Compare StocksAXP vs DGX

American Express Company (AXP) vs Quest Diagnostics Incorporated (DGX): Which Is the Better Buy in 2026?

As of 2026-08-03, AXP is undervalued at $336, with a DCF intrinsic value of $477 and a margin of safety of 30%. DGX is overvalued at $233, with an intrinsic value of $149 and a margin of safety of -56%. Of the two, AXP has the wider margin of safety.

AXP
American Express Company
$336.25
VS
DGX
Quest Diagnostics Incorporated
$233.01

Rewards

AXP
  • Gross margin of 62.3% indicates strong pricing power — typical of businesses with significant intellectual property or brand strength.
  • American Express Company scores 100/100 on the Economic Moat Score (Wide Moat), with revenue predictability as the strongest competitive dimension.
  • Return on equity has consistently exceeded 20% over 4 years, indicating efficient use of shareholder capital.
DGX

    Risks

    AXP
    • Altman Z-Score of 0.93 places the company in the distress zone — financial patterns resemble those of companies that experienced bankruptcy.
    • Insiders have sold $2.4M worth of stock in the past 3 months — significant insider liquidation.
    • Free cash flow has declined at a 5.9% CAGR over the past 4 years — a concerning trend.
    DGX
    • Each dollar of retained earnings has produced only $0.36 of earning power — shareholders may have been better served by dividends.
    • FCF yield of 5.3% suggests reasonable valuation assuming continued moderate growth.
    • Trailing P/E of 24.8x is 30% above the historical average of 19.1x — the stock trades at a premium to its own history.

    Key Valuation Metrics

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    AXP
    DGX
    Valuation
    N/A
    Free Cash Flow
    $1.36B
    N/A
    FCF Yield
    5.28%
    20.40
    Trailing P/E
    24.76
    16.72
    Forward P/E
    19.32
    Quality & Moat
    12.19%
    ROIC
    9.74%
    34.38%
    ROE
    14.60%
    62.34%
    Gross Margin
    33.19%
    1.57
    PEG Ratio
    1.94
    Balance Sheet Safety
    0.39
    Net Debt / Equity
    0.73
    N/A
    Interest Coverage
    N/A
    N/A
    Net Debt / EBITDA
    2.55
    1.13%
    Dividend Yield
    1.48%
    AXP: 7Ties: 1DGX: 1
    AXPDGX

    Historical Fundamentals

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    AXP

    Price ÷ Earnings Per Share — how many years of current earnings you're paying for at today's price. Lower P/E may indicate undervaluation. The dashed forward point is the forward P/E — today's price ÷ analyst consensus EPS.

    DGX

    Price ÷ Earnings Per Share — how many years of current earnings you're paying for at today's price. Lower P/E may indicate undervaluation. The dashed forward point is the forward P/E — today's price ÷ analyst consensus EPS.

    Price ÷ Earnings Per Share — how many years of current earnings you're paying for at today's price. Lower P/E may indicate undervaluation. The dashed forward point is the forward P/E — today's price ÷ analyst consensus EPS.

    $1 Retained Earnings Test

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    AXP
    $6.18
    created per $1 retained over 3 years
    Exceptional Value Creator
    Σ Retained
    $23.29B
    Δ Market Cap
    +$144.01B
    Buffett's "$1 Test": For every $1 of earnings retained, has management created at least $1 of market value?
    > $1 created per $1 retained = Value Creator · < $1 created = Value Destroyer
    DGX
    $1.03
    created per $1 retained over 3 years
    Value Creator
    Σ Retained
    $1.72B
    Δ Market Cap
    +$1.77B
    Buffett's "$1 Test": For every $1 of earnings retained, has management created at least $1 of market value?
    > $1 created per $1 retained = Value Creator · < $1 created = Value Destroyer

    Buffett's "$1 Test": For every $1 of earnings retained, has management created at least $1 of market value?
    > $1 created per $1 retained = Value Creator · < $1 created = Value Destroyer

