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Exagen Inc. (XGN)

Healthcare | Diagnostics & Research | Vista, United States | NasdaqGM
3.05 USD +0.06 (2.007%) ⇧ (April 21, 2026, 10:20 a.m. EDT)

Short-term: ★☆☆☆☆ | Long-term: ☆☆☆☆☆ | Dividends: ★★☆☆☆
Hot Take | April 18, 2026, 11:47 p.m. EDT

This is a value trap in deep distress. While the 'strong buy' analyst consensus is statistically noisy and likely based on long-overdue recovery potential rather than current reality, the fundamentals are broken with negative margins, negative EPS, and massive short interest. Recently down 28% and close to its 52-week lows, the price action is bottoming but the technicals are weak, and the options market is selling down aggressively in anticipation of further losses. The only logical play at current levels is a contrarian long-term speculative entry on the absolute lull of earnings miss, but for any timeframe, the risk/reward is heavily weighted to the downside.

Model Selection — Backtest MAE (log-scale, lower is better)
ModelMAE
AutoTheta ✓0.147468
MSTL0.213392
AutoETS0.231595
AutoARIMA0.232244

Forecast horizon: 45 days | Selected: AutoTheta

Forecast Reliability
Score 45%
H-stat 7.86
Ljung-Box p 0.000
Jarque-Bera p 0.463
Excess Kurtosis -0.79
Attribute Value
Sector Healthcare
Debt to Equity Ratio 158.553
Revenue per Share 3.088
Market Cap 73,361,824
Forward P/E -6.78
Beta 1.94
Profit Margins -29.97%
Website https://www.exagen.com

As of April 18, 2026, 11:47 p.m. EDT: Options sentiment is heavily skewed bearish with minimal upside positioning. The ATM call IV for the near-term expiration (April 17) is at 50%, indicating extreme volatility expectations even for modest movements, while off-the-money calls are sparse. In contrast, there is significant out-of-the-money put open interest and volume concentrated at strikes above the current price (7.5, 10.0, 12.5 for April; 7.5, 5.0 for July), suggesting speculators are betting on a significant decline. The adjusted forecast model further predicts a -21% price move over the next 45 days, aligning with the bearish options flow.


