XLV max pain

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

XLV's max pain for the October 23, 2026 expiration was 175 at the October 20, 2026 close, −2.7% from XLV's 179.82 close. Max pain is the price at which option holders' total intrinsic value at expiry would be smallest.

175
Max pain
Oct 23 expiry
179.82
Close
−2.7% to max pain
1.67
Put/call OI
0.71
Put/call volume

XLV close vs max pain, last 20 sessions

SessionCloseMax painGap
Oct 20179.82175−2.7%
Oct 19175.65172.5−1.8%
Oct 16176.71172−2.7%
Oct 15177.19170−4.1%
Oct 14173.96170−2.3%
Oct 13169.66170+0.2%
Oct 12171.99170−1.2%
Oct 9170.81170−0.5%
Oct 8168.16167.5−0.4%
Oct 7168.81167.5−0.8%
Oct 6167.09167.5+0.2%
Oct 5167.37167.5+0.1%
Oct 2166.18168+1.1%
Oct 1166.20169+1.7%
Sep 30168.42170+0.9%
Sep 29170.73170−0.4%
Sep 28171.26170−0.7%
Sep 25170.70170−0.4%
Sep 24169.87168−1.1%
Sep 23168.80168−0.5%

The session before, max pain sat at 172.5.

Open interest within 45 days stood at 22,624 calls and 37,728 puts, a put/call ratio of 1.67. On the day, 5,599 calls and 4,000 puts traded.

Max pain is a property of the open-interest book, not a forecast: price has no obligation to finish there, and on most days it does not. It is most useful as a reference for where the expiring book is balanced.

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

Common questions

What is XLV's max pain?

175 for the October 23, 2026 expiration, from open interest at the October 20, 2026 close.

What is XLV's put/call ratio?

By open interest 1.67; by volume 0.71 on October 20, 2026.

Does XLV close at max pain?

Not reliably. Max pain describes where the expiring options book is balanced; it is a reference level, not a prediction.

Compare: max pain 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.