SPY vs XLV

SPDR S&P 500 ETF against State Street Health Care Select Sector SPDR ETF — live side-by-side technical comparison.

Prices as of 2026-11-10T17:31:59+00:00 UTC · updates daily

Who leads right now

XLV leads 7 of the 7 windows we measure — over 1 month SPY is -4.1% and XLV +10.1%; over year to date SPY is +9.5% and XLV +21.5%. The SPY/XLV price ratio stands at 3.9747, below its 50-day average of 4.4023, and below the 200-day average of 4.5899. A ratio above its own average means SPY is gaining on XLV; on this reading the recent edge belongs to XLV.

SPY/XLV over the last year

SPY/XLV price ratio · dashed: its 50- and 200-day lines · ratio above its 50-day line = SPY gaining on XLV
3.9154.3564.7975.237
Both rebased to 100 on 2025-11-10
100104.3117.2128.7SPYXLV
Ask
Compare SPY and XLV: which has been stronger over the last year, and where does each stand against its 200-day average? Ask the analyst about this pair →

Performance side by side

SPYXLV
Price$746.61 $188.05
1 day -0.8% -0.1%lead
5 days -1.0% +2.2%lead
1 month -4.1% +10.1%lead
6 months +1.2% +31.1%lead
Year to date +9.5% +21.5%lead
1 year +9.7% +27.7%lead
2 years +24.9% +25.2%lead
52-week position 77% of range 92% of range
52-week range $629.28–$781.62 $141.97–$192.32
vs 50-day average below $764.95 above $174.07
vs 200-day average above $730.97 above $159.69
RSI (14) 43 67
Next earnings — —

Where each one stands

SPY — SPDR S&P 500 ETF

SPY trades at $746.61, below its 50-day average of $764.95, and above the 200-day at $730.97. It sits at 77% of its 52-week range ($629.28–$781.62); 14-day RSI is 43, in neutral territory; an average session moves it about 1.6%. For levels, the first level overhead is $750.00 (0.4% away) and the first support below is $730.97 (2.2% down). On the checklist the page runs for every asset, 2 of 6 checks read bullish — the lean is bearish.

XLV — State Street Health Care Select Sector SPDR ETF

XLV trades at $188.05, above its 50-day average of $174.07, and above the 200-day at $159.69. It sits at 92% of its 52-week range ($141.97–$192.32); 14-day RSI is 67, in neutral territory; an average session moves it about 2.0%. For levels, the first level overhead is $189.66 (0.9% away) and the first support below is $176.84 (6.0% down). On the checklist the page runs for every asset, 6 of 6 checks read bullish — the lean is bullish.

Which one moves harder

XLV is the more volatile of the two — an average session moves it 2.0% against 1.6% for SPY, so an identical position size carries roughly 1.2× the daily risk.

What would change the picture

The comparison turns on those levels: SPY clearing $750.00 or losing $730.97; XLV clearing $189.66 or losing $176.84. Until one of them gives way, the relative reading above stands.

Questions people ask about SPY vs XLV

Which is performing better right now, SPY or XLV?
Over the past month SPY is -4.1% and XLV is +10.1%, so XLV is ahead on that window. Year to date the figures are +9.5% for SPY and +21.5% for XLV.
Which has done better over the last year, SPY or XLV?
Over the last year SPY is +9.7% and XLV is +27.7%, so XLV is ahead on that window. Over two years it is +24.9% against +25.2%.
Is SPY or XLV more volatile?
XLV is the more volatile of the two — an average session moves it 2.0% against 1.6% for SPY, so an identical position size carries roughly 1.2× the daily risk.
What are the key levels for SPY and XLV?
SPY: resistance $750.00, support $730.97; XLV: resistance $189.66, support $176.84. Levels come from recent swing zones and round numbers, recomputed daily.
What does the SPY/XLV ratio mean?
It is simply SPY's price divided by XLV's — 3.9747 today. When the ratio rises, SPY is outperforming; when it falls, XLV is. Comparing it to its own 50- and 200-day averages shows whether the current leadership is new or long-standing.

Full technical briefs

SPY →
SPDR S&P 500 ETF
Full technical brief: trend, levels, chart, news
XLV →
State Street Health Care Select Sector SPDR ETF
Full technical brief: trend, levels, chart, news

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