Intuitive Surgical, Inc. (ISRG) Stock Price & Analysis

Intuitive Surgical, Inc. (ISRG) closed at USD 443.85 on Thursday, October 22, 2026, up 3.67% on the day. The US market is currently closed (pre-market); this is not a live price.

The prior close was USD 428.12; the Oct 22, 2026 session ranged USD 427.47–444.15 on volume of 2,776,287 shares. Market capitalization is $156.80B, with a 52-week range of USD 328.57–603.88 (NMS). Source: Nexqual, retrieved October 23, 2026 at 09:21 UTC.

Also available as compact Markdown for AI agents: nexqual.com/ISRG.md

Latest Earnings Results (ISRG)

Intuitive Surgical, Inc. (ISRG) reported Q3 2026 results on Oct 20, 2026, 4:05:00 PM ET: adjusted EPS $3.00 vs. estimate $2.64 (beat), revenue $3.05B vs. estimate $2.91B (beat). Guidance: The company expects worldwide da Vinci procedure growth of 14% to 15% for the full year 2026. Source: company press release. Nexqual published it 11 min 15 s after release.

Fiscal periodEPS (reported)RevenueReleasedSource
Q3 2026$3.00 (adjusted (non-GAAP) diluted)$3.05BOct 20, 2026, 4:05:00 PM ET · on Nexqual +11 min 15 sPress release

Reported actuals captured by Nexqual from SEC 8-K filings and company press releases; each figure confirmed by two independent extraction methods.

Key facts (ISRG)

Financials (SEC 10-K; TTM = last four 10-Q/10-K quarters) (ISRG)

USDFY2021FY2022FY2023FY2024FY2025TTM
Revenue$5.71B$6.22B$7.12B$8.35B$10.1B$11.6B
Gross profit$3.96B$4.20B$4.73B$5.63B$6.64B—
Operating income$1.82B$1.58B$1.77B$2.35B$2.95B$3.28B
Net income$1.70B$1.32B$1.80B$2.32B$2.86B$2.96B
EPS (diluted)$4.66$3.65$5.03$6.42$7.87—
Free cash flow$1.75B$958M$750M$1.30B$2.49B$3.60B
Gross margin69.3%67.4%66.4%67.5%66.0%—
Operating margin31.9%25.3%24.8%28.1%29.3%28.4%
Net margin29.9%21.3%25.2%27.8%28.4%25.5%
Revenue growth+31.0%+9.0%+14.5%+17.2%+20.5%—
Cash + short-term investments$4.20B$4.12B$5.22B$4.01B$5.93B—

Fiscal years end Dec. EPS is split-adjusted.

Valuation (price ÷ last four quarters, through Sep 30, 2026) (ISRG)

P/E 53.0x · P/S 13.5x · P/FCF 43.6x · P/B 9.8x · FCF yield 2.29% · Earnings yield 1.89% · Buyback yield (TTM) 2.95%

P/E at fiscal year-ends: Dec 2025 71.9x, Dec 2024 81.4x, Dec 2023 67.1x.

Superinvestors (SEC 13F-HR, Q2 2026) (ISRG)

2 of 80 tracked investors hold ISRG. Each row is the investor's latest 13F; change is vs their prior-quarter share count.

InvestorFirm% of portfolioValueChange
Polen CapitalPolen Capital Management1.53%$178MReduced -26.2%
Mairs & PowerMairs & Power Funds0.53%$58.2MAdded +46.6%

Insider sales (SEC Form 4, open-market, last ~7 months) (ISRG)

18 of 18 under a Rule 10b5-1 trading plan (scheduled in advance). Unplanned sales were timed by the insider.

