XLV gamma exposure by strike

From the closing options book · October 20, 2026 · updated after every close

XLV closed at 179.82 on October 20, 2026 with dealers net long $6.6M of gamma. The call wall was 179 (−0.5%), the put wall 165 (−8.2%) and the apex, the single largest gamma strike, 179.

+$6.6M
Net gamma
179
Call wall
−0.5%
165
Put wall
−8.2%
179.5
Gamma flip
−0.2%

XLV largest gamma strikes within 4% of the close

Strikeshort ← dealer gamma → long
185
+$461K
183
+$1.6M
182.5
+$386K
182
+$660K
181
+$944K
180
+$2.9M
— close 179.82 —
179
+$5.3M
178
+$1.7M
177.5
+$524K
177
+$2.6M
176
+$1.7M
175
−$509K

The heaviest strike on the October 20, 2026 book was 179, carrying +$5.3M of dealer gamma, −0.5% from the close.

XLV closed with dealers short gamma on 18 of the last 60 sessions. In short gamma, dealer hedging buys rallies and sells drops, which tends to extend moves; in long gamma it leans against them.

Positive (green) strikes are where dealers are long gamma and hedge against the move; negative (pink) strikes are where they are short and hedge with it. These are closing levels: where hedging was concentrated last night, not targets.

These are the October 20, 2026 closing numbers. Members see XLV's map move live all session.

Common questions

What is XLV's gamma exposure?

At the October 20, 2026 close, XLV's net dealer gamma exposure was +$6.6M: long gamma.

Where is XLV's call wall?

179, −0.5% from the 179.82 close on October 20, 2026.

Where is XLV's put wall?

165, −8.2% from the close on October 20, 2026.

Compare: gamma exposure by strike on other tickers

Measured from the closing options book and rebuilt after every close. Nothing on this page is live. Levels are where dealer hedging is concentrated, not targets or forecasts. Not investment advice.