    Discounted Cash Flow (DCF) Analysis

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    AXP
    29.5% Margin of Safety
    Price is 29.5% below estimated fair value
    Current Price: $336.25
    Fair Value: $477.26
    Strongly undervalued
    Undervalued
    Fairly valued
    Overvalued
    Strongly overvalued
    DGX
    56.3% Overvalued
    Price is 56.3% above estimated fair value
    Current Price: $233.01
    Fair Value: $149.06
    Strongly undervalued
    Undervalued
    Fairly valued
    Overvalued
    Strongly overvalued

    Reverse DCF — Market-Implied Growth

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    AXP

    Requires positive FCF to compute implied growth rate.

    DGX

    What growth rate is the market pricing in at $233?

    +13.4%
    Market-Implied Owner Earnings Growth
    Standard FCF implies +9.7%

    The market implies +13.4% Owner Earnings growth, above historical trends.

    Standard FCF implies a demanding +9.7%, reflecting heavy growth investment.

    Economic Moat Score

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    AXP
    100/100
    Wide Moat
    70+ Wide · 40-69 Narrow · <40 None

    Wide moat driven primarily by revenue predictability. Margin Stability is the area most vulnerable to competitive pressure.

    Composite score measuring competitive advantage durability across four dimensions: returns above cost of capital, pricing power stability, revenue predictability, and capital efficiency. Based on 4 years of fundamental data.
    DGX
    56/100
    Narrow Moat
    70+ Wide · 40-69 Narrow · <40 None

    Narrow moat with margin stability as the key competitive advantage. Improving roic consistency would strengthen the moat.

    Composite score measuring competitive advantage durability across four dimensions: returns above cost of capital, pricing power stability, revenue predictability, and capital efficiency. Based on 4 years of fundamental data.

    Forensic Accounting

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    AXP
    -2.51
    Unlikely Manipulator
    Above -1.78 = likely manipulator · -2.22 to -1.78 = grey zone

    M-Score Trend

    Beneish's 8-variable model estimates the probability of earnings manipulation. An M-Score above -1.78 signals elevated risk — companies in this range have historically been 3-5× more likely to be manipulating earnings. Scores between -2.22 and -1.78 fall in a grey zone warranting further investigation.
    DGX
    -2.66
    Unlikely Manipulator
    Above -1.78 = likely manipulator · -2.22 to -1.78 = grey zone

    M-Score Trend

    Beneish's 8-variable model estimates the probability of earnings manipulation. An M-Score above -1.78 signals elevated risk — companies in this range have historically been 3-5× more likely to be manipulating earnings. Scores between -2.22 and -1.78 fall in a grey zone warranting further investigation.

    Beneish's 8-variable model estimates the probability of earnings manipulation. An M-Score above -1.78 signals elevated risk — companies in this range have historically been 3-5× more likely to be manipulating earnings. Scores between -2.22 and -1.78 fall in a grey zone warranting further investigation.

    Ownership Breakdown

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    AXP
    Insiders 22.6%Institutions 65.8%Retail & Other 11.6%
    No. of Institutional Holders3,692
    High insider ownership aligns management incentives with shareholders — a key signal in Buffett-style analysis. Institutional concentration can indicate smart-money conviction but also crowding risk.
    DGX
    Insiders 0.4%Institutions 98.6%Retail & Other 1.0%
    No. of Institutional Holders1,498
    High insider ownership aligns management incentives with shareholders — a key signal in Buffett-style analysis. Institutional concentration can indicate smart-money conviction but also crowding risk.

    High insider ownership aligns management incentives with shareholders. Institutional concentration can indicate smart-money conviction but also crowding risk.

