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XBIvsXHEETF Comparison

ETF 1
XBI

SPDR S&P Biotech ETF

This fund is part of
US Health Care
-0.31%
Full XBI fund page
VS
ETF 2
XHE

SPDR S&P Health Care Equipment ETF

This fund is part of
US Health Care
-0.31%
Full XHE fund page

SPDR S&P Biotech ETF (XBI) and SPDR S&P Health Care Equipment ETF (XHE) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. Both XBI and XHE have the same Total Expense Ratio (TER) of 0.35%. XBI is up 3.65% year-to-date (YTD) with -$59M in YTD flows. XHE performs worse with -6.79% YTD performance, and -$4M in YTD flows. Run a side-by-side ETF comparison of XBI 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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XBI vs XHE performance and flow charts

Performance

-6.0-4.0-2.00.02.04.0%Feb 11Feb 19Feb 26Mar 5

Cumulative Flows

-400,000,000-200,000,0000200,000,000400,000,000600,000,000800,000,000Feb 11Feb 19Feb 26Mar 5

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

Historic performance and flows
Data as of 03/11/2026
1M3MYTD1Y3Y5Y
Perf.
XBI
XHE
+1.38%-4.63%
+3.11%-8.38%
+3.65%-6.79%
+47.21%-1.88%
+63.16%-7.27%
-13.71%-31.62%
Flows
XBI
XHE
-$4M-
-$179M-$7M
-$59M-$4M
+$90M-$44M
-$1.64B-$295M
+$1.20B-$430M
Volatility and drawdown
3M1Y3Y5Y
Volatility
XBI
XHE
+25.68%+18.94%
+28.04%+23.53%
+27.26%+21.07%
+32.91%+24.17%
Max drawdown
XBI
XHE
-8.19%-12.38%
-21.44%-14.34%
-32.94%-32.63%
-57.63%-49.90%
Max drawdown duration
XBI
XHE
48d62d
141d241d
331d1053d
1822d1651d
Trading data

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XBI
XHE
Last sale
3/12/2026 at 1:52 PM
$123.90
$82.04
Previous close
03/11/2026
$126.38
$81.73
Consolidated volume
03/11/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of February 27, 2026
1-year trailing difference

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XBI
XHE
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 3/12/2026 at 1:52 PM
Live
Closed
XBI
XHE
Last price
$123.90
$82.04
1D performance
-1.96%
+0.38%
AuM$8.10 B$139.64 M
E/R0.35%0.35%
Characteristics
XBI
XHE
Management strategyPassivePassive
ProviderSPDRSPDR
BenchmarkS&P Biotechnology Select Industry IndexS&P Health Care Equipment Select Industry Index
N° of holdings12361
Asset classEquitiesEquities
Trailing 12m distribution yield
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Inception dateJanuary 31, 2006January 26, 2011
ESGNoNo
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Exposure

Countries

XBI
USA
94.51%
Other
5.49%
XHE
USA
92.71%
Other
7.29%

Sectors

XBI
Health Care
88.03%
Other
11.97%
XHE
Health Care
93.87%
Other
6.13%
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Diversification

XBI

Total weight of top 15 holdings out of 15

21.6%
XHE

Total weight of top 15 holdings out of 15

30.47%

Top 15 holdings

Data as of January 31, 2026
XBI
MODERNA INC
1.85%
MIRUM PHARMACEUTICALS INC
1.58%
REVOLUTION MEDICINES INC
1.52%
VAXCYTE
1.50%
AMICUS THERAPEUTICS
1.48%
US74006W2070
1.46%
ALKERMES
1.44%
GILEAD SCIENCES
1.43%
KRYSTAL BIOTECH INC
1.42%
HALOZYME THERAPEUTICS
1.40%
AMGEN-T
1.32%
CELCUITY INC
1.31%
ROIVANT SCIENCES LTD
1.30%
BRIDGEBIO PHARMA
1.30%
VERTEX PHARMACEUTICALS
1.29%
XHE
NEOGEN
2.63%
INTEGER HOLDINGS
2.17%
PENUMBRA
2.12%
UFP TECHNOLOGY
2.11%
AXOGEN
2.09%
OMNICELL
1.98%
LANTHEUS HOLDINGS
1.98%
BAXTER INTL
1.98%
GLAUKOS
1.97%
DEXCOM
1.94%
DENTSPLY SIRONA
1.92%
BUTTERFLY NETWORK INC
1.92%
ENVISTA HOLDINGS CORP
1.91%
STRYKER
1.88%
GLOBUS MEDICAL
1.86%
Frequently asked questions about XBI and XHE

How have the XBI and XHE ETFs performed in 2026?

As of March 11, 2026, XBI is up 3.65% year-to-date (YTD), while XHE has lost -6.79%. That puts XBI better performer ahead so far this year.

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

Year-to-date, the XBI ETF saw -$59M in flows, compared to -$4M for XHE.

Which ETF is more volatile: XBI or XHE?

Over the past year, XBI had a volatility of 28.04%, while XHE experienced 23.53%.

Which ETF is bigger: XBI or XHE?

As of March 11, 2026, XBI holds $8.10 B in assets under management (AUM), while XHE manages $139.64 M.

What sectors do the XBI and XHE ETFs invest in?

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

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

XBI top holdings include MODERNA INC, MIRUM PHARMACEUTICALS INC and REVOLUTION MEDICINES INC. XHE holds in its top three: NEOGEN, INTEGER HOLDINGS and PENUMBRA.

Which ETF is more diversified: XBI or XHE?

XBI holds 149 securities with 21.6% of its assets in the top 15. XHE has 64 securities and a top 15 weight of 30.47%.

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