INSP Stock Analysis: Buy, Sell, or Hold?

INSP - Inspire Medical Systems, Inc.

SURGICAL & MEDICAL INSTRUMENTS & APPARATUS
$42.66
0.74 (1.77%) ▲
5d: -6.39%
30d: -24.68%
90d: -28.48%
HOLD
LOW Confidence
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Analysis Updated: May 14, 2026 12:00 AM ET
Earnings: May 04, 2026 0d
Smart Money Accumulation

INSP is down 8.3% this week, but smart money is accumulating calls. Top strike: $45 2026-06-18 with 59 OI. Call ratio: 64% View Scanner →

Strength: 5.6/10

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Interactive Price Chart (1 Month)

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💡
Bottom Line:
📊 HOLD: INSP shows mixed signals. Fine to hold existing positions. Not urgent to buy or sell.
See Forward Earnings Fair Value & Price Prediction →

Long-Term Wealth Forecast (2031)

Based on Analyst Consensus Growth & Historical Valuation

0% (Stagnation) 50% (Hyper Growth)
EST. PRICE IN 2031
$64.11
Based on 14.5% avg growth
INTRINSIC VALUE TODAY
$39.81
Trading above historical range

How this is calculated: We use a Growth Decay Model: starting with analyst consensus growth (adjusted above) and gradually slowing it down to a long-term terminal rate (4%) by Year 5. This provides a more realistic valuation than assuming constant hyper-growth. We then apply a 25.0x Exit PE.

In-depth Analysis How we analyze

Valuation Analysis: INSP is currently trading at $42.66, which is considered oversold relative to its 30-day fair value range of $47.24 to $57.45. From a valuation perspective, the stock is trading at a discount (Forward PE: 31.8) compared to its historical average (37.4). Remarkably, the market is currently pricing in an annual earnings decline of 5.2% over the next few years. This pessimistic expectation contrasts with the company's recent 308.4% earnings growth, suggesting potential undervaluation if the company simply maintains stability.

Technical Outlook: Technically, INSP is in a strong downtrend. The price is currently testing key support at $41.52. A bounce from this level would confirm strength, while a break below could signal further downside.

Market Sentiment: The stock shows a mixed technical setup (40/100), with neutral trendline and momentum signals. In the options market, Implied Volatility is low (18th percentile), suggesting options premiums are relatively cheap. This makes it an attractive time for long options strategies if you have a directional bias. Wall Street analysts see significant upside, with an average price target of $53.33 (+27.2%). The stock is fairly positioned - fine to hold existing positions or accumulate slowly on dips, but not an urgent buy.

Quick Decision Summary

Current Position OVERSOLD
Historical Trading Range $47.24 - $57.45
Company Quality Score 48/100 (HOLD)
Options IV Signal 18th percentile (COMPLACENCY WARNING)
Volume Confirmation HIGH
Confidence Score 83.5%

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All Signals

  • BULLISH: Price oversold vs 30-day range
  • BULLISH: Options cheap (IV 18th percentile)
  • NEUTRAL: Mixed technical signals (40/100)
  • BULLISH: High volume confirmation
  • BULLISH: Trading 27.2% below Wall St target ($53.33)
  • CAUTION: Recommendation downgraded due to -6.4% 5-day decline

Trading Range Analysis

30-Day Trading Range $47.24 - $57.45
Current vs Trading Range OVERSOLD
Expected Move (7 Days) ±$3.73 (8.7%)

Support & Resistance Levels

Support Level $41.52
Resistance Level $57.91
Current Trend Strong Downtrend
Technical data as of May 14, 2026

Fundamental Context

Forward P/E (Next Year Est.) 31.83
Wall Street Target $53.33 (+27.2%)
Revenue Growth (YoY) 1.6%
Earnings Growth (YoY) 308.4%
Profit Margin 14.3%
Valuation Discount vs History -5.2% cheaper
PE vs Historical 31.8 vs 37.4 CHEAP
Market-Implied Price Targets If current PE multiple persists
Implied Growth (YoY): -5.2% (market-implied from PE analysis)
1-Year Target $39.74 (-5%)
2-Year Target $37.67 (-10%)
3-Year Target $35.71 (-15%)
3-Yr Target (if PE normalizes) (PE: 32→37) $41.96 (+0%)
3-Year Scenarios Using analyst projected EPS growth
Bull: (PE: 31.8, Growth: 46.3%) $131.15 (+213%)
Base: (SPY PE: 22.0, Growth: 46.3%) $90.81 (+117%)
Bear: (PE: 18.7, Growth: 46.3%) $77.19 (+84%)
📈 Valuation based on Current Earnings
Trailing PE: 10.01 | Current EPS (TTM): $4.40
Bull Case $24.23 (-42%)
Analyst growth -50.0%, PE expands to 11.0
Base Case $22.03 (-47%)
Market implied -50.0%, PE stable at 10.0
Bear Case $29.96 (-29%)
Severe decline -20.0%, PE contracts to 8.5
These are projections based on PE multiples and EPS growth scenarios, not predictions. Actual results may vary significantly.
💡 Upside Surprise Potential
If earnings stabilize (0% growth), PE could expand from 31.8 to 37.4
Stabilization Target: $49.25 (+17.5%)
PE Expansion Potential: +17.5%
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Last updated: May 14, 2026 4:34 PM ET
Data refreshes hourly during market hours. Next update: 5:34 PM
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Ticker Score Recommendation Change %
Insider Activity (6 Months)
0
Buys
2
Sells
Net
INSIDERS SELLING
Recent Transactions
John Rondoni SELL 109 shares 2026-01-09
Shawn Mccormick SELL 2000 shares 2025-11-28

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Advanced INSP Option Strategies

Professional options setups generated by AI based on today's INSP price and gamma walls.

Iron Condor Bull Call Bear Put Collar

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