CSTL official logo CSTL
CSTL 1-star rating from Upturn Advisory
Castle Biosciences Inc (CSTL) company logo

Castle Biosciences Inc (CSTL)

Castle Biosciences Inc (CSTL) 1-star rating from Upturn Advisory
$38.1
Last Close (24-hour delay)
Profit since last BUY58.68%
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Upturn Advisory Summary

12/08/2025: CSTL (1-star) has a low Upturn Star Rating. Not recommended to BUY.

Upturn Star Rating

Upturn 1 star rating for performance

Not Recommended Performance

These Stocks/ETFs, based on Upturn Advisory, consistently fall short of market performance, signaling caution before investing.

Number of Analysts

2 star rating from financial analysts

9 Analysts rated it

Limited analyst coverage, niche firm, research info may be scarce.

1 Year Target Price $37.25

1 Year Target Price $37.25

Analysts Price Target For last 52 week
$37.25 Target price
52w Low $14.59
Current$38.1
52w High $40.61

Analysis of Past Performance

Type Stock
Historic Profit -60.97%
Avg. Invested days 30
Today’s Advisory Consider higher Upturn Star rating
Upturn Star Rating upturn star rating icon
Upturn Advisory Performance Upturn Advisory Performance icon 2.0
Stock Returns Performance Upturn Returns Performance icon 1.0
Upturn Profits based on simulation icon Profits based on simulation
Upturn last close icon Last Close 12/08/2025

Key Highlights

Company Size Small-Cap Stock
Market Capitalization 1.11B USD
Price to earnings Ratio -
1Y Target Price 37.25
Price to earnings Ratio -
1Y Target Price 37.25
Volume (30-day avg) 9
Beta 1.14
52 Weeks Range 14.59 - 40.61
Updated Date 12/9/2025
52 Weeks Range 14.59 - 40.61
Updated Date 12/9/2025
Dividends yield (FY) -
Basic EPS (TTM) -0.44

Analyzing Revenue: Products, Geography and Growth

Revenue by Products

Product revenue - Year on Year

Earnings Date

Report Date -
When -
Estimate -
Actual -

Profitability

Profit Margin -3.56%
Operating Margin (TTM) -8.19%

Management Effectiveness

Return on Assets (TTM) -1.72%
Return on Equity (TTM) -2.7%

Valuation

Trailing PE -
Forward PE -
Enterprise Value 877446783
Price to Sales(TTM) 3.24
Enterprise Value 877446783
Price to Sales(TTM) 3.24
Enterprise Value to Revenue 2.55
Enterprise Value to EBITDA 36.56
Shares Outstanding 29188659
Shares Floating 26966818
Shares Outstanding 29188659
Shares Floating 26966818
Percent Insiders 2.72
Percent Institutions 92.41

Icon representing Upturn AI-generated SWOT analysis summary Upturn AI SWOT

Castle Biosciences Inc

Castle Biosciences Inc(CSTL) company logo displayed in Upturn AI summary

Company Overview

Company history and background logo History and Background

Castle Biosciences Inc. was founded in 2007 with a mission to provide physicians with tools to improve the management of skin cancer. The company has focused on developing and commercializing proprietary genomic and bioinformatic tests. A significant milestone was its initial public offering (IPO) in July 2019, which provided capital for further research and development and market expansion. Over time, Castle Biosciences has expanded its product portfolio beyond melanoma to include tests for other dermatological conditions.

Company business area logo Core Business Areas

  • Dermatology Oncology: Focuses on developing and commercializing proprietary diagnostic and prognostic tests for skin cancer, primarily melanoma. These tests aim to assist physicians in making informed treatment decisions by providing objective, genomic-based information.
  • Dermatology: Expands beyond oncology to address other dermatological conditions, offering tests that can aid in diagnosis and management, aiming to improve patient outcomes and reduce healthcare costs.

leadership logo Leadership and Structure

Castle Biosciences Inc. is led by a management team with expertise in diagnostics, oncology, and commercialization. The organizational structure is designed to support research and development, clinical validation, regulatory affairs, sales and marketing, and operational functions necessary for a biotechnology company.

Top Products and Market Share

Product Key Offerings logo Key Offerings

  • DecisionDx-Melanoma: A proprietary genomic expression profiling test for cutaneous melanoma. It helps physicians assess the risk of metastasis in early-stage melanoma patients, informing treatment decisions. Competitors include other prognostic tools and assays that aim to stratify melanoma risk, though Castle Biosciences holds a significant position in the genomic testing space for this indication. Specific market share data is proprietary, but it is a leading test in its category.
  • DecisionDx-SCC: A genomic expression profiling test for cutaneous squamous cell carcinoma (CSCC). This test aids in identifying patients at higher risk of metastasis, guiding proactive management. Competitors include clinical staging, pathology, and other risk assessment tools.
  • MySTRAT: A genetic test designed to help physicians predict the risk of certain types of rare disease flares. This test contributes to the company's expansion into broader dermatological and rare disease areas. Competitors are generally limited to specific genetic testing companies focusing on rare diseases.

Market Dynamics

industry overview logo Industry Overview

The diagnostics industry, particularly in oncology and dermatology, is characterized by rapid technological advancement, increasing demand for personalized medicine, and a growing focus on genomic and molecular testing. The market is influenced by regulatory environments, reimbursement policies, and the need for clinically validated, cost-effective solutions.

Positioning

Castle Biosciences Inc. is positioned as a leader in developing and commercializing proprietary genomic tests for dermatological conditions, particularly skin cancer. Its competitive advantages lie in its validated genomic tests, strong clinical evidence, and established physician relationships. The company focuses on unmet needs in risk stratification and treatment decision-making.

