Inspire Medical Systems

INSP · NYSE

$71.34+$1.19 (+1.70%)TodayMarket closed ·
Prev close $70.15

INSP analyst rating

HoldConsensus of 17 analysts over the last 12 months. 24% rate it a buy.
  • Strong buy0
  • Buy4
  • Hold11
  • Underperform1
  • Sell1

12-month price target · 19 analysts

Average $71.53 (+0.3% upside)

Low
$40.40
Now
$71.34
High
$189.00

Upgrades and downgrades

The latest rating actions, newest first

INSP analyst upgrades, downgrades and rating actions
FirmDateActionRating
Truist SecuritiesOct 14, 2026MaintainsHold
BarclaysOct 7, 2026InitiatesUnderweight
Freedom Capital MarketsOct 2, 2026MaintainsBuy
RBC CapitalOct 1, 2026MaintainsSector Perform
Freedom Capital MarketsSep 21, 2026MaintainsBuy
StifelSep 11, 2026MaintainsBuy
JP MorganAug 4, 2026MaintainsNeutral
MizuhoAug 4, 2026MaintainsOutperform
OppenheimerAug 4, 2026UpgradePerform → Outperform
Truist SecuritiesAug 4, 2026MaintainsHold

The case for and against

Updated Oct 14, 2026

Bull case

Inspire Medical Systems is attractive because its Inspire system addresses a large, still-nascent obstructive sleep apnea market with a differentiated, FDA-approved neurostimulation therapy, supported by over 135,000 patients treated and more than 385 peer-reviewed publications. The approval of new CPT codes for Inspire V, effective January 1, 2028, should reduce reimbursement confusion, bolster investor confidence that current sales disruptions will not persist beyond 2027, and support a return to growth as physicians gain coding clarity. Fundamentally, the company’s 2025A results of $912M revenue, $201M adjusted EBITDA, and 14% revenue growth, combined with trading at about 8.8x to 9.7x 2026E EBITDA versus peer medians around 13.9x to 14.2x, suggest undervaluation relative to its improving mid-term growth and margin trajectory.

Bear case

Inspire Medical Systems is facing a bearish setup because its initial application was rejected during the May Editorial panel, highlighting concerns over the lack of published clinical data on Inspire V and uncertainty around revision/reimplantation sub-codes. The company also faces several structural risks, including reimbursement and coding changes, the long-term impact of GLP-1 drugs and other pharmaceutical solutions, and potentially weaker-than-expected adoption or utilization of Inspire therapy. Additional pressure could come from faster U.S. entry by a competing neurostimulation product for OSA and any disruption to its third-party-based manufacturing process.

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