    Insider Buying Activity

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    AXP
    0
    Buys (3M)
    0
    Buys (12M)
    JOABAR RAYMOND D
    Officer
    $4,054
    @ $176.26 · 2025-04-09
    ANGELAKIS MICHAEL J
    Director
    $998,593
    @ $269.89 · 2025-03-07
    Open market purchases · includes direct & indirect ownership · excludes option exercises
    DGX
    6
    Buys (3M)
    15
    Buys (12M)
    Total value (12M): $77,930
    MAIN TIMOTHY L
    Director
    $4,343
    @ $206.81 · 2026-07-22
    CARTER ROBERT B
    Director
    $2,275
    @ $206.82 · 2026-07-22
    PLEWMAN PATRICK
    Officer
    $9,513
    @ $206.80 · 2026-07-22
    LASSITER WRIGHT III
    Director
    $1,241
    @ $206.83 · 2026-07-22
    KUPPUSAMY KARTHIK
    Officer
    $7,652
    @ $206.81 · 2026-07-22
    DELANEY MARK E
    Officer
    $7,031
    @ $206.79 · 2026-07-22
    PLEWMAN PATRICK
    Officer
    $9,540
    @ $194.69 · 2026-04-20
    LASSITER WRIGHT III
    Director
    $1,168
    @ $194.67 · 2026-04-20
    KUPPUSAMY KARTHIK
    Officer
    $7,593
    @ $194.69 · 2026-04-20
    DELANEY MARK E
    Officer
    $7,204
    @ $194.70 · 2026-04-20
    CARTER ROBERT B
    Director
    $1,101
    @ $183.50 · 2026-01-28
    GREGG VICKY B
    Director
    $12,295
    @ $183.51 · 2026-01-28
    LASSITER WRIGHT III
    Director
    $1,285
    @ $183.57 · 2026-01-28
    KUPPUSAMY KARTHIK
    Officer
    $2,936
    @ $183.50 · 2026-01-28
    DELANEY MARK E
    Officer
    $2,753
    @ $183.53 · 2026-01-28
    GREGG VICKY B
    Director
    $13,232
    @ $167.49 · 2025-07-21
    SAMAD SAMER ABDUL
    Chief Financial Officer
    $12,060
    @ $167.50 · 2025-07-21
    LASSITER WRIGHT III
    Director
    $1,173
    @ $167.57 · 2025-07-21
    KUPPUSAMY KARTHIK
    Officer
    $4,522
    @ $167.48 · 2025-07-21
    DELANEY MARK E
    Officer
    $2,847
    @ $167.47 · 2025-07-21
    PLEWMAN PATRICK
    Officer
    $13,318
    @ $164.42 · 2025-04-21
    SAMAD SAMER ABDUL
    Chief Financial Officer
    $12,167
    @ $164.42 · 2025-04-21
    KUPPUSAMY KARTHIK
    Officer
    $4,439
    @ $164.41 · 2025-04-21
    DELANEY MARK E
    Officer
    $4,111
    @ $164.44 · 2025-04-21
    PLEWMAN PATRICK
    Officer
    $9,008
    @ $158.04 · 2025-01-29
    GREGG VICKY B
    Director
    $11,379
    @ $158.04 · 2025-01-29
    SAMAD SAMER ABDUL
    Chief Financial Officer
    $5,531
    @ $158.03 · 2025-01-29
    KUPPUSAMY KARTHIK
    Officer
    $1,896
    @ $158.00 · 2025-01-29
    DELANEY MARK E
    Officer
    $632.00
    @ $158.00 · 2025-01-29
    Open market purchases · includes direct & indirect ownership · excludes option exercises

    Open market purchases · includes direct & indirect ownership · excludes option exercises.

