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IBBQvsXHEETF Comparison

ETF 1

IBBQ

Invesco Nasdaq Biotechnology ETF

This fund is part of

US Health Care

-1.08%

Full IBBQ fund page

VS

ETF 2

XHE

State Street SPDR S&P Health Care Equipment ETF

This fund is part of

US Health Care

-1.08%

Full XHE fund page

Invesco Nasdaq Biotechnology ETF (IBBQ) and State Street SPDR S&P Health Care Equipment ETF (XHE) belong to the same industry segment: US Health Care. IBBQ's top 3 sector exposures are Health Care and Consumer Staples. In contrast, XHE's top sector exposures are Health Care IBBQ is less expensive with a Total Expense Ratio (TER) of 0.19%, versus 0.35% for XHE. IBBQ is up 3.49% year-to-date (YTD) with +$290K in YTD flows. XHE performs worse with -6.1% YTD performance, and -$6M in YTD flows. Run a side-by-side ETF comparison of IBBQ and XHE below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.

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IBBQ vs XHE performance and flow charts

Performance

Cumulative Flows

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Data Services

Historic performance and flows

Data as of 04/24/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	IBBQ XHE	+5.67%+4.44%	-0.91%-6.33%	+3.49%-6.10%	+41.67%+4.10%	+41.72%-16.38%	n/a-34.81%
Flows	IBBQ XHE	-$8M+$345K	-$9M-$4M	+$290K-$6M	+$14M-$35M	+$34M-$282M	--$404M

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	IBBQ XHE	+22.23%+23.06%	+21.05%+21.27%	+19.62%+21.32%	n/a+24.31%
Max drawdown	IBBQ XHE	-8.38%-14.31%	-8.39%-18.20%	-23.78%-32.60%	n/a-49.90%
Max drawdown duration	IBBQ XHE	48d57d	33d106d	375d1096d	n/a1695d

Trading data

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	IBBQ	XHE
Last sale 4/27/2026 at 1:30 PM	$29.23	$82.67
Previous close 04/24/2026	$29.34	$82.71
Consolidated volume 04/24/2026
Average volume 30 days
Average discount or premium 30 days
Average Bid/Ask spread 30 days

Replication quality

Data as of March 31, 2026

1-year trailing difference

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	IBBQ	XHE
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst

Main metrics

Last update 4/27/2026 at 1:30 PM

Live

Closed

	IBBQ	XHE
Last price	$29.23	$82.67
1D performance	-0.36%	-0.05%
AuM	$66.29 M	$138.61 M
E/R	0.19%	0.35%

Characteristics

	IBBQ	XHE
Management strategy	Passive	Passive
Provider	Invesco	State Street Investment Management
Benchmark	NASDAQ Biotechnology Index	S&P Health Care Equipment Select Industry Index
N° of holdings	192	61
Asset class	Equities	Equities
Trailing 12m distribution yield	Join	Join
Inception date	June 9, 2021	January 26, 2011
ESG	No	No

More IBBQ data on Trackinsight

More XHE data on Trackinsight

Exposure

Countries

IBBQ

USA

92.77%

Other

7.23%

XHE

USA

92.19%

Other

7.81%

Sectors

IBBQ

Health Care

85.9%

Other

14.1%

XHE

Health Care

89.87%

Other

10.13%

Diversification

IBBQ

Total weight of top 15 holdings out of 15

51.37%

XHE

Total weight of top 15 holdings out of 15

26.74%

Top 15 holdings

Data as of March 31, 2026

IBBQ

GILEAD SCIENCES

7.85%

AMGEN-T

7.82%

VERTEX PHARMACEUTICALS

7.59%

REGENERON PHARMACEUTICALS

6.48%

ALNYLAM PHARMACEUTICALS

3.56%

INSMED

2.65%

BIOGEN INC

2.28%

UTD THERAPEUT

1.94%

ROYALTY PHARMA

1.68%

US04016X1019

1.66%

MODERNA INC

1.66%

ROIVANT SCIENCES LTD

1.61%

REVOLUTION MEDICINES INC

1.55%

ILLUMINA

1.52%

INCYTE

1.52%

XHE

TELEFLEX

1.86%

STAAR SURGICAL

1.84%

BUTTERFLY NETWORK INC

1.84%

US58507V1070

1.83%

GLAUKOS

1.82%

INTEGER HOLDINGS

1.79%

AXOGEN

1.79%

LIVANOVA

1.78%

MASIMO

1.76%

LEMAITRE VASCULAR

1.75%

ARTIVION INC

1.75%

HOLOGIC

1.74%

STERIS

1.74%

GLOBUS MEDICAL

1.72%

IRHYTHM TECHNOLOGIES

1.72%

Frequently asked questions about IBBQ and XHE

How have the IBBQ and XHE ETFs performed in 2026?

As of April 24, 2026, IBBQ is up 3.49% year-to-date (YTD), while XHE has lost -6.1%. That puts IBBQ better performer ahead so far this year.

Which ETF is attracting more investor money: IBBQ or XHE?

Year-to-date, the IBBQ ETF saw +$290K in flows, compared to -$6M for XHE.

Which ETF is more volatile: IBBQ or XHE?

Over the past year, IBBQ had a volatility of 21.05%, while XHE experienced 21.27%.

Which ETF is bigger: IBBQ or XHE?

As of April 24, 2026, IBBQ holds $66.29 M in assets under management (AUM), while XHE manages $138.61 M.

What sectors do the IBBQ and XHE ETFs invest in?

IBBQ leans toward sectors like Health Care. Meanwhile, XHE focuses on Health Care.

What are the top holdings of the IBBQ ETF and XHE ETF?

IBBQ top holdings include GILEAD SCIENCES, AMGEN-T and VERTEX PHARMACEUTICALS. XHE holds in its top three: TELEFLEX, STAAR SURGICAL and BUTTERFLY NETWORK INC.

IBBQvsXHEETF Comparison

Invesco Nasdaq Biotechnology ETF

State Street SPDR S&P Health Care Equipment ETF

IBBQ vs XHE performance and flow charts

Performance

Cumulative Flows

Get all the metrics on this page, and more, through a reliable ETF data feed

Countries

Sectors

Diversification

Top 15 holdings

How have the IBBQ and XHE ETFs performed in 2026?

As of April 24, 2026, IBBQ is up 3.49% year-to-date (YTD), while XHE has lost -6.1%. That puts IBBQ better performer ahead so far this year.

Which ETF is attracting more investor money: IBBQ or XHE?

Year-to-date, the IBBQ ETF saw +$290K in flows, compared to -$6M for XHE.

Which ETF is more volatile: IBBQ or XHE?

Over the past year, IBBQ had a volatility of 21.05%, while XHE experienced 21.27%.

Which ETF is bigger: IBBQ or XHE?

As of April 24, 2026, IBBQ holds $66.29 M in assets under management (AUM), while XHE manages $138.61 M.

What sectors do the IBBQ and XHE ETFs invest in?

IBBQ leans toward sectors like Health Care. Meanwhile, XHE focuses on Health Care.

What are the top holdings of the IBBQ ETF and XHE ETF?

IBBQ top holdings include GILEAD SCIENCES, AMGEN-T and VERTEX PHARMACEUTICALS. XHE holds in its top three: TELEFLEX, STAAR SURGICAL and BUTTERFLY NETWORK INC.

Which ETF is more diversified: IBBQ or XHE?

IBBQ holds 256 securities with 51.37% of its assets in the top 15. XHE has 67 securities and a top 15 weight of 26.74%.

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