Total Addressable Market (TAM)

The TAM for dermatologic diagnostics and oncology testing is substantial and growing, driven by the increasing incidence of skin cancers and the shift towards precision medicine. Castle Biosciences Inc. is positioned to capture a significant portion of this market with its differentiated diagnostic solutions, though precise TAM figures are dynamic and subject to ongoing market research. The company's strategy is to expand its test offerings to address a broader spectrum of dermatologic conditions, thereby increasing its addressable market.

Upturn SWOT Analysis

Strengths

  • Proprietary genomic technologies and validated tests.
  • Strong clinical evidence supporting test utility.
  • Established brand recognition and physician adoption in key markets.
  • Focus on unmet clinical needs in dermatology and oncology.
  • Experienced management team.

Weaknesses

  • Reliance on a limited number of key products.
  • Reimbursement landscape can be complex and evolving.
  • Long sales cycles for adoption of new diagnostic tests.
  • Competition from established diagnostic companies and emerging technologies.

Opportunities

  • Expansion into new dermatological indications and rare diseases.
  • International market expansion.
  • Development of new diagnostic and prognostic tests.
  • Partnerships and collaborations with healthcare providers and pharmaceutical companies.
  • Increasing adoption of precision medicine.

Threats

  • Changes in reimbursement policies and payer coverage.
  • Emergence of new competing diagnostic technologies.
  • Regulatory hurdles for new test approvals.
  • Economic downturns affecting healthcare spending.
  • Intellectual property challenges.

Competitors and Market Share

Key competitor logo Key Competitors

  • Exact Sciences Corporation (EXAS)
  • Guardant Health, Inc. (GH)
  • NeoGenomics, Inc. (NEO)
  • Myriad Genetics, Inc. (MYGN)

Competitive Landscape

Castle Biosciences Inc. competes in the molecular diagnostics space, facing competition from larger, more established companies with broader portfolios and significant resources, as well as smaller, specialized companies focusing on niche diagnostic areas. Its advantages lie in its specialized focus on dermatologic conditions, strong clinical validation, and established physician relationships. However, competitors may have greater scale, wider market access, and more diversified revenue streams.

Growth Trajectory and Initiatives

Historical Growth: Castle Biosciences Inc. has experienced significant historical revenue growth, driven by the increasing adoption of its diagnostic tests, particularly DecisionDx-Melanoma. This growth has been fueled by expanding the sales force, increasing clinical awareness, and broadening market access.

Future Projections: Future growth is projected to be driven by continued penetration of existing markets, expansion into new indications and geographic regions, and the development and launch of new proprietary tests. Analyst estimates for future revenue and earnings per share are typically available through financial data providers.

Recent Initiatives: Recent initiatives likely include R&D for new tests, expanding the commercial team, seeking broader insurance coverage and reimbursement, and potentially strategic partnerships or acquisitions to broaden the product pipeline or market reach.

Summary

Castle Biosciences Inc. is a promising player in the specialized field of dermatologic diagnostics, with its core strength in proprietary genomic tests like DecisionDx-Melanoma. The company has a history of strong revenue growth and a clear strategy for future expansion into new indications and markets. However, it faces challenges related to reimbursement, competition from larger entities, and the inherent risks of the biotechnology sector. Continued focus on clinical utility, market adoption, and diversification of its product pipeline will be crucial for its sustained success.

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Sources and Disclaimers

Data Sources:

  • Company financial reports (10-K, 10-Q)
  • Investor relations materials
  • Industry research reports
  • Financial news and analysis websites

Disclaimers:

This JSON output is for informational purposes only and does not constitute financial advice. Financial data and market share estimations are subject to change and may vary depending on the source and reporting period. Investors should conduct their own due diligence before making any investment decisions.

Information icon for Upturn AI Summarization accuracy disclaimer AI Summarization is directionally correct and might not be accurate.

Information icon for Upturn AI Summarization data freshness disclaimer Summarized information shown could be a few years old and not current.

Information icon warning about Upturn AI Fundamental Rating based on potentially old data Fundamental Rating based on AI could be based on old data.

Information icon warning about potential inaccuracies or hallucinations in Upturn AI-generated summaries AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.

About Castle Biosciences Inc

Exchange NASDAQ
Headquaters Friendswood, TX, United States
IPO Launch date 2019-07-25
Founder, CEO, President & Director Mr. Derek J. Maetzold
Sector Healthcare
Industry Diagnostics & Research
Full time employees 823
Full time employees 823

Castle Biosciences, Inc., a molecular diagnostics company, provides test solutions for the diagnosis and treatment of dermatologic cancers, Barrett's esophagus (BE), uveal melanoma, and mental health conditions. The company offers DecisionDx-Melanoma, a risk stratification gene expression profile (GEP) test that predicts the risk of metastasis for patients with uveal melanoma; DecisionDx-SCC, a risk stratification test for cutaneous squamous cell carcinoma; MyPath Melanoma, a diagnostic GEP test for use in patients with difficult-to-diagnose melanocytic lesions; and TissueCypher, a risk stratification spatial-omics test to predict future development of progression of high-grade dysplasia and/or esophageal cancer in patients with non-dysplastic, indefinite dysplasia, and low-grade dysplasia BE. It also provides DecisionDx-UM, a risk stratification GEP test that predicts the risk of metastasis for patients with uveal melanoma; and IDgenetix, a pharmacogenomic test that helps guide optimal drug treatment for patients diagnosed with major depressive disorder, schizophrenia, bipolar disorder, anxiety disorders, social phobia, obsessive-compulsive personality disorder, post-traumatic stress disorder, and attention deficit hyperactivity disorder. The company offers its products to skin cancer and gastroenterology markets. The company was incorporated in 2007 and is headquartered in Friendswood, Texas.