    Insider Selling Activity

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    AXP
    1
    Sells (3M)
    16
    Sells (12M)
    Total value (12M): $130.89M
    MCNEAL GLENDA G
    Officer
    $2.39M
    @ $339.36 · 2026-06-15
    LIEBERMAN QUINN JESSICA
    Officer
    $909,661
    @ $300.02 · 2026-03-06
    JOABAR RAYMOND D
    Officer
    $4.77M
    @ $340.67 · 2026-02-19
    GROSFIELD HOWARD M
    Officer
    $2.82M
    @ $346.73 · 2026-02-12
    RADHAKRISHNAN RAVIKUMAR S
    Chief Technology Officer
    $5.35M
    @ $356.58 · 2026-02-09
    SEEGER LAUREEN E
    Officer
    $4.60M
    @ $360.99 · 2026-02-09
    PICKETT DENISE
    Officer
    $8.35M
    @ $356.91 · 2026-02-05
    MARRS ANNA
    Officer
    $9.60M
    @ $350.01 · 2026-02-05
    JOABAR RAYMOND D
    Officer
    $538,902
    @ $384.93 · 2025-12-12
    RUTLEDGE ELIZABETH
    Officer
    $18.01M
    @ $360.21 · 2025-10-31
    TABISH DOUGLAS J
    Officer
    $894,359
    @ $355.61 · 2025-10-23
    PICKETT DENISE
    Officer
    $1.75M
    @ $350.73 · 2025-10-22
    SQUERI STEPHEN J
    Chief Executive Officer
    $37.03M
    @ $329.86 · 2025-09-04
    HERENA MONIQUE
    Officer
    $2.83M
    @ $325.88 · 2025-09-03
    BUCKMINSTER DOUGLAS E
    Officer
    $7.67M
    @ $326.37 · 2025-09-02
    SEEGER LAUREEN E
    Officer
    $23.37M
    @ $296.90 · 2025-08-06
    MARRS ANNA
    Officer
    $1.71M
    @ $310.77 · 2025-07-29
    MCNEAL GLENDA G
    Officer
    $15.47M
    @ $309.50 · 2025-07-29
    MARQUEZ RAFAEL
    Officer
    $3.56M
    @ $296.93 · 2025-05-20
    GROSFIELD HOWARD M
    Officer
    $2.60M
    @ $275.50 · 2025-05-06
    MCNEAL GLENDA G
    Officer
    $799,009
    @ $264.66 · 2025-04-29
    MARRS ANNA
    President
    $6.32M
    @ $287.88 · 2025-03-04
    LIEBERMAN QUINN JESSICA
    Officer
    $897,590
    @ $296.43 · 2025-02-26
    MCNEAL GLENDA G
    Officer
    $2.29M
    @ $309.96 · 2025-02-11
    SQUERI STEPHEN J
    Chief Executive Officer
    $16.24M
    @ $319.45 · 2025-02-06
    PICKETT DENISE
    Officer
    $7.25M
    @ $318.69 · 2025-02-05
    JOABAR RAYMOND D
    Officer
    $3.53M
    @ $317.01 · 2025-02-05
    RADHAKRISHNAN RAVIKUMAR S
    Chief Technology Officer
    $3.03M
    @ $319.17 · 2025-02-05
    JOABAR RAYMOND D
    Officer
    $4.77M
    @ $313.94 · 2025-01-28
    LE CAILLEC CHRISTOPHE
    Chief Financial Officer
    $1.82M
    @ $303.48 · 2024-11-27
    HERENA MONIQUE
    Officer
    $374,010
    @ $287.70 · 2024-11-07
    SQUERI STEPHEN J
    Chief Executive Officer
    $48.90M
    @ $286.57 · 2024-11-07
    BUCKMINSTER DOUGLAS E
    Officer
    $3.55M
    @ $270.98 · 2024-10-29
    WILLIAMS ANRE D.
    Officer
    $21.05M
    @ $270.26 · 2024-10-22
    Direct ownership only · excludes indirect, option exercises, planned (10b5-1) sales & derivatives
    DGX
    2
    Sells (3M)
    24
    Sells (12M)
    Total value (12M): $33.15M
    DELANEY MARK E
    Officer
    $376,288
    @ $235.18 · 2026-07-28
    KUPPUSAMY KARTHIK
    Officer
    $1.63M
    @ $200.00 · 2026-06-04
    DOHERTY CATHERINE T
    Officer
    $1.15M
