'Big 6' payers ranked by 2021 revenue

While UnitedHealthcare dominated 2021 in terms of revenue among health insurers, it's a tight financial race between many of the country's other top payers. 

Here are the top 6 payers based on year-end revenue:

1. UnitedHealthcare: $223 billion

2. Cigna: $174.1 billion

3. Anthem: $137 billion* 

4. Centene: $126 billion

5. Humana: $83.1 billion

6. Aetna: $82.2 billion 

*Operating revenue

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