2026 | 15 | $957K | 28% | -$373K |
| 17 Jun 2027 | 9 | $394K | 100% | -$82K |
| 16 Oct 2026 | 5 | $249K | 40% | -$151K |
| 15 Jan 2027 | 2 | $124K | 64% | -$36K |
The most premium, $3.9M, is aimed at the 21 Jan 2028 expiry; the nearest expiry with unusual prints is 2 Oct 2026.
A print in a contract expiring this week is a view about the next few days, often about a known event; a print months out is a different kind of statement. Read the guide: 0DTE options flow.
The last session, 28 September 2026
| Date | Contract | Type | Size | Open int. | Premium | Execution | Sentiment | Tier |
|---|---|---|---|---|---|---|---|---|
| 28 Sep 2026 | CI 19 Jan 2029 $290 calls | Trade | 20 | 24 | $105K | At ask | Neutral |
Every print in CI with its full detail, the live tape, one tap filters and saved screeners: open CI in Options Sentiment Screener.
Price
The live quote and the price chart sit beside the ticker's flow in the app: open CI in Options Sentiment Screener.
Analysts
The most recent analyst targets on file, from 12 firms, have a median of $338, 24.4% above the last close. The last 90 days brought 2 downgrades.
Calls bought at a strike above the average target are a bet that the analysts are too cautious; puts far below the price in a name they like are protection or a strong disagreement. Read the guide: Reading one ticker's flow.
About Cigna Group
- Exchange
- NYSE
- Sector
- Health Care
- Industry
- Insurance
- Website
- cigna.com
Cigna Corporation provides insurance and related products and services in the United States. Its Evernorth segment provides a range of coordinated and point solution health services to health plans, employers, government organizations, and health care providers. The company also offers permanent insurance contracts to corporations to provide coverage on the lives of certain employees for financing employer-paid future benefit obligations.
In the same sector
Flow pages for other Health Care names in the S&P 500:
LLY Eli Lilly & Co.JNJ Johnson & JohnsonABBV AbbVie Inc.MRK Merck & Co. Inc.UNH UnitedHealth Group Inc.TMO Thermo Fisher Scientific Inc.AMGN Amgen Inc.GILD Gilead Sciences, Inc.
Learn
- What unusual options activity means
- Reading one ticker's flow
- Sweeps, blocks and where a trade printed
- Size versus open interest
- Bullish or bearish, how a print's sentiment is inferred
- The conviction score and whale prints
The live tape for CI with every print's execution detail, one tap filters for calls, puts, sweeps and 0DTE, saved screeners and, for Realtime subscribers, push alerts and no delay. The same screen is in the iOS and Android apps.
Open CI in Options Sentiment Screener