    @ $206.21 · 2026-03-05
    PREVOZNIK MICHAEL E
    General Counsel
    $799,682
    @ $206.21 · 2026-03-05
    PLEWMAN PATRICK
    Officer
    $588,730
    @ $206.21 · 2026-03-05
    KUPPUSAMY KARTHIK
    Officer
    $538,372
    @ $204.86 · 2026-03-04
    DOHERTY CATHERINE T
    Officer
    $131,285
    @ $207.73 · 2026-03-03
    PREVOZNIK MICHAEL E
    General Counsel
    $109,266
    @ $207.73 · 2026-03-03
    PLEWMAN PATRICK
    Officer
    $85,169
    @ $207.73 · 2026-03-03
    DOHERTY CATHERINE T
    Officer
    $293,521
    @ $204.83 · 2026-02-19
    PREVOZNIK MICHAEL E
    General Counsel
    $227,566
    @ $204.83 · 2026-02-19
    PLEWMAN PATRICK
    Officer
    $196,227
    @ $204.83 · 2026-02-19
    DOHERTY CATHERINE T
    Officer
    $5.39M
    @ $206.15 · 2026-02-13
    PLEWMAN PATRICK
    Officer
    $1.16M
    @ $204.00 · 2026-02-10
    DAVIS J E CAUSEY
    Chief Executive Officer
    $10.59M
    @ $192.22 · 2025-11-25
    GREGG VICKY B
    Director
    $239,700
    @ $191.76 · 2025-11-25
    DELANEY MARK E
    Officer
    $1.49M
    @ $187.35 · 2025-11-18
    PFEIFFER GARY M
    Director
    $270,317
    @ $182.40 · 2025-10-22
    PREVOZNIK MICHAEL E
    General Counsel
    $42,706
    @ $188.13 · 2025-09-26
    PREVOZNIK MICHAEL E
    General Counsel
    $5.33M
    @ $187.12 · 2025-09-24
    PLEWMAN PATRICK
    Officer
    $365,375
    @ $185.00 · 2025-08-21
    PLEWMAN PATRICK
    Officer
    $829,356
    @ $183.00 · 2025-08-19
    PLEWMAN PATRICK
    Officer
    $355,500
    @ $180.00 · 2025-08-15
    PLEWMAN PATRICK
    Officer
    $968,625
    @ $175.00 · 2025-08-06
    KUPPUSAMY KARTHIK
    Officer
    $1.76M
    @ $167.95 · 2025-07-31
    DELANEY MARK E
    Officer
    $306,800
    @ $175.51 · 2025-05-13
    DAVIS JAMES E
    Chief Executive Officer
    $6.60M
    @ $168.46 · 2025-04-02
    KUPPUSAMY KARTHIK
    Officer
    $434,350
    @ $170.00 · 2025-04-02
    PREVOZNIK MICHAEL E
    General Counsel
    $789,310
    @ $170.00 · 2025-03-17
    DOHERTY CATHERINE T
    Officer
    $935,078
    @ $174.13 · 2025-03-05
    DOHERTY CATHERINE T
    Officer
    $125,866
    @ $175.79 · 2025-03-04
    PREVOZNIK MICHAEL E
    General Counsel
    $104,068
    @ $175.79 · 2025-03-04
    DOHERTY CATHERINE T
    Officer
    $142,231
    @ $172.61 · 2025-02-27
    PREVOZNIK MICHAEL E
    General Counsel
    $91,138
    @ $172.61 · 2025-02-27
    DOHERTY CATHERINE T
    Officer
    $244,515
    @ $170.51 · 2025-02-20
    PREVOZNIK MICHAEL E
    General Counsel
    $103,278
    @ $170.99 · 2025-02-20
    PLEWMAN PATRICK
    Officer
    $54,307
    @ $169.71 · 2025-02-19
    GREGG VICKY B
    Director
    $205,710
    @ $164.57 · 2025-02-05
    DELANEY MARK E
    Officer
    $66,214
    @ $164.30 · 2025-02-05
    PREVOZNIK MICHAEL E
    General Counsel
    $5.73M
    @ $163.07 · 2024-11-29
    DOHERTY CATHERINE T
    Officer
    $5.40M
    @ $162.99 · 2024-11-27
    DEPPE MICHAEL J
    Officer
    $2.89M
    @ $154.05 · 2024-11-06
    Direct ownership only · excludes indirect, option exercises, planned (10b5-1) sales & derivatives

