UNH Unusual Options Activity

As of Oct 20, 2026, our scanner has flagged 38 unusual UNH options trades in its recent history: 36 bullish and 2 bearish, totaling $164.4M in premium. Flow has leaned leaned bullish (call buying), with $162.6M in bullish call premium vs. $1.9M in bearish put premium. The most recent UNH trade was flagged at 15:00 ET on Oct 20, 2026.

38Flagged trades

36Bullish

2Bearish

$164.4MTotal premium

$52.6MLargest trade

Recent UNH options flow

15:00 ET
Oct 20, 2026
3832 $UNH Oct 23rd 2026 425 CALLS BOUGHT@ 2.6 vs Open Interest of 1734 for a total of $1001646. 2.2x volume/OI ratio.
BULLISH
10:30 ET
Oct 20, 2026
7574 $UNH Oct 23rd 2026 420 CALLS BOUGHT@ 4.3 vs Open Interest of 1981 for a total of $3257805. 3.8x volume/OI ratio.
BULLISH
15:45 ET
Oct 19, 2026
2150 $UNH Oct 23rd 2026 405 PUTS BOUGHT@ 5.2 vs Open Interest of 139 for a total of $1110540. 15.5x volume/OI ratio.
BEARISH
12:00 ET
Oct 16, 2026
3369 $UNH Oct 23rd 2026 410 CALLS BOUGHT@ 3.8 vs Open Interest of 1220 for a total of $1265497. 2.8x volume/OI ratio.
BULLISH
15:45 ET
Oct 13, 2026
6249 $UNH Oct 16th 2026 390 CALLS BOUGHT@ 3.4 vs Open Interest of 3118 for a total of $2100789. 2x volume/OI ratio.
BULLISH
12:15 ET
Oct 13, 2026
1819 $UNH Oct 16th 2026 377.5 CALLS BOUGHT@ 7.5 vs Open Interest of 725 for a total of $1357683. 2.5x volume/OI ratio.
BULLISH
15:45 ET
Oct 12, 2026
580 $UNH Oct 16th 2026 377.5 PUTS BOUGHT@ 13.1 vs Open Interest of 285 for a total of $761807. 2x volume/OI ratio.
BEARISH
15:00 ET
Oct 12, 2026
855 $UNH Oct 16th 2026 377.5 CALLS BOUGHT@ 12.5 vs Open Interest of 327 for a total of $1069827. 2.6x volume/OI ratio.
BULLISH
11:30 ET
Oct 12, 2026
2442 $UNH Oct 16th 2026 382.5 CALLS BOUGHT@ 10.3 vs Open Interest of 441 for a total of $2522049. 5.5x volume/OI ratio.
BULLISH
09:30 ET
Sep 22, 2026
1645 $UNH Sep 25th 2026 375 CALLS BOUGHT@ 5.3 vs Open Interest of 410 for a total of $872788. 4x volume/OI ratio.
BULLISH
09:30 ET
Sep 14, 2026
1936 $UNH Sep 18th 2026 377.5 CALLS BOUGHT@ 5.3 vs Open Interest of 432 for a total of $1026912. 4.5x volume/OI ratio.
BULLISH
09:30 ET
Sep 14, 2026
8049 $UNH Sep 18th 2026 340 CALLS BOUGHT@ 37 vs Open Interest of 178 for a total of $29805206. 45.2x volume/OI ratio.
BULLISH
09:30 ET
Sep 14, 2026
11055 $UNH Sep 18th 2026 330 CALLS BOUGHT@ 47.5 vs Open Interest of 943 for a total of $52559892. 11.7x volume/OI ratio.
BULLISH
09:30 ET
Sep 14, 2026
11428 $UNH Sep 18th 2026 350 CALLS BOUGHT@ 27.1 vs Open Interest of 579 for a total of $30950338. 19.7x volume/OI ratio.
BULLISH
14:45 ET
Sep 8, 2026
2211 $UNH Sep 11th 2026 405 CALLS BOUGHT@ 4.5 vs Open Interest of 870 for a total of $998952. 2.5x volume/OI ratio.
BULLISH
14:30 ET
Sep 8, 2026
1833 $UNH Sep 11th 2026 395 CALLS BOUGHT@ 9.2 vs Open Interest of 560 for a total of $1680788. 3.3x volume/OI ratio.
BULLISH
09:30 ET
Aug 10, 2026
2490 $UNH Aug 14th 2026 410 CALLS BOUGHT@ 4.9 vs Open Interest of 973 for a total of $1217834. 2.6x volume/OI ratio.
BULLISH
09:30 ET
Aug 10, 2026
7187 $UNH Aug 14th 2026 420 CALLS BOUGHT@ 1.9 vs Open Interest of 2563 for a total of $1382491. 2.8x volume/OI ratio.
BULLISH
13:15 ET
Aug 7, 2026
6543 $UNH Aug 14th 2026 420 CALLS BOUGHT@ 2 vs Open Interest of 1736 for a total of $1279680. 3.8x volume/OI ratio.
BULLISH
12:45 ET
Aug 7, 2026
2349 $UNH Aug 14th 2026 410 CALLS BOUGHT@ 4.9 vs Open Interest of 312 for a total of $1155708. 7.5x volume/OI ratio.
BULLISH
09:30 ET
Aug 7, 2026
3592 $UNH Aug 14th 2026 412.5 CALLS BOUGHT@ 3.8 vs Open Interest of 850 for a total of $1349299. 4.2x volume/OI ratio.
