VanEck Vectors Biotech ETF (BBH) belongs to the Health & Biotech Equities category. Below you'll find alternative ETFs from the same category, ranked by key criteria, plus funds that investors commonly compare with BBH. Use the tables to find lower-cost options, better risk-adjusted returns, or a closer substitute for your current allocation.
Cheapest Alternatives to BBH
BBH charges 0.35% annually. There are 7 ETFs in the Health & Biotech Equities category with lower expense ratios, going as low as 0.08%.
| Symbol | Name | Expense Ratio | AUM | Inception | |
|---|---|---|---|---|---|
| State Street Health Care Select Sector SPDR ETF | 0.08% | 41.65B | Dec 1998 | BBH vs XLV | |
| Fidelity MSCI Health Care Index ETF | 0.08% | 3.22B | Oct 2013 | BBH vs FHLC | |
| Vanguard Health Care ETF | 0.09% | 19.00B | Jan 2004 | BBH vs VHT | |
| Portfolio Building Block World Pharma and Biotech ... | 0.13% | 951.16M | Nov 2025 | BBH vs PBPH | |
| Invesco Nasdaq Biotechnology ETF | 0.19% | 74.65M | Jun 2021 | BBH vs IBBQ |
Best Risk-Adjusted Alternatives to BBH
BBH has a PortfoliosLab risk / return rank of 55. There are 24 ETFs in the Health & Biotech Equities category with higher risk-adjusted ranks, going as high as 96.
| Symbol | Name | Risk / Return Rank | AUM | Inception | |
|---|---|---|---|---|---|
| Virtus LifeSci Biotech Clinical Trials ETF | 96 | 57.56M | Dec 2014 | BBH vs BBC | |
| ALPS Medical Breakthroughs ETF | 95 | 213.08M | Dec 2014 | BBH vs SBIO | |
| SPDR S&P Biotech ETF | 94 | 11.10B | Feb 2006 | BBH vs XBI | |
| iShares U.S. Pharmaceuticals ETF | 93 | 1.34B | May 2006 | BBH vs IHE | |
| iShares Neuroscience and Healthcare ETF | 92 | 5.85M | Aug 2022 | BBH vs IBRN |
Top Performing BBH Alternatives (YTD)
BBH is at 7.17% YTD. There are 30 ETFs in the Health & Biotech Equities category with higher YTD returns, going as high as 41.70%.
| Symbol | Name | YTD Return | AUM | Inception | |
|---|---|---|---|---|---|
| ARK Genomic Revolution Multi-Sector ETF | 41.70% | 1.31B | Oct 2014 | BBH vs ARKG | |
| AdvisorShares Psychedelics ETF | 38.20% | 44.37M | Sep 2021 | BBH vs PSIL | |
| Virtus LifeSci Biotech Clinical Trials ETF | 33.75% | 57.56M | Dec 2014 | BBH vs BBC | |
| Roundhill UNH WeeklyPay ETF | 32.80% | 6.01M | Dec 2025 | BBH vs UNHW | |
| SPDR S&P Biotech ETF | 27.62% | 11.10B | Feb 2006 | BBH vs XBI |
Lowest Volatility Alternatives to BBH
BBH has 19.71% 1-year volatility. There are 32 ETFs in the Health & Biotech Equities category with lower 1-year volatility, going as low as 0.00%.
| Symbol | Name | Volatility 1Y | AUM | Inception | |
|---|---|---|---|---|---|
| Loncar Cancer Immunotherapy ETF | 0.00% | 12.73M | Oct 2015 | BBH vs CNCR | |
| Amplify Treatments, Testing and Advancements ETF | 0.00% | 9.68M | Jun 2020 | BBH vs GERM | |
| Horizon Kinetics SPAC Active ETF | 8.63% | 10.11M | Jun 2007 | BBH vs SPAQ | |
| State Street Health Care Select Sector SPDR Premiu... | 10.96% | 16.78M | Jul 2025 | BBH vs XLVI | |
| Milliman Healthcare Inflation Plus ETF | 11.68% | 982.35K | Apr 2026 | BBH vs MHIP |
Lowest Drawdown Alternatives to BBH
BBH has a 1-year max drawdown of -10.55%. There are 16 ETFs in the Health & Biotech Equities category with shallower 1-year drawdowns, going as shallow as 0.00%.
| Symbol | Name | Max Drawdown 1Y | AUM | Inception | |
|---|---|---|---|---|---|
| Amplify Treatments, Testing and Advancements ETF | 0.00% | 9.68M | Jun 2020 | BBH vs GERM | |
| Horizon Kinetics SPAC Active ETF | -4.32% | 10.11M | Jun 2007 | BBH vs SPAQ | |
| First Trust Nasdaq Pharmaceuticals ETF | -7.47% | 36.36M | Sep 2016 | BBH vs FTXH | |
| Invesco Nasdaq Biotechnology ETF | -8.34% | 74.65M | Jun 2021 | BBH vs IBBQ | |
| iShares U.S. Pharmaceuticals ETF | -8.47% | 1.34B | May 2006 | BBH vs IHE |
Other ETFs from VanEck
The 10 most viewed VanEck ETFs shown here include SMH, GDX, NLR and span 12 categories. AUM among these funds goes as high as $74B.
| Symbol | Name | Category | Risk / Return Rank | YTD Return | AUM | Inception | |
|---|---|---|---|---|---|---|---|
| VanEck Semiconductor ETF | Semiconductors, Technology Equities | 93 | 66.69% | 73.62B | Dec 2011 | BBH vs SMH | |
| VanEck Gold Miners ETF | Gold, Precious Metals | 30 | -12.70% | 23.05B | May 2006 | BBH vs GDX | |
| VanEck Uranium and Nuclear ETF | Uranium, Alternative Energy Equities | 11 | -10.33% | 4.13B | Aug 2007 | BBH vs NLR | |
| VanEck Junior Gold Miners ETF | Gold, Precious Metals | 29 | -13.54% | 7.11B | Nov 2009 | BBH vs GDXJ | |
| VanEck Morningstar Wide Moat ETF | Large Cap Blend Equities | 26 | 2.17% | 11.77B | Apr 2012 | BBH vs MOAT | |
| VanEck Fabless Semiconductor ETF | Semiconductors, Technology Equities | 84 | 56.96% | 286.70M | Aug 2024 | BBH vs SMHX | |
| VanEck Rare Earth and Strategic Metals ETF | Rare Earth & Strategic Metals | 52 | 7.06% | 2.40B | Oct 2010 | BBH vs REMX | |
| VanEck BDC Income ETF | Financials Equities | 4 | -6.19% | 1.60B | Feb 2013 | BBH vs BIZD | |
| VanEck Bitcoin Trust | Cryptocurrency | 2 | -26.16% | 1.05B | Jan 2024 | BBH vs HODL | |
| VanEck IG Floating Rate ETF | Corporate Bonds, Ultrashort Bond | 99 | 2.46% | 2.89B | Apr 2011 | BBH vs FLTR |
Often Compared With BBH
Investors most often compare BBH with IBB, FBT, PBE. These 20 comparison targets span 6 categories, based on PortfoliosLab usage data.
Compare BBH with Any Fund or Stock
Compare BBH with any ETF, mutual fund, or stock using PortfoliosLab's comparison tool.
Pair BBH with funds that move differently
VanEck Vectors Biotech ETF alternatives help with substitution. Diversifiers are the next step when you want funds with lower historical correlation to BBH.
Explore BBH Diversifiers