7.65K calls and 3.36K puts traded on Nov 4, 2026, 11.01K contracts in total. Open interest was 120.73K contracts. Over the past 30 days, volume averaged 6.84K contracts per day. The ISRG option volume chart shows volume by strike and expiration date.

Intuitive Surgical IV rank is 37, so its 30-day implied volatility of 33.5% is in the lower part of its one-year range. Over the past year it ranged from 23.9% on Dec 5, 2025 to 50.1% on Jul 14, 2026. See the ISRG implied volatility history for a longer view.

The Intuitive Surgical put/call volume ratio was 0.44 on Nov 4, 2026, so calls outnumber puts. The put/call open interest ratio was 0.78. The ISRG open interest chart shows calls and puts at each strike.

As of the Nov 4, 2026 close, max pain for Intuitive Surgical options about one week from expiration was $426.43, 11.6% below the $482.21 close. The ISRG max pain chart shows it for every expiration date.

Based on 7-day implied volatility of 38.8%, options price a move of about ±$25.88 (±5.4%) over the next week, a range of roughly $456.33 to $508.09 from the Nov 4, 2026 close. The ISRG expected move chart shows it for every expiration date.