Exagen Inc (XGN) fair value: what the stock is really worth
As of Nov 10, 2026: fair value (intrinsic value) of Exagen Inc stock $5.34, price $5.26, upside +1.5%, quality 34 out of 100. Rating: fairly valued. The value is an estimate: none of our valuation models currently carries, it draws on revenue and assets compared with similar companies. Updated daily.
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Exagen Inc
XGN · USThe stock costs about what our calculation considers fair.
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Price vs Fair Value
White line = price, green steps = our fair value per fiscal year. As of Nov 10, 2026.
How to read this chart
60‑month range $1.36 – $14.44 · fair‑value band $4.01 – $6.68 · the $5.26 price screens below the $5.34 fair value. Green steps = our fair value per fiscal year (point-in-time, no hindsight). As of Nov 10, 2026.
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Company profile
Exagen Inc. designs, develops, and commercializes various testing products under the AVISE brand in the United States.
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The company enables healthcare providers to care for patients through the diagnosis, prognosis, and monitoring of complex rheumatic, and autoimmune and autoimmune-related diseases, including systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA). The company's lead testing product is AVISE CTD that enables differential diagnosis for patients presenting with symptoms indicative of various connective tissue diseases (CTDs) and other related diseases with overlapping symptoms.
The company offers AVISE Lupus platform, a cornerstone of the SLE assessment that begins by quantifying the level of CB-CAPs biomarkers (EC4d and BC4d) in the patient's blood; and AVISE APS that aids in the diagnosis and management of APS. In addition, it provides AVISE Vasculitis AAV, which utilizes a testing panel of individual analytes to provide physicians with results in the assessment and monitoring of anti-neutrophil cytoplasmic antibody associated vasculitis; AVISE Anti-Histone, a test for autoantibodies to histone proteins; AVISE SLE Prognostic, a panel of autoantibodies for assessing the potential for complications affecting the kidney, brain, and cardiovascular system; and AVISE Anti-CarP, a biomarker-driven RA prognostic test.
Further, the company offers AVISE SLE Monitor, a blood test that employs CB-CAPs technology; AVISE MTX, a patented and validated blood test; and AVISE HCQ, a blood test to monitor levels of hydroxychloroquine.
It has a research collaboration and license agreement with Allegheny Health Network (AHN) Research Institute to develop T-Cell biomarkers. The company was formerly known as Exagen Diagnostics, Inc. and changed its name to Exagen Inc. in January 2019.
Exagen Inc. was incorporated in 2002 and is headquartered in Vista, California.
Stock analysis
Exagen Inc (XGN) currently trades at $5.26, while our estimate is $5.34, so the stock looks roughly fairly valued today (gap 1.5%).
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Valuation
None of our valuation models currently carries for this company, usually because of losses or heavy investment. The estimate draws on revenue and assets compared with similar companies and is less precise than a model-based fair value.
Scenario range: $4.01 (bear) to $6.68 (bull), the price of $5.26 sits inside it. Bear and bull are the same models on cautious and optimistic assumptions, a range, not a price target.
Quality & growth
The Quality Score stands at 34/100 (below-average quality), in the Healthcare sector.
Mixed Growth: Revenue is growing, but margins or cash flow do not fully confirm the trend.
Exagen Inc reported revenue of $66.6M in FY2025 versus $48.3M in FY2021, a compound +8.4%/yr. Reported net income was −$20.0M in FY2025.
Key figures
Market cap $184M Micro · P/S ratio 2.59 · EPS (TTM) $−0.7200 · Net margin −26.6% · Return on equity −114% · Return on assets (EBIT) −33.6% (5-year average) · Operating margin −8.6% · Revenue (TTM) $71.1M.
Competitive moat
Our AI-assisted moat analysis scores the competitive advantage at 12 out of 100 (medium confidence).
What moves the price
The share trades about 45% below its 52-week high and 98% above its 52-week low, currently above its 200-day average.
For context, the median of 10 Healthcare peers we cover trades at −11% fair-value upside, at 2%, XGN screens cheaper than that median.
Fair Value
Quality Score breakdown
It rates the business: profits, how they develop, real cash, balance sheet, investing and share count.
Insider trades
In the last 6 months, 2 officers or directors sold shares worth $418,624 and none bought.
- BuyJorey Chernett10% owner2× since Oct 19, 2026: 29,585 shares, avg. $6.61$195,682Nov 10, 2026
- SaleJorey Chernett10% owner11,265 shares at $6.14$69,167Nov 6, 2026
- SaleJohn AballiPresident and CEO, Director3× since Feb 24, 2026: 61,422 shares, avg. $5.99$367,880Oct 16, 2026
- SaleJeffrey G. BlackChief Financial Officer2× since Feb 24, 2026: 22,198 shares, avg. $6.96$154,551Sep 1, 2026
Plus one other filing such as a grant, option exercise or tax withholding. It is not a market purchase or sale.
Sales are often planned (taxes, diversification, 10b5-1 plans). Purchases with their own money are seen as the stronger sign. For information only: not part of the quality score or Fair Value.
Source: SEC Form 4, as of Nov 10, 2026. All filings at the SEC ↗
Revenue & earnings trend
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Compare Exagen Inc with another stock
Price, fair value, quality and upside side by side.
Peer GroupⓘHow this stock ranks against its industry: the green marker is this stock, the band is the typical 25–75% peer range, and the tick is the median.Diagnostics & Research · 149 stocks
Valuation Multiplesvs Diagnostics & Research median · lower = cheaper
Strength profile in five axes (Snowflake)
Context: sector, industry, market
- Is the Health Care sector expensive or cheap?
- P/E, EV/EBITDA and margins by industry (reference tables)
- Dividend yield by industry
- EV/EBITDA by industry
- PEG screener for stocks with fair value
- Undervalued stocks: US Stocks
- Valuation of the USA market
Values & ESG
Does this company touch areas you may want to avoid? The classification is inferred from sector and industry.
Similar stocks
10 more Diagnostics & Research stocks, each showing price versus our Fair Value estimate.
| Stock | Price | Fair Value | vs Fair Value | Compare |
|---|---|---|---|---|
| WuXi AppTec Co 603259 | ¥150.30 | ¥165.32 | +10% | vs XGN |
| Illumina, Inc ILMN | $214.91 | $234.44 | +9% | vs XGN |
| IQVIA Holdings IQV | $275.15 | $299.58 | +9% | vs XGN |
| Thermo Fisher Scientific Inc TMO | $718.20 | $686.04 | −4% | vs XGN |
| Danaher Corporation DHR | $236.11 | $209.18 | −11% | vs XGN |
| IDEXX Laboratories, Inc IDXX | $696.64 | $496.48 | −29% | vs XGN |
| Mettler-Toledo International Inc MTD | $1,751 | $655.06 | −63% | vs XGN |
| Agilent Technologies, Inc A | $177.88 | $64.53 | −64% | vs XGN |
| Lonza Group LONN | CHF 661.00 | CHF 153.50 | −77% | vs XGN |
| Waters Corporation WAT | $475.52 | $91.26 | −81% | vs XGN |
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Key figures of Exagen Inc
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