Options

XLV options

Figures as of 28 Sep 2026

The options figures are from the close on 28 Sep 2026.

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At a glance

FigureValueDate
IV rank99 of 10028 Sep
At the money IV29.6%28 Sep
Priced move to 30 Oct11.3% down, 11.1% up28 Sep
Call wall and put wall175 and 16028 Sep
Last close171.2628 Sep

Options Snapshot

XLV's IV rank is 99 of 100 on 28 Sep 2026.

FigureValue
IV rank99 of 100
At the money IV29.6%, near month, 32 days
Put/call ratio, open interest0.82
Call open interest, strikes captured near the price192,000 contracts
Put open interest, strikes captured near the price158,000 contracts
Cost to trade at the moneyWide, 128.2% of the option's mid price

IV rank is where the at the money IV sits among XLV's own weekly readings, 0 the lowest and 100 the highest.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Priced Range

On 28 Sep 2026, XLV options priced a move of 11.3 percent down and 11.1 percent up by 30 Oct 2026.

ExpiryDaysDownUpRange
2 Oct 202642.2%4.2%167.41 to 178.53
9 Oct 2026113.5%6.3%165.29 to 182.06
23 Oct 2026259.7%10.8%154.66 to 189.76
30 Oct 20263211.3%11.1%151.96 to 190.26
20 Nov 20265313.3%7.4%148.56 to 183.96
18 Dec 20268111.2%12.3%152.16 to 192.36
19 Mar 202717215.4%16.9%144.96 to 200.16

The range is one standard deviation either side of the close of 171.26, as the option prices imply it.

A priced move restates option prices at the close and says nothing certain about where the price goes.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Gamma Map

On 28 Sep 2026, XLV's call wall is the 175 strike and its put wall is the 160 strike.

FigureValue
Call wall, most open call gamma175
Put wall, most open put gamma160
Net dollar gamma, calls minus puts$17.69 million
Total dollar gamma, both sides$147.87 million
Close171.26

Dollar gamma is stated for a one percent move in the price.

Net is calls minus puts under the standard convention, not a record of who holds the contracts.

Net gamma changes sign at 4 strikes, so no single flip strike is named.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Volatility History

On 28 Sep 2026, XLV's at the money IV is 29.6 percent against 20 day realized volatility of 13.5 percent.

FigureValue
At the money IV29.6%
Realized volatility, 20 trading days13.5%
Realized volatility, 60 trading days17.9%
IV against its own weekly recordHigh, in the top fifth
Weekly readings on record864, from 8 Jan 2010
Weeks the price moved more than the one week priced move25.4% of 252 weeks

Realized volatility is worked out from the daily closes the desk holds, not from the option chain.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Volatility Weather

On 28 Sep 2026, XLV's at the money IV runs from 59.0 percent at 4 days to 22.9 percent at 172 days.

Days to expiryAt the money IV
459.0%
1136.5%
1830.5%
2536.9%
3932.1%
5326.6%
8123.0%
17222.9%

Near expiries price more volatility than far ones, an inverted term structure.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Volatility Smile

On 28 Sep 2026, at the 32 day expiry, XLV's IV ten percent below the price sits 29.0 points above at the money IV.

Strike areaImplied volatilityAgainst at the money
10% below the price58.6%+29.0 points
At the money29.6%0.0 points
10% above the price48.0%+18.4 points

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Volatility Surface

On 28 Sep 2026, XLV's surface spans 10 expiries out to 172 days, with IV from 16.2 to 70.5 percent near the price.

FigureValue
Expiries captured10
Nearest expiry2 Oct 2026, 4 days
Farthest expiry19 Mar 2027, 172 days
Points within 10% of the price, 7 days out or more236
Lowest IV among them16.2%
Highest IV among them70.5%

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Expiry Ladder

On 28 Sep 2026, XLV has 10 captured expiries, from 2 Oct 2026 to 19 Mar 2027.

ExpiryDaysAt the money IVCall open interestPut open interest
2 Oct 2026459.0%3,4714,883
9 Oct 20261136.5%8603,527
16 Oct 20261830.5%19,46928,308
23 Oct 20262536.9%1,027690
30 Oct 20263229.6%433667
6 Nov 20263932.1%12421
20 Nov 20265326.6%5,24413,084
18 Dec 20268123.0%33,14747,099
15 Jan 202710924.7%115,46752,015
19 Mar 202717222.9%12,7387,266

Open interest is summed over the strikes captured near the price on each expiry.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Strike Table

On 28 Sep 2026, XLV's largest open interest sits at the 150 strike, with 36,916 contracts across the captured expiries.

StrikeCall open interestPut open interestTotal
1505,61831,29836,916
15714,09213,50627,598
1607,46719,52226,989
15220,0001,04221,042
17518,4141,32419,738
18017,41242717,839

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Since Yesterday

From 25 Sep 2026 to 28 Sep 2026, XLV's at the money IV moved from 28.1 percent to 29.6 percent.

Figure25 Sep28 SepChange
At the money IV28.1%29.6%+1.5 points
Open interest, strikes captured near the price340,995349,540+8,545
Put/call ratio, open interest0.810.82+0.01

Open interest changes cannot identify buyers or sellers.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Changed Hands

On 28 Sep 2026, 21,908 XLV option contracts traded, 1.0 times its own recent average.

FigureValue
Calls traded8,430
Puts traded13,478
Against its recent average1.0 times
Busier than9 of its last 20 trading days
Open interest, whole chain522,486 contracts
Volume to open interest0.04
Unusual volume flagNo

Traded volume and open interest are shown side by side and never combined. Open interest changes cannot identify buyers or sellers.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Positioning Replay

The replay holds 33 trading days of XLV's option positioning, from 11 Aug 2026 to 28 Sep 2026.

DateCloseNet dollar gammaTop call strikeTop put strike
11 Aug 2026168.01$75.29 million170155
21 Sep 2026169.01minus $5.18 million168168
28 Sep 2026171.26$17.69 million175160

Each frame restates one nightly capture. Net is calls minus puts, a convention, not who holds the contracts.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Price Chart

XLV closed at 170.70 on 25 Sep 2026.

FigureValue
Last close170.70
Change over 5 trading days+1.8%
Change over 21 trading days-1.3%
Change over 63 trading days+6.9%
Change over 252 trading days+27.2%
52 week high175.93
52 week low131.53
20 day moving average168.74
50 day moving average167.13
200 day moving average155.05
RSI, 14 days58

Worked out from the desk's own daily bars, adjusted for share splits.

The desk's own daily bars run to 25 Sep 2026. The options figures on this page are from the close on 28 Sep 2026.

From the daily bars through 25 Sep 2026. Current on every plan.

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Questions

What is XLV's IV rank?
XLV's IV rank is 99 of 100 on 28 Sep 2026.
What move are XLV options pricing?
On 28 Sep 2026, XLV options priced a move of 11.3 percent down and 11.1 percent up by 30 Oct 2026.
Where are XLV's call wall and put wall?
On 28 Sep 2026, XLV's call wall is the 175 strike and its put wall is the 160 strike.

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