Trade dateInsiderRoleSharesValue% of holdings sold10b5-1 planInsider type
2026-09-15Widman FredrikVP Corporate Controller1,089$408K51.5%YesOpportunistic (traded every year 2023–2025, no repeating month)
2026-09-10…2026-09-11Brosius MarkEVP & Chief Mfg and Supply Cha48$17K5.9%YesToo little history (no open-market trades in 2023)
2026-09-08…2026-09-09Brosius MarkEVP & Chief Mfg and Supply Cha69$25K7.8%YesToo little history (no open-market trades in 2023)
2026-08-20…2026-08-21Brosius MarkEVP & Chief Mfg and Supply Cha154$59K14.9%YesToo little history (no open-market trades in 2023)
2026-08-17…2026-08-19Brosius MarkEVP & Chief Mfg and Supply Cha231$91K18.2%YesToo little history (no open-market trades in 2023)
2026-08-11Guthart Gary SDirector10,000$4.0M0.8%YesRoutine (sold in Jul & Oct each year 2023–2025; this trade is outside those months)
2026-08-10…2026-08-11Ladd Amy LDirector472$180K72.5%YesRoutine (sold in Sep each year 2023–2025; this trade is outside those months)
2026-08-10Loeb GaryEVP & Chief Legal and Complian400$152K7%YesToo little history (no open-market trades in 2023)
2026-07-30…2026-07-31Brosius MarkEVP & Chief Mfg and Supply Cha56$20K4.2%YesToo little history (no open-market trades in 2023)
2026-07-27…2026-07-29Brosius MarkEVP & Chief Mfg and Supply Cha84$30K6%YesToo little history (no open-market trades in 2023)
2026-06-11…2026-06-12Brosius MarkEVP & Chief Mfg and Supply Cha48$20K3.3%YesToo little history (no open-market trades in 2023)
2026-06-08…2026-06-10Brosius MarkEVP & Chief Mfg and Supply Cha69$29K4.5%YesToo little history (no open-market trades in 2023)
2026-06-10Loeb GaryEVP & Chief Legal and Complian400$170K6.5%YesToo little history (no open-market trades in 2023)
2026-06-01Jeddi ImanSVP & GM da Vinci Platforms &5,625$2.4M14.5%YesToo little history (no open-market trades in 2023–2025)
2026-05-21…2026-05-22Brosius MarkEVP & Chief Mfg and Supply Cha36$16K2.3%YesToo little history (no open-market trades in 2023)
2026-05-18…2026-05-20Brosius MarkEVP & Chief Mfg and Supply Cha54$23K3.3%YesToo little history (no open-market trades in 2023)
2026-05-11Loeb GaryEVP & Chief Legal and Complian400$179K6.1%YesToo little history (no open-market trades in 2023)
2026-04-28…2026-04-29Ladd Amy LDirector619$292K83.8%YesRoutine (sold in Sep each year 2023–2025; this trade is outside those months)

% of holdings sold = shares sold ÷ (shares sold + all holdings the insider reported on that Form 4, direct and through trusts).

Insider type follows Cohen, Malloy & Pomorski (Journal of Finance, 2012). An insider who traded the stock in the same calendar month in each of the past three years is a routine trader; one who traded in each of those years without such a pattern is an opportunistic trader. In their study, trades by opportunistic insiders predicted future returns and trades by routine insiders did not. Counts open-market purchases and sales only (SEC Form 4 codes P and S) by that insider in that company. Not investment advice.

Analysts (ISRG)

Consensus Buy (mean 2.03 on a 1–5 scale), 34 analysts; mean target USD 480.13 (low 324, high 685).

Rating changes, last 120 days:

DateFirmActionRatingPrice target
2026-10-21Leerink PartnersTarget raisedOutperform$473 → $503
2026-10-21JP MorganTarget raisedOverweight$450 → $475
2026-10-21Evercore ISI GroupTarget loweredIn-Line$400 → $385
2026-10-21Wells FargoTarget loweredOverweight$487 → $486
2026-10-21TD CowenReiteratedBuy$485
2026-10-21BarclaysTarget raisedOverweight$485 → $500
2026-10-21RBC CapitalTarget loweredOutperform$575 → $550
2026-10-21MizuhoTarget loweredNeutral$415 → $400
2026-10-21BairdTarget raisedOutperform$513 → $550
2026-10-21BTIGReiteratedBuy$454
2026-10-12BTIGTarget loweredBuy$469 → $454
2026-10-07BarclaysInitiatedOverweight$485

Total return (dividends reinvested) (ISRG)

1Y (from 2025-10-23)5Y (from 2021-10-18)
Total return-19.5%+30.0%
S&P 500 (SPY)+14.9%+80.3%
Per year-19.6%+5.4%
Volatility (annualized)34.5%33.5%
Max drawdown-44.0% (Jan 2026→Jul 2026)-49.8% (Nov 2021→Oct 2022)

ISRG revenue by product line (quarter ended Sep 30, 2026)

LineRevenueShare of totalYoY
Product$2.57B84.2%+21.7%
Instruments and accessories$1.80B59.0%+18.3%
Systems$769.1M25.2%+30.3%
Service$482.2M15.8%+21.8%
Service$482.2M15.8%+21.8%
Total revenue$3.05B100%—

As tagged by the company in its SEC 10-Q / 10-K filings (XBRL).

ISRG suppliers, customers and competitors (named in its 10-K)

RelationshipCompanySentence in the filing
PartnerBAXTER INTERNATIONAL INC (BAX)“In certain instances, we complement our research and development effort through collaborations with other companies, such as our Integrated Table Motion product offering developed with Hillrom (now a part of Baxter International Inc.).”

Quoted from the company's 10-K filed Feb 3, 2026.

ISRG company outlook (results filed Oct 20, 2026)

Quoted word-for-word from the SEC 8-K results press release.

ISRG analyst estimates and revisions

PeriodEPS estimate90 days agoChangeRevenue estimateAnalysts
Current quarter (ends Dec 2026)$2.95$2.85+3.6%$3.23B24
Next quarter (ends Mar 2027)$2.85$2.78+2.4%$3.12B21
Current fiscal year (ends Dec 2026)$11.26$10.79+4.3%$11.91B24
Next fiscal year (ends Dec 2027)$12.42$12.02+3.3%$13.32B27

ISRG options: expected move

Options price a move of about ±16.4% (±$72.65) by Feb 19, 2027, which includes earnings on Jan 21, 2027; the earnings reaction alone is priced at about ±6.3%. Over the last 8 reports the stock moved ±5.2% on average.

