diff --git a/docs/introduction/configuration.md b/docs/introduction/configuration.md
index 608557e..99a434d 100644
--- a/docs/introduction/configuration.md
+++ b/docs/introduction/configuration.md
@@ -67,13 +67,14 @@ To bootstrap Opentelemetry, you must provide at least:
 
 Additional parameters:
 
-- `opentelemetry_service_name`
-- `opentelemetry_container_name`
-- `opentelemetry_endpoint`
-- `opentelemetry_namespace`
-- `opentelemetry_insecure`
-- `opentelemetry_instrumentors`
-- `opentelemetry_log_traces`
+- `opentelemetry_service_name` - if provided, will be passed to the `Resource` instead of `service_name`.
+- `opentelemetry_container_name` - will be passed to the `Resource`.
+- `opentelemetry_endpoint` - will be passed to `OTLPSpanExporter` as endpoint.
+- `opentelemetry_namespace` - will be passed to the `Resource`.
+- `opentelemetry_insecure` - is opentelemetry connection secure.
+- `opentelemetry_instrumentors` - a list of extra instrumentors.
+- `opentelemetry_log_traces` - traces will be logged to stdout.
+- `opentelemetry_generate_health_check_spans` - generate spans for health check handlers if `True`.
 
 Additional parameters for Litestar and FastAPI:
 
diff --git a/lite_bootstrap/bootstrappers/fastapi_bootstrapper.py b/lite_bootstrap/bootstrappers/fastapi_bootstrapper.py
index 80456d1..55f64a5 100644
--- a/lite_bootstrap/bootstrappers/fastapi_bootstrapper.py
+++ b/lite_bootstrap/bootstrappers/fastapi_bootstrapper.py
@@ -104,11 +104,12 @@ class FastAPILoggingInstrument(LoggingInstrument):
 class FastAPIOpenTelemetryInstrument(OpenTelemetryInstrument):
     bootstrap_config: FastAPIConfig
 
-    def _build_excluded_urls(self) -> list[str]:
-        excluded_urls = [*self.bootstrap_config.opentelemetry_excluded_urls]
-        for one_url in (self.bootstrap_config.health_checks_path, self.bootstrap_config.prometheus_metrics_path):
-            if one_url and one_url not in excluded_urls:
-                excluded_urls.append(one_url)
+    def _build_excluded_urls(self) -> set[str]:
+        excluded_urls = set(self.bootstrap_config.opentelemetry_excluded_urls)
+        excluded_urls.add(self.bootstrap_config.prometheus_metrics_path)
+        if not self.bootstrap_config.opentelemetry_generate_health_check_spans:
+            excluded_urls.add(self.bootstrap_config.health_checks_path)
+
         return excluded_urls
 
     def bootstrap(self) -> None:
diff --git a/lite_bootstrap/bootstrappers/faststream_bootstrapper.py b/lite_bootstrap/bootstrappers/faststream_bootstrapper.py
index 2200c54..8bacbd9 100644
--- a/lite_bootstrap/bootstrappers/faststream_bootstrapper.py
+++ b/lite_bootstrap/bootstrappers/faststream_bootstrapper.py
@@ -19,9 +19,12 @@
     import prometheus_client
 
 if import_checker.is_opentelemetry_installed:
+    from opentelemetry import trace
     from opentelemetry.metrics import Meter, MeterProvider
     from opentelemetry.trace import TracerProvider, get_tracer_provider
 
+    tracer: typing.Final = trace.get_tracer(__name__)
+
 
 @typing.runtime_checkable
 class FastStreamTelemetryMiddlewareProtocol(typing.Protocol):
@@ -70,6 +73,11 @@ async def check_health(_: object) -> "AsgiResponse":
                 else AsgiResponse(b"Service is unhealthy", 500, headers={"content-type": "application/json"})
             )
 
