Astrana Health, Inc. (ASTH) IV/HV History
Comparing implied volatility to historical (realized) volatility reveals whether options are priced rich or cheap relative to actual price movement. Persistent gaps can signal trading opportunities.
Astrana Health, Inc. (ASTH) operates in the Healthcare sector, specifically the Medical - Care Facilities industry, with a market capitalization near $1.97B, listed on NASDAQ, employing roughly 1,900 people, carrying a beta of 0.99 to the broader market. Astrana Health, Inc. Led by Brandon K. Sim, public since 2009-03-11.
Snapshot as of May 15, 2026.
- Spot Price
- $38.06
- ATM IV
- 53.9%
- HV 20-Day
- 43.2%
- HV 60-Day
- 64.9%
- IV Rank
- 33.0%
- IV Percentile
- 22.6%
As of May 15, 2026, Astrana Health, Inc. (ASTH) ATM implied volatility is 53.9%. 20-day realized volatility is 43.2%, producing an IV-HV spread of +10.7 vol points. Options are pricing in more volatility than the stock has recently delivered, the volatility risk premium. IV rank is 33.0%.
How ASTH iv/hv history Data Feeds Strategy Selection
Strategy selection on Astrana Health, Inc. options does not derive from any single metric in isolation. The iv/hv history view above sits inside a broader read: ATM IV currently sits at 53.9% and dealer gamma exposure is positive, so dealer hedging is mechanically mean-reverting. Combine the iv/hv history data here with the volatility-skew surface, dealer-gamma exposure, max-pain level, and upcoming-events calendar to build a positioning thesis. Risk-defined structures (credit spreads, debit spreads, iron condors) are usually safer than naked positions while the regime is uncertain; the data on this page anchors the inputs but does not by itself constitute a trade thesis.
Learn how implied vs realized volatility is reported and how to read the data →
ASTH highest implied-volatility contracts
| Type | Strike | Expiration | Volume | OI | IV | Bid | Ask |
|---|---|---|---|---|---|---|---|
| CALL | $40.00 | Jun 18, 2026 | 0 | 4.5K | 53.9% | $0.60 | $3.40 |
Top 1 contracts from the ORATS-sourced nightly scan; ranked by iv within the broader S&P 500/400/600 + ETF universe.
Frequently asked ASTH iv/hv history questions
- Is ASTH options pricing rich or cheap right now?
- As of May 15, 2026, Astrana Health, Inc. (ASTH) ATM IV is 53.9% against 20-day realized volatility of 43.2%. IV rank is 33.0%. ASTH options are pricing in more volatility than the stock has recently realized: a positive variance risk premium worth 10.7 vol points.
- What is the ASTH variance risk premium?
- The variance risk premium is the persistent gap between implied and subsequently realized volatility. In equity markets it averages positive because option sellers demand compensation for bearing variance shocks. ASTH is currently priced consistently with this premium, which is one input to whether short-vol or long-vol structures carry their typical edge.
- What does ASTH IV rank mean for strategy selection?
- IV rank normalizes the current ATM IV to its 1-year range: 0% is the low, 100% is the high. ASTH's current rank of 33.0% signals where current pricing sits in its own 1-year history. High-rank regimes typically favor premium-selling structures (credit spreads, condors, covered calls); low-rank regimes typically favor premium-buying or long-volatility structures.