2022 | 2021 | Name | Country | 2022 | 2021 | 2022 | 2021 |
|---|---|---|---|---|---|---|---|
| 1 | 1 | UnitedHealthcare | United States | $32,946M | $27,308M | AA+ | AA |
| 2 | 2 | Anthem | United States | $18,611M | $15,901M | AA- | AA |
| 3 | 4 | Optum | United States | $15,873M | $12,396M | AA- | AA- |
| 4 | 3 | Humana | United States | $14,065M | $13,345M | AA | AA |
| 5 | 5 | Cigna | United States | $7,537M | $7,011M | AA- | AA- |
| 6 | 6 | Aetna | United States | $7,057M | $6,558M | AA- | AA- |
| 7 | 9 | Evernorth | United States | $6,234M | $4,608M | A+ | A |
| 8 | 7 | McKesson | United States | $5,729M | $4,963M | A | A |
| 9 | null | IQVIA | United States | $5,200M | $0M | A+ | null |
| 10 | null | AmerisourceBergen | United States | $4,827M | $0M | A | null |