Cabagnot led all rookies during his rookie year in scoring (10.3 points per game), assists (4.7), steals (1.1) and minutes played (28.1). He was third in the league in the assist-to-turnover ratio (2.5) behind Jimmy Alapag and Johnny Abarrientos.
As a Beermen, Cabagnot quickly emerged as the starting quarterback for the team. Cabagnot dropped game winning shots during eliminations earning his nickname "The Crunchman". He did it on Alaska Aces, B-Meg Derby Ace Llmados scoring a basket on crucial possession. During game 1 of the 2010–2011 PBA Philippine Cup semifinals series against the crowd favorite Ginebra Gin Kings, Alex made a clutch basket leaving the Gin Kings with only over a second. This nailed the series to a 1–0 lead in favor of the Beermen. SMB eventually won the duel in six games 4–2. In 2011, Cabagnot together with Arwind Santos and Danny Ildefonso lead Petron Blaze Boosters to a Governor's Cup title by hacking out a 4–3 decider in 7 games, thus foiling the Grand Slam bid of Talk N Text & captured his first PBA crown as a player.
On February 18, 2014, he was part of a complex four-team, seven player trade which sent him to GlobalPort. With his new team, he reunites with old teammate Jay Washington and provided veteran leadership.[2] He said, "(The trade) came a little bit as an 'I-didn't-see-it-coming,' but when it did sink in, I just have to be a pro, go to the next team and try to do what I did with Petron and my other teams before".[3] On June 11, 2014, Cabagnot almost recorded a triple-double for GlobalPort Batang Piers as he racked up 19 points, 8 rebounds and 10 assists but in a losing effort to the Air21 Express.
On October 26, 2014, Cabagnot recorded 21 points, 10 rebounds and 3 assists in a win over the Barako Bull Energy Boosters.
On October 14, 2016, Cabagnot was recognized during the PBA Leo Awards Night as he was named to the PBA Mythcial Second Team.[4]
On June 21, 2019, during the 2019 Commissioner's Cup, Cabagnot scored a conference-high 31 points to go along with 4 rebounds and 6 assists in a win over the Alaska Aces. He led the Beermen in a much-needed win as they now have a record of 2–3 for the conference.[5]
On April 14, 2022, he signed a two-year contract extension with Terrafirma.[8] On October 19, 2023, he became an unrestricted free agent after being released by the team.[9]
In December 2019, Cabagnot, along with his cousin Cris Gopez, established Fil-Am Nation Select, a program where young players with Filipino lineage can know more about Philippine basketball in the hope of bringing them over to play in leagues or even with Gilas Pilipinas.[14] Aside from basketball, they have expanded the program to include volleyball, football, ice hockey, and baseball.[15][16] Among the basketball players Fil-Am Nation has handled include college standout Zavier Lucero and pro Sedrick Barefield.[17][18]
Cabagnot and Gopez also handle a basketball recreation league, Edge Basketball International, that boasts Atlanta Hawks draftee Onyeka Okongwu as one of its former players.[19]