Info Dump

Attribute Value
52 Week Change -0.3822314
Address1 1,261 Liberty Way
Address2 Suite C
All Time High 29.858
All Time Low 1.3
Ask 3.81
Ask Size 2
Audit Risk 7
Average Analyst Rating 1.0 - Strong Buy
Average Daily Volume10 Day 209,860
Average Daily Volume3 Month 357,286
Average Volume 357,286
Average Volume10Days 209,860
Beta 1.935
Bid 2.19
Bid Size 1
Board Risk 8
Book Value 0.762
City Vista
Compensation As Of Epoch Date 1,735,603,200
Compensation Risk 8
Country United States
Crypto Tradeable 0
Currency USD
Current Price 3.05
Current Ratio 3.453
Custom Price Alert Confidence HIGH
Date Short Interest 1,774,915,200
Day High 3.069
Day Low 2.95
Debt To Equity 158.553
Display Name Exagen
Earnings Call Timestamp End 1,773,145,800
Earnings Call Timestamp Start 1,773,145,800
Earnings Timestamp 1,773,145,800
Earnings Timestamp End 1,777,897,800
Earnings Timestamp Start 1,777,897,800
Ebitda -11,952,000
Ebitda Margins -0.17953
Enterprise To Ebitda -5.636
Enterprise To Revenue 1.012
Enterprise Value 67,364,640
Eps Current Year -0.76
Eps Forward -0.45
Eps Trailing Twelve Months -0.93
Esg Populated 0
Exchange NGM
Exchange Data Delayed By 0
Exchange Timezone Name America/New_York
Exchange Timezone Short Name EDT
Fifty Day Average 3.1874
Fifty Day Average Change -0.13740015
Fifty Day Average Change Percent -0.04310728
Fifty Two Week Change Percent -38.22314
Fifty Two Week High 12.23
Fifty Two Week High Change -9.179999
Fifty Two Week High Change Percent -0.7506132
Fifty Two Week Low 2.59
Fifty Two Week Low Change 0.46000004
Fifty Two Week Low Change Percent 0.1776062
Fifty Two Week Range 2.59 - 12.23
Financial Currency USD
First Trade Date Milliseconds 1,568,899,800,000
Float Shares 16,167,503
Forward Eps -0.45
Forward P E -6.7777777
Free Cashflow -10,364,500
Full Exchange Name NasdaqGM
Full Time Employees 216
Gmt Off Set Milliseconds -14,400,000
Governance Epoch Date 1,775,001,600
Gross Margins 0.58279
Gross Profits 38,799,000
Has Pre Post Market Data 1
Held Percent Insiders 0.18094
Held Percent Institutions 0.59708
Implied Shares Outstanding 24,053,058
Industry Diagnostics & Research
Industry Disp Diagnostics & Research
Industry Key diagnostics-research
Is Earnings Date Estimate 1
Language en-US
Last Fiscal Year End 1,767,139,200
Long Business Summary Exagen Inc. designs, develops, and commercializes various testing products under the AVISE brand in the United States. 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.
Long Name Exagen Inc.
Market us_market
Market Cap 73,361,824
Market State REGULAR
Max Age 86,400
Message Board Id finmb_8444750
Most Recent Quarter 1,767,139,200
Net Income To Common -19,951,000
Next Fiscal Year End 1,798,675,200
Non Diluted Market Cap 71,918,643
Number Of Analyst Opinions 6
Open 3.0
Operating Cashflow -13,625,000
Operating Margins -0.29914
Overall Risk 8
Payout Ratio 0.0
Phone 760 560 1501
Previous Close 2.99
Price Eps Current Year -4.013158
Price Hint 4
Price To Book 4.0026245
Price To Sales Trailing12 Months 1.1019425
Profit Margins -0.29968
Quick Ratio 3.042
Quote Source Name Nasdaq Real Time Price
Quote Type EQUITY
Recommendation Key strong_buy
Recommendation Mean 1.0
Region US
Regular Market Change 0.059999943
Regular Market Change Percent 2.006687
Regular Market Day High 3.069
Regular Market Day Low 2.95
Regular Market Day Range 2.95 - 3.069
Regular Market Open 3.0
Regular Market Previous Close 2.99
Regular Market Price 3.05
Regular Market Time 1,776,781,222
Regular Market Volume 16,472
Return On Assets -0.17122999
Return On Equity -1.4784501
Revenue Growth 0.218
Revenue Per Share 3.088
Sand P52 Week Change 0.34445214
Sector Healthcare
Sector Disp Healthcare
Sector Key healthcare
Share Holder Rights Risk 8
Shares Outstanding 24,053,058
Shares Percent Shares Out 0.0638
Shares Short 1,534,970
Shares Short Previous Month Date 1,772,150,400
Shares Short Prior Month 1,071,934
Short Name Exagen Inc.
Short Percent Of Float 0.0767
Short Ratio 4.9
Source Interval 15
State CA
Symbol XGN
Target High Price 10.0
Target Low Price 7.0
Target Mean Price 9.0
Target Median Price 9.5
Total Cash 32,220,000
Total Cash Per Share 1.34
Total Debt 27,666,000
Total Revenue 66,575,000
Tradeable 0
Trailing Annual Dividend Rate 0.0
Trailing Annual Dividend Yield 0.0
Trailing Eps -0.93
Trailing Peg Ratio None
Triggerable 1
Two Hundred Day Average 7.053975
Two Hundred Day Average Change -4.003975
Two Hundred Day Average Change Percent -0.5676197
Type Disp Equity
Volume 16,472
Website https://www.exagen.com
Zip 92,081