ELV options flow: unusual options activity in Elevance Health, Inc.

Updated 28 September 2026, 09:54 ET

Over the last week the tape recorded 15 unusual options prints in Elevance Health, Inc. (ELV), $1.9M of tracked premium, close to even between bullish and bearish premium. Bullish premium was $839K against $986K bearish; $662K went into calls and $1.3M into puts, a put call ratio of 1.91. The largest print was $525K of ELV 20 Nov 2026 $400 puts on 23 September 2026, executed at ask. The last session with prints, 25 September 2026, added 1 print and $82K of premium. ELV closed at $396.09 on 25 September 2026, down 0.5%.

This week's unusual flow

Unusual prints15
Tracked premium$1.9M
Net premium-$147K
Bullish premium$839K
Bearish premium$986K
Call premium$662K
Put premium$1.3M
P/C ratio1.91
Sweeps33%
Size over OI3
Whale prints0
High conviction1

Prints from 21 September 2026 to 25 September 2026, 5 sessions. Delayed tier: every print is shown twenty minutes after it executed, and the page is rebuilt after each session.

Net premium is bullish minus bearish premium. The put call ratio is put premium divided by call premium, weighted by money rather than by contract count. Sweeps is the share of prints executed across several exchanges at once. Read the guide: Reading the Pulse.

Largest prints of the week

DateContractTypeSizeOpen int.PremiumExecutionSentimentTier
23 Sep 2026ELV 20 Nov 2026 $400 putsTrade250241$525KAt askBearishNotable
21 Sep 2026ELV 18 Dec 2026 $360 putsTrade600699$480KAt bidBullishNotable
21 Sep 2026ELV 16 Oct 2026 $410 callsSweep144186$193KAt bidBearishHigh conviction
21 Sep 2026ELV 16 Oct 2026 $410 callsSweep99186$131KAt bidBearishNotable
22 Sep 2026ELV 20 Nov 2026 $360 putsTrade200258$124KAt bidBullishNotable
21 Sep 2026ELV 16 Oct 2026 $410 callsSweep66186$88KAt askBullishNotable
25 Sep 2026ELV 16 Oct 2026 $370 putsTrade300120$82KAt bidBullishNotable
22 Sep 2026ELV 16 Oct 2026 $410 callsSweep53652$54KAt midpointNeutral
24 Sep 2026ELV 16 Oct 2026 $430 callsSweep198170$48KAt askNeutralNotable
21 Sep 2026ELV 16 Oct 2026 $410 callsTrade31186$43KAt bidBearish
21 Sep 2026ELV 16 Oct 2026 $410 callsTrade27186$38KAt bidBearish
21 Sep 2026ELV 16 Oct 2026 $410 callsTrade28186$38KAt askBullish

Size above open interest means the trade opened a position larger than everything that existed in the contract the night before. Above ask and below bid are the most aggressive executions. Read the guide: Size versus open interest.

Where the money is aimed

ExpiryPrintsPremiumCalls shareNet premium
16 Oct 202610$745K89%-$227K
20 Nov 20262$649K0%-$401K
18 Dec 20261$480K0%+$480K
19 Mar 20272$53K0%+$1K

The most premium, $745K, is aimed at the 16 Oct 2026 expiry.

A print in a contract expiring this week is a view about the next few days, often about a known event; a print months out is a different kind of statement. Read the guide: 0DTE options flow.

The last session, 25 September 2026

Prints1
Premium$82K
Net premium+$82K
Sweeps0%
DateContractTypeSizeOpen int.PremiumExecutionSentimentTier
25 Sep 2026ELV 16 Oct 2026 $370 putsTrade300120$82KAt bidBullishNotable

Every print in ELV with its full detail, the live tape, one tap filters and saved screeners: open ELV in Options Sentiment Screener.

Price

Last close$396.09
Day-0.54%
1 week-3.62%
1 month-1.60%
3 months+0.23%
1 year+21.36%
52 week high$436.24
52 week low$274.84
Volume1,219,207
Market cap$86.4B

The live quote and the price chart sit beside the ticker's flow in the app: open ELV in Options Sentiment Screener.

Analysts

The most recent analyst targets on file, from 18 firms, have a median of $458, 15.8% above the last close.

Calls bought at a strike above the average target are a bet that the analysts are too cautious; puts far below the price in a name they like are protection or a strong disagreement. Read the guide: Reading one ticker's flow.

About Elevance Health, Inc.

Exchange
NYSE
Sector
Health Care
Industry
Insurance
Headquarters
Indianapolis, Indiana
Website
elevancehealth.com

Elevance Health Inc. operates as a health benefits company. It supports consumers, families, and communities across the entire care journey connecting to the care, support, and resources to lead healthier lives. It serves approximately 118 million people through a portfolio of medical, digital, pharmacy, behavioral, clinical, and care solutions. The company was formerly known as Anthem, Inc. and changed its name to Elevance Health Inc. in June 2022. Elevance Health Inc. was founded in 1944 and is headquartered in Indianapolis, Indiana.

In the same sector

Flow pages for other Health Care names in the S&P 500:

LLY Eli Lilly & Co.JNJ Johnson & JohnsonABBV AbbVie Inc.MRK Merck & Co. Inc.UNH UnitedHealth Group Inc.TMO Thermo Fisher Scientific Inc.AMGN Amgen Inc.GILD Gilead Sciences, Inc.

Learn

The live tape for ELV with every print's execution detail, one tap filters for calls, puts, sweeps and 0DTE, saved screeners and, for Realtime subscribers, push alerts and no delay. The same screen is in the iOS and Android apps.

Open ELV in Options Sentiment Screener