    Direct ownership only · excludes indirect, option exercises, planned (10b5-1) sales & derivatives.

    🎭 Mr. Market's Mood

    Learn more →
    AXP
    FearGreed
    😐Neutral(49/100)

    "Market is pricing this stock without strong emotion in either direction"

    Composite sentiment score based on 6 market signals. Inspired by Buffett's "Mr. Market" allegory — fear = potential opportunity, greed = potential risk. Must be used alongside fundamental analysis, not in isolation.
    DGX
    FearGreed
    😏Greed(69/100)

    "Market is optimistic — be cautious and ensure you have a margin of safety"

    Composite sentiment score based on 6 market signals. Inspired by Buffett's "Mr. Market" allegory — fear = potential opportunity, greed = potential risk. Must be used alongside fundamental analysis, not in isolation.

    Composite sentiment score based on market signals. Inspired by Buffett’s "Mr. Market" allegory — fear = potential opportunity, greed = potential risk. Must be used alongside fundamental analysis, not in isolation.

    ⚖️ Buffett Signal

    Learn more →
    AXP
    Awaiting DCF Data

    The Buffett Signal cross-references market sentiment with DCF valuation. Configure the DCF Analysis above to generate a signal.

    DCF Margin of Safety: N/AMr. Market's Mood: Neutral (49)
    DGX
    Awaiting DCF Data

    The Buffett Signal cross-references market sentiment with DCF valuation. Configure the DCF Analysis above to generate a signal.

    DCF Margin of Safety: N/AMr. Market's Mood: Greed (69)
    View AXP Full AnalysisView DGX Full Analysis

    Frequently Asked Questions: AXP vs DGX

    Is American Express Company or Quest Diagnostics Incorporated more undervalued in 2026?

    Based on our discounted cash flow model, AXP trades at a 29.5% margin of safety (intrinsic value $477 vs. price $336), compared to DGX's -56.3% margin of safety (intrinsic $149 vs. $233).

    Which stock has a wider economic moat, American Express Company or Quest Diagnostics Incorporated?

    AXP scores 100/100 (Wide moat), while DGX scores 56/100 (Narrow moat). The moat score measures competitive advantage durability across ROIC consistency, margin stability, revenue predictability, and reinvestment efficiency.

    Is American Express Company in financial distress?

    AXP's Altman Z-Score of 0.9 places it in the Distress zone, signaling elevated bankruptcy risk. DGX scores 3.1 (Safe zone). The Altman Z-Score is a five-factor model that predicts insolvency within two years; scores below 1.81 indicate significant distress.

    Which stock has higher return on invested capital, American Express Company or Quest Diagnostics Incorporated?

    AXP earns 12.2% ROIC versus DGX's 9.7%. A higher ROIC means the company generates more profit per dollar of capital employed, a hallmark of durable competitive advantage in Buffett-style analysis.

    Which dividend is safer, American Express Company's or Quest Diagnostics Incorporated's?

    DGX's dividend earns a safety score of 94/100 (Very Safe), compared to AXP's 94/100 (Very Safe). DGX has raised its dividend for 3 consecutive years.