+        if self.bootstrap_config.opentelemetry_generate_health_check_spans:
+            check_health = tracer.start_as_current_span(f"GET {self.bootstrap_config.health_checks_path}")(
+                check_health,
+            )
+
         self.bootstrap_config.application.mount(self.bootstrap_config.health_checks_path, check_health)
 
     async def _define_health_status(self) -> bool:
diff --git a/lite_bootstrap/bootstrappers/litestar_bootstrapper.py b/lite_bootstrap/bootstrappers/litestar_bootstrapper.py
index 06649a3..0698f7d 100644
--- a/lite_bootstrap/bootstrappers/litestar_bootstrapper.py
+++ b/lite_bootstrap/bootstrappers/litestar_bootstrapper.py
@@ -100,11 +100,12 @@ class LitestarLoggingInstrument(LoggingInstrument):
 class LitestarOpenTelemetryInstrument(OpenTelemetryInstrument):
     bootstrap_config: LitestarConfig
 
-    def _build_excluded_urls(self) -> list[str]:
-        excluded_urls = [*self.bootstrap_config.opentelemetry_excluded_urls]
-        for one_url in (self.bootstrap_config.health_checks_path, self.bootstrap_config.prometheus_metrics_path):
-            if one_url and one_url not in excluded_urls:
-                excluded_urls.append(one_url)
+    def _build_excluded_urls(self) -> set[str]:
+        excluded_urls = set(self.bootstrap_config.opentelemetry_excluded_urls)
+        excluded_urls.add(self.bootstrap_config.prometheus_metrics_path)
+        if not self.bootstrap_config.opentelemetry_generate_health_check_spans:
+            excluded_urls.add(self.bootstrap_config.health_checks_path)
+
         return excluded_urls
 
     def bootstrap(self) -> None:
@@ -112,7 +113,7 @@ def bootstrap(self) -> None:
         self.bootstrap_config.application_config.middleware.append(
             OpenTelemetryConfig(
                 tracer_provider=get_tracer_provider(),
-                exclude=self._build_excluded_urls(),
+                exclude=list(self._build_excluded_urls()),
             ).middleware,
         )
 
diff --git a/lite_bootstrap/instruments/opentelemetry_instrument.py b/lite_bootstrap/instruments/opentelemetry_instrument.py
index e810801..2bd0780 100644
--- a/lite_bootstrap/instruments/opentelemetry_instrument.py
+++ b/lite_bootstrap/instruments/opentelemetry_instrument.py
@@ -36,6 +36,7 @@ class OpentelemetryConfig(BaseConfig):
         default_factory=list
     )
     opentelemetry_log_traces: bool = False
+    opentelemetry_generate_health_check_spans: bool = True
 
 
 @dataclasses.dataclass(kw_only=True, slots=True, frozen=True)
diff --git a/tests/test_fastapi_bootstrap.py b/tests/test_fastapi_bootstrap.py
index 842e771..1f2c32d 100644
--- a/tests/test_fastapi_bootstrap.py
+++ b/tests/test_fastapi_bootstrap.py
@@ -28,6 +28,7 @@ def fastapi_config() -> FastAPIConfig:
         opentelemetry_endpoint="otl",
         opentelemetry_instrumentors=[CustomInstrumentor()],
         opentelemetry_log_traces=True,
+        opentelemetry_generate_health_check_spans=False,
         prometheus_metrics_path="/custom-metrics/",
         sentry_dsn="https://testdsn@localhost/1",
         swagger_offline_docs=True,
diff --git a/tests/test_litestar_bootstrap.py b/tests/test_litestar_bootstrap.py
index 09e2e98..4cb1387 100644
--- a/tests/test_litestar_bootstrap.py
+++ b/tests/test_litestar_bootstrap.py
@@ -22,6 +22,7 @@ def litestar_config() -> LitestarConfig:
         opentelemetry_endpoint="otl",
         opentelemetry_instrumentors=[CustomInstrumentor()],
         opentelemetry_log_traces=True,
+        opentelemetry_generate_health_check_spans=False,
         prometheus_metrics_path="/custom-metrics/",
         sentry_dsn="https://testdsn@localhost/1",
         swagger_offline_docs=True,