XLV
Health Care Select Sector SPDR FundPrices and gamma are point-in-time snapshots taken at the time shown. Dealer positioning is an assumption, not an observable: open interest shows that a contract exists, never which side a dealer holds. How dealer gamma is computed.
LIVE MARKET SNAPSHOT
| Call Wall | 170 |
| Put Wall | 160 |
| GEX Flip | 168 |
| Vol Trigger | 165 |
| Net GEX | $10.6M |
Cached snapshot as of 2026-09-16 06:05 UTC, live streaming data in the terminal.
XLV DEALER GAMMA BY STRIKE
Part of the SquawkFlow GEX Calculator: gamma by strike for any US stock. Compare with SPX GEX.
Net gamma exposure at each strike near XLV's spot price, signed from the dealer perspective, calls positive, puts negative. Green strikes are where hedging tends to dampen moves; red is where it tends to amplify them. Dealer positioning is an assumption rather than an observable, so treat these as a map of where hedging pressure concentrates, not a forecast.
Unit: USD of dealer gamma per 1 percent move in spot. A window of the XLV option chain, not the whole book: the 30 strikes nearest spot out of 80 seen, 1,050 contract rows spanning 14 expirations. Gamma is taken as the chain publishes it per contract; nothing here is re-priced. Crossed with the open interest carried on that chain.
New to these levels? Start with the call wall and put wall, or the zero gamma level where the sign of dealer hedging flips.
| Strike | Net GEX | Call GEX | Put GEX | Concentration |
|---|---|---|---|---|
| 156 | -$86.2K | $0 | -$86.2K | |
| 157 | $0 | $0 | $0 | |
| 157.5 | $0 | $0 | $0 | |
| 158 | -$170.8K | $0 | -$170.8K | |
| 159 | -$18.8K | $0 | -$18.8K | |
| 160PUT WALL | -$14.8M | $135.7K | -$14.9M | |
| 161 | -$524.0K | $0 | -$524.0K | |
| 162 | -$10.7M | $92.8K | -$10.7M | |
| 162.5 | $0 | $0 | $0 | |
| 163 | -$753.3K | $0 | -$753.3K | |
| 164 | -$1.1M | $0 | -$1.1M | |
| 165 | $8.8M | $21.5M | -$12.7M | |
| 166 | -$7.1M | $0 | -$7.1M | |
| 167 | $3.0M | $5.7M | -$2.7M | |
| 167.5SPOT | $636.6K | $640.1K | -$3.5K | |
| 168GEX FLIP | -$1.7M | $1.8M | -$3.5M | |
| 169 | -$4.8M | $1.5M | -$6.3M | |
| 170CALL WALL | $18.9M | $26.3M | -$7.5M | |
| 171 | $3.6M | $3.9M | -$306.0K | |
| 172 | $311.8K | $311.8K | $0 | |
| 172.5 | $70.9K | $70.9K | $0 | |
| 173 | $468.1K | $468.1K | $0 | |
| 174 | -$3.0K | $0 | -$3.0K | |
| 175 | $6.7M | $6.7M | $0 | |
| 176 | $1.3M | $1.3M | $0 | |
| 177 | $36.5K | $36.5K | $0 | |
| 177.5 | $0 | $0 | $0 | |
| 178 | $64.4K | $64.4K | $0 | |
| 179 | $0 | $0 | $0 | |
| 180 | $8.5M | $8.5M | $0 |
These levels were captured September 16, 2026 from the open interest carried on the option chain. New levels post before each market open. Today's SPX gamma levels.
ABOUT XLV
XLV tracks the healthcare sector of the S&P 500, including pharmaceuticals, biotechnology, medical devices, healthcare equipment, and managed care companies. Top holdings include UnitedHealth, Eli Lilly, Johnson & Johnson, and AbbVie. It is the primary vehicle for expressing broad healthcare sector views.
WHY TRACK XLV ON SQUAWKFLOW
XLV options flow signals healthcare sector rotation and defensive positioning. Unusual put buying often precedes drug pricing legislation fears, while call accumulation signals conviction on biotech pipeline catalysts.
XLV DATA ON SQUAWKFLOW
Options Flow
XLV options flow, unusual activity, and volume concentrations from the session chain
Latest Snapshot
Last XLV price, change, volume, and the current dealer-gamma regime
GEX Dashboard
XLV gamma exposure levels, call/put walls, and GEX flip
AI Narration
AI-powered analysis of XLV market microstructure in real time
News Sentiment
XLV news with AI sentiment scoring and impact analysis
Sector Context
ETFs/Indices sector rotation and relative strength vs peers
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