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CSTLCastle Biosciences, Inc.
$34.88$1.1B
Overview & Tools
OverviewChart Terminal ↗Visualize
Valuation & Forecasts
Valuation ModelsEstimatesDCF Model
Price & Analyst Data
Analyst TargetsPrice History
Financial Statements
Income StatementBalance SheetCash FlowRatios & Margins
Performance
P/E HistoryRevenue HistoryEarnings HistoryDividend HistoryTotal Return
Discovery & Screens
Live BreakoutsStock ScreenerOwnership
CSTL logo

Castle Biosciences, Inc.

CSTL
NASDAQ · Diagnostics & Research
$34.88
At close - Sep 23, 4:00 PM EDT - USD
Market Cap$1.06B
P/E-42.0x
52W High$44.28
Volume348.27K
OverviewTerminalAnalysisFinancialsValuationEarningsBreakoutsOwnership
VCP Research Verdict2026Q2

Revenue Rebound Masks Structural Margin Erosion

Castle Biosciences is executing a strategic pivot toward commercial expansion, evidenced by a 20.1% YoY revenue surge in Q2 2026 to $103.5M, yet this growth is accompanied by persistent gross margin compression (down to 77.1% from 83.3% two years prior) and es...

GrowthAccelerating
ProfitabilityStrained
ValuationAttractive
TechnicalsStrong
Explore valuation models
MARKET ACTION

CSTL price & volume

Price trend, volume and key moving averages

Launch Terminal
Loading chart...
Decision Checklist4 Core Signals

What matters now

The signals most likely to change the investment case.

01

Earnings momentum

10/12 Beats

EPS beat 10 of last 12 quarters

02

Valuation risk

-216% Peers

P/E is 216% below peer median

03

Market leadership

RS 91 · Leader

High momentum (Outperforming 91% of market)

04

Strong Uptrend

Strong Trend

Price > 20DMA > 50DMA > 200DMA

Next CatalystEstimated earnings · Oct 30

Market performance

Price History →

Trailing total returns as of 9/24/2026, which may include dividends or other distributions. Benchmark is S&P 500 (^GSPC).

YTD Return
CSTL-9.50%
S&P 500 (^GSPC)+12.39%
1-Year Return
CSTL+48.05%
S&P 500 (^GSPC)+15.77%
3-Year Return
CSTL+111.14%
S&P 500 (^GSPC)+77.80%
5-Year Return
CSTL-53.46%
S&P 500 (^GSPC)+73.83%
02

Test the fundamentals

Check whether operating performance supports the current valuation.

VALUATION & INTRINSIC VALUE

Valuation Scenarios

Valuation Analysis
Trailing P/E5Y Low
-42.0x
Forward P/E
N/A
EV/EBITDA
N/A
FCF YieldCash Flow
2.7%

Valuation vs 5-Year History

Multiple Range
Metric
Current
5Y Median
Historical Range
Percentile
P/E
-42.0x
43.0x
0th· Low
EV/EBITDA
N/A
27.8x
N/A
Price/FCF
37.3x
39.8x
50th· Fair
Current Multiple
5Y Median (50th %ile)

Intrinsic Value Scenarios

DCF Projection
Bear$8.03-77.0%
Base (Fair)$11.75-66.8%
Bull$11.55-66.9%
$8.03 Bear$11.75 Base$11.55 Bull
Current Market Price: $34.88
Trades at a 196.9% premium to Base DCF ($11.75)
Open DCF & Valuation Models →Chart Terminal ↗

Growth & profitability

Annual revenue & EPS trend
Revenue
$344M+3.7% YoY
Net income
-$24M-232.4% YoY
Free cash flow
$28M-22.5% YoY
Operating margin
-12.4%-15.0 pts YoY
ROIC (TTM)-8.5%
Avg ROIC 5Y-
ROE (TTM)-5.2%
Piotroski Score3 / 9
Financial Statements →
03

Monitor what changed

Recent results and news deserve attention only when they alter the forward view.

OPERATING RESULTS

Recent Earnings

Earnings History
EPS Beat Rate10/12 (83%)
Revenue Beat Rate12/12 (100%)
QuarterEPS (Act vs Est)Revenue (Act vs Est)
Q3 2026Latest
Jul 30, 2026
-$0.07+82.8%
vs -$0.41
$104M+20.1%
vs $86M
Q2 2026
May 6, 2026
-$0.49+0.0%
vs -$0.49
$84M+6.3%
vs $79M
Q1 2026
Feb 26, 2026
-$0.08+65.2%
vs -$0.23
$87M+8.9%
vs $80M
Q4 2025
Nov 3, 2025
-$0.02+94.1%
vs -$0.34
$83M+3.3%
vs $80M
Historical baseline: 12 quarters analyzedGAAP / Adjusted
MARKET COVERAGE

Latest News

5 Stories
PRNewsWire·Sep 15, 2026
New Decision Modeling Study Demonstrates TissueCypher® Significantly Improves Risk-Aligned Management for Patients with Barrett's Esophagus

Decision modeling study shows use of TissueCypher can nearly double appropriate escalation of care for patients with non-dysplastic Barrett's esophagus who later progress to cancer, while substantially reducing overuse of procedures in patients who do not progress FRIENDSWOOD, Texas, Sept. 15, 2026 /PRNewswire/ -- Castle Biosciences, Inc. (Nasdaq: CSTL), a company improving health through innovative tests that guide patient care, today announced the publication of a new decision modeling study showing that the TissueCypher® Barrett's Esophagus test (TSP-9) can help better align Barrett's esophagus (BE) management with a patient's individual risk of progression to high-grade dysplasia (HGD) or esophageal adenocarcinoma (EAC).