BULLISH
14:15 ET
Aug 5, 2026
2605 $UNH Aug 14th 2026 420 CALLS BOUGHT@ 5.6 vs Open Interest of 162 for a total of $1447729. 16.1x volume/OI ratio.
BULLISH
14:00 ET
Jul 7, 2026
2980 $UNH Jul 10th 2026 430 CALLS BOUGHT@ 3.4 vs Open Interest of 1318 for a total of $1020024. 2.3x volume/OI ratio.
BULLISH
15:49 ET
Jun 4, 2026
1462 $UNH Jun 18th 2026 397.5 CALLS BOUGHT@ 8.4 vs Open Interest of 136 for a total of $1221121. 10.8x volume/OI ratio.
BULLISH
15:47 ET
Jun 3, 2026
1083 $UNH Jun 18th 2026 382.5 CALLS BOUGHT@ 9.4 vs Open Interest of 156 for a total of $1017684. 6.9x volume/OI ratio.
BULLISH
15:48 ET
May 27, 2026
2460 $UNH Jun 5th 2026 390 CALLS BOUGHT@ 4.1 vs Open Interest of 249 for a total of $1013520. 9.9x volume/OI ratio.
BULLISH
15:33 ET
May 27, 2026
2435 $UNH Jun 5th 2026 390 CALLS BOUGHT@ 4.1 vs Open Interest of 249 for a total of $1003853. 9.8x volume/OI ratio.
BULLISH
15:49 ET
May 19, 2026
1334 $UNH May 29th 2026 392.5 CALLS BOUGHT@ 7.8 vs Open Interest of 144 for a total of $1041627. 9.3x volume/OI ratio.
BULLISH
09:34 ET
May 11, 2026
3242 $UNH May 22nd 2026 382.5 CALLS BOUGHT@ 4.2 vs Open Interest of 762 for a total of $1377072. 4.3x volume/OI ratio.
BULLISH
15:49 ET
Apr 28, 2026
1366 $UNH May 8th 2026 365 CALLS BOUGHT@ 7.3 vs Open Interest of 222 for a total of $1000090. 6.2x volume/OI ratio.
BULLISH
15:49 ET
Apr 28, 2026
5979 $UNH May 15th 2026 390 CALLS BOUGHT@ 1.9 vs Open Interest of 1841 for a total of $1138222. 3.2x volume/OI ratio.
BULLISH
15:49 ET
Apr 28, 2026
3700 $UNH May 8th 2026 370 CALLS BOUGHT@ 4.4 vs Open Interest of 1130 for a total of $1645057. 3.3x volume/OI ratio.
BULLISH
15:47 ET
Apr 22, 2026
12420 $UNH May 15th 2026 400 CALLS BOUGHT@ 1 vs Open Interest of 2903 for a total of $1241627. 4.3x volume/OI ratio.
BULLISH
09:33 ET
Apr 22, 2026
8518 $UNH May 15th 2026 370 CALLS BOUGHT@ 4.6 vs Open Interest of 1324 for a total of $3879949. 6.4x volume/OI ratio.
BULLISH
09:33 ET
Apr 22, 2026
2161 $UNH May 1st 2026 360 CALLS BOUGHT@ 4.6 vs Open Interest of 427 for a total of $1000629. 5.1x volume/OI ratio.
BULLISH
15:50 ET
Apr 21, 2026
8448 $UNH May 15th 2026 370 CALLS BOUGHT@ 4.6 vs Open Interest of 1324 for a total of $3856850. 6.4x volume/OI ratio.
BULLISH
15:47 ET
Apr 7, 2026
1933 $UNH Apr 24th 2026 315 CALLS BOUGHT@ 8.5 vs Open Interest of 256 for a total of $1647071. 7.6x volume/OI ratio.
BULLISH
15:48 ET
Mar 31, 2026
1847 $UNH Apr 10th 2026 277.5 CALLS BOUGHT@ 6.3 vs Open Interest of 339 for a total of $1159842. 5.4x volume/OI ratio.
BULLISH

How to read UNH unusual options activity

Each row is a single UNH options trade where same-day volume was large relative to open interest and the premium was large. Bullish means calls were bought at or above the ask; bearish means puts were bought at or above the ask. Volume above open interest suggests, but does not prove, that new positions were opened. Check whether UNH open interest rose the next day to confirm. Learn more in our guide to unusual options activity and volume vs. open interest.

UNH options flow FAQ

Is there unusual options activity in UNH today?

Our most recent flagged UNH trade was at 15:00 ET on Oct 20, 2026. This page lists every recent UNH trade our scanner flagged, newest first, and refreshes every few minutes during market hours.

Is UNH options flow bullish or bearish right now?

Of 38 recent flagged UNH trades, 36 were bullish (calls bought at or above the ask) and 2 were bearish (puts bought at or above the ask). Large put buying is often hedging, so treat this as positioning data, not a prediction.