Best Healthcare ETFs
Which healthcare ETFs does ETF Copilot list today? As of October 28, 2026, ETF Copilot's Best Healthcare ETFs list holds five funds, largest first by assets: XLV, VHT, IBB, XBI and IXJ. Expense ratios across the five run from 0.08% to 0.44% a year, and their ETF Copilot overall scores run from 4.3 to 5.4.
Updated October 28, 2026
What stands out across Healthcare ETFs
Expense ratios across the 5 healthcare ETFs listed run from 0.08% to 0.44% a year, a median of 0.35%. XLV is the cheapest of the 5.
Across the 5 funds shown, ETF Copilot's overall scores run from 4.3 to 5.4 out of 10, with a median of 5.1.
Concentration varies widely among the 5 healthcare ETFs listed: the ten largest holdings account for 18% of assets in the least concentrated fund and 61% in the most, a median of 51% across the list.
2 of 5 are more concentrated than the typical fund in their own category, on ETF Copilot's concentration measure.
The typical fund among the 5 healthcare ETFs listed behaves like 29 equally weighted positions once holding weights are taken into account.
As of October 28, 2026, the largest fund on ETF Copilot's Best Healthcare ETFs list by assets is State Street Health Care Select Sector SPDR ETF (XLV).
What are the Best Healthcare ETFs? The 5 on this list
| # | Fund | ETF Copilot score | Expense ratio | Assets | Top 10 weight | Largest exposures |
|---|---|---|---|---|---|---|
| 1 | State Street Health Care Select Sector SPDR ETF (XLV) | 5.4/10 | 0.08% | $47.0B | 61% | AI 0% |
| 2 | Vanguard Health Care ETF (VHT) | 5.3/10 | 0.09% | $21.9B | 52% | AI 1%, Tech 0% |
| 3 | iShares Biotechnology ETF (IBB) | 4.3/10 | 0.44% | $11.0B | 51% | AI 1% |
| 4 | State Street SPDR S&P Biotech ETF (XBI) | 4.9/10 | 0.35% | $10.3B | 18% | |
| 5 | iShares Global Healthcare ETF (IXJ) | 5.1/10 | 0.38% | $4.5B | 48% | AI 0% |
ETF Copilot's 0–10 score rates a fund on value, growth, quality and risk against every US equity ETF we track. How the scores are built →
Expense ratio, dividend yield and assets under management are reported by the fund and refreshed daily. Every other figure on this page is computed by ETF Copilot.
Which Healthcare ETFs are compared head to head?
Every published head-to-head between two Healthcare ETFs, the most searched first.
- XLV vs VHT
- IBB vs VHT
- IBB vs XLV
- IBB vs XBI
- VHT vs XBI
- XBI vs XLV
- IBB vs IXJ
- IXJ vs VHT
- IXJ vs XBI
- IXJ vs XLV
- IBB vs IYH
- IXJ vs IYH
- IYH vs VHT
- IYH vs XBI
- IYH vs XLV
- FHLC vs IBB
- FHLC vs IXJ
- FHLC vs IYH
- FHLC vs IYH vs VHT vs XLV
- FHLC vs VHT
- FHLC vs XBI
- FHLC vs XLV
- FHLC vs IHI
- IBB vs IHI
- IHI vs IXJ
- IHI vs IYH
- IHI vs VHT
- IHI vs XBI
- IHI vs XLV
- FBT vs FHLC
- FBT vs IBB
- FBT vs IHI
- FBT vs IXJ
- FBT vs IYH
- FBT vs VHT
- FBT vs XBI
- FBT vs XLV
- ARKG vs FBT
- ARKG vs FHLC
- ARKG vs IBB
- ARKG vs IHI
- ARKG vs IXJ
- ARKG vs IYH
- ARKG vs VHT
- ARKG vs XBI
- ARKG vs XLV
Where is money going in Health & Biotech?
In the week to October 28, 2026, Health & Biotech moved +1.2% and saw -$188M of net fund flow, which ETF Copilot reads as price only — price moving without money following.
| Measure | Value |
|---|---|
| Price, 1 week | +1.2% |
| Net flow, 1 week | -$188M |
| Price, 1 month | +4.1% |
| Net flow, 1 month | -$970M |
Net fund flow is money into or out of the ETFs in this category, computed by ETF Copilot from daily fund assets. All 33 sectors side by side →
Cite this
ETF Copilot, “Best Healthcare ETFs”, as of October 28, 2026.
https://etf-copilot.com/best/healthcare-etfs
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