PRNewsWire·Sep 9, 2026
JAAD Publication Shows Improved Performance of DecisionDx®-SCC

DecisionDx-SCC shows enhanced performance with the integration of select clinicopathologic risk factors, providing a more precise result to support risk-aligned patient management DecisionDx-SCC's Class 1A (low risk) result demonstrated a 97.3% negative predictive value, supporting confidence in de-escalation decisions, while its Class 2B (highest risk) result identified patients most likely to benefit from adjuvant radiation therapy FRIENDSWOOD, Texas, Sept. 9, 2026 /PRNewswire/ -- Castle Biosciences, Inc. (Nasdaq: CSTL), a company improving health through innovative tests that guide patient care, today announced the publication of a multi-center study in the Journal of the American Academy of Dermatology (JAAD) validating the integrated DecisionDx-SCC test result (i40-GEP) for patients with high-risk cutaneous squamous cell carcinoma (SCC).1 DecisionDx-SCC analyzes 40 genes to provide results related to prognosis and response to adjuvant radiation therapy (ART) based on an individual patient's tumor biology.

PRNewsWire·Sep 8, 2026
SciBase receives additional order from Castle Biosciences, advancing the collaboration

STOCKHOLM, Sept. 8, 2026 /PRNewswire/ -- SciBase Holding AB ("SciBase") (STO: SCIB), a leader in AI-based devices for detection and prevention in dermatology, today announces that it has received an additional order for an acceleration of the current, ongoing clinical study and preparations for a second clinical study under the collaboration with Castle Biosciences.

Zacks Investment Research·Aug 28, 2026
Castle Biosciences, Inc. (CSTL) Is Up 15.46% in One Week: What You Should Know

Does Castle Biosciences, Inc. (CSTL) have what it takes to be a top stock pick for momentum investors? Let's find out.

Filtered for Castle Biosciences, Inc.More Headlines
04

Compare before deciding

Benchmark CSTL against direct peers instead of judging its metrics in isolation.

Peers Comparison

Key metrics vs top competitors for Castle Biosciences, Inc. (CSTL)

Full Screener →
CompanyPriceMarket CapP/E RatioRev Growth (1Y)Net MarginROEDiv Yield
CSTL logoCSTLCastle Biosciences, Inc.Current
$34.88$1.06B-42.023.66%-7.02%-5.21%—
NTRA logoNTRANatera, Inc.
$390.79$55.97B-257.1035.9%-7.11%-11.73%—
EXAS logoEXASExact Sciences Corporation
$104.91$20.02B-95.3717.69%-6.4%-8.66%—
VCYT logoVCYTVeracyte, Inc.
$43.82$3.5B53.4416.01%20.37%8.64%—
ARDX logoARDXArdelyx, Inc.
$3.48$859.66M-13.3822.09%-12.35%-36%—
FLGT logoFLGTFulgent Genetics, Inc.
$21.27$604.08M-10.8013.83%-26.05%-7.91%—

Compare CSTL vs Peers

Castle Biosciences, Inc. (CSTL) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs NTRA

Most directly comparable listed peer for CSTL.

Scale Benchmark

vs TMO

Larger-name benchmark to compare CSTL against a more recognizable public peer.

Peer Set

Compare Top 5

vs NTRA, EXAS, VCYT, ARDX

05

Keep researching

Verify the primary filings, follow material updates, and answer the remaining questions.

CSTL SEC Filings & Documents

Castle Biosciences, Inc. (CSTL) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

Jul 30, 2026·SEC

Material company update

May 29, 2026·SEC

Material company update

May 6, 2026·SEC

10-K Annual Reports

2
FY 2026

Feb 26, 2026·SEC

FY 2025

Feb 27, 2025·SEC

10-Q Quarterly Reports

6
FY 2026

Jul 30, 2026·SEC

FY 2026

May 6, 2026·SEC

FY 2025

Nov 3, 2025·SEC

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CSTL Frequently Asked Questions

Castle Biosciences, Inc. (CSTL) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials
What is Castle Biosciences, Inc.'s revenue?

Castle Biosciences, Inc. (CSTL) reported $357.3M in revenue for fiscal year 2025. This represents a 2498% increase from $13.8M in 2017.

How fast is Castle Biosciences, Inc. growing?

Castle Biosciences, Inc. (CSTL) grew revenue by 3.7% over the past year. Growth has been modest.

Is CSTL profitable?

Castle Biosciences, Inc. (CSTL) reported a net loss of $19.4M for fiscal year 2025.

Dividend & Returns
What is CSTL's return on equity?

Castle Biosciences, Inc. (CSTL) has a return on equity (ROE) of -5.2%. Negative ROE indicates the company is unprofitable.

What is Castle Biosciences, Inc.'s free cash flow?

Castle Biosciences, Inc. (CSTL) had negative free cash flow of $0.5M in fiscal year 2025, likely due to heavy capital investments.

What if you invested $1,000 in CSTL back in 2017?

Total return calculator · dividends reinvested · 9+ years of data

See returns →