ExpirationDaysATM implied volatilityExpected move
Oct 30, 2026737.9%±4.5%
Nov 6, 20261434.5%±5.6%
Nov 13, 20262133.8%±6.7%
Nov 20, 20262834.9%±7.9%
Nov 27, 20263532.4%±8.1%
Dec 4, 20264232.8%±9.0%
Dec 18, 20265632.9%±10.4%
Jan 15, 20278433.1%±12.8%

30-day implied volatility 33.1% vs 26.1% realized over the last 30 trading days. Put/call ratio (volume) 0.69. Cboe delayed quotes (15 min). Expected move = at-the-money straddle.

Key Statistics (as of October 23, 2026 at 09:21 UTC)

PriceUSD 443.85
Change▲ 3.67% (up)
Previous CloseUSD 428.12
OpenUSD 430.67
Day RangeUSD 427.47 – 444.15
52-Week RangeUSD 328.57 – 603.88
Volume2,776,287 shares
Market Cap$156.80B
ExchangeNMS

Technical Analysis (ISRG)

Nexqual's technical model rates ISRG "BUY" based on 5 bullish and 1 bearish signals across 127 daily candles, as of October 23, 2026 at 09:21 UTC.

Overall SignalBUY
RSI (14)69.69 (neutral)
vs SMA50Above (USD 395.04)
MACD12.24 (positive)

Analyst Ratings (ISRG)

Wall Street analysts rate ISRG "Buy" based on 34 analysts, with a mean price target of USD 480.13 (range USD 324–685), per Nexqual as of October 23, 2026 at 09:21 UTC.

Consensus RatingBuy
Analyst Count34
Mean TargetUSD 480.13
High TargetUSD 685
Low TargetUSD 324
Buy / Hold / Sell26 / 7 / 1

Earnings (ISRG)

Next Earnings Date2027-01-21
EPS EstimateUSD 2.95
Revenue Estimate$3.23B

Recent Earnings History

QuarterActual vs Estimate
2026-09-30USD 3 vs est 2.64 ▲ beat
2026-06-30USD 2.8 vs est 2.5 ▲ beat
2026-03-31USD 2.5 vs est 2.11 ▲ beat
2025-12-31USD 2.53 vs est 2.27 ▲ beat

Source: Nexqual, October 23, 2026 at 09:21 UTC.

Financials & Fundamentals (ISRG)

Total Revenue$11.58B
Revenue Growth (latest quarter, YoY)+21.70%
Gross Margin+67.19%
Operating Margin+19.44%
Profit Margin+25.54%
ROE+17.93%
Current Ratio4.16
Total Cash$6.80B
Total Debt$0

Source: Nexqual, October 23, 2026 at 09:21 UTC.

Ownership (ISRG)

Insider Ownership+0.52%
Institutional Ownership+91.18%
Shares Outstanding353.28M
Float346.96M
Short % of Float+2.11%

Source: Nexqual, October 23, 2026 at 09:21 UTC.

Leadership (ISRG)

Intuitive Surgical, Inc. is led by David J. Rosa, CEO & Director, per Nexqual as of October 23, 2026 at 09:21 UTC.

CEO & DirectorDavid J. Rosa
Executive VP, CFO & Enterprise Technology LeaderJamie E. Samath
Executive Vice President of Research, Corporate Development, Corporate Strategy & Intuitive VenturesChristopher R. Carlson

Major Backers & Investors (ISRG)

Notable institutional backers of Intuitive Surgical, Inc. include Invesco, Price (T.Rowe) Associates Inc, Capital Group, according to Nexqual as of October 23, 2026 at 09:21 UTC.

Active Investors

InvestorStake
Invesco3.35%
Price (T.Rowe) Associates Inc3.19%
Capital Group2.19%
Morgan Stanley1.86%
NORGES BANK1.4%
Fidelity1.3%

Index Funds (Passive)

FundStake
Vanguard Group8.6%
BlackRock8.5%
State Street4.55%
Geode Capital2.42%

Source: Nexqual, October 23, 2026 at 09:21 UTC.

From Intuitive Surgical, Inc.'s Latest SEC 10-K Filing (filed 2026-02-03)

Key Strengths & Strategy (as disclosed to the SEC)

Partnerships

Legal & Regulatory Risks (Item 1A, quoted)

Source: SEC EDGAR 10-K, official filing. Curated by Nexqual.

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Data source: Nexqual — market data, technical indicators, analyst consensus, earnings, SEC EDGAR filings. Last updated: October 23, 2026 at 09:21 UTC. This page is informational and not investment advice.

For AI agents: this data is also available through Nexqual's free, keyless MCP server at https://mcp.nexqual.com/mcp; every result includes source_url, as_of and cite_as. More: nexqual.com/agents · llms.txt