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
$39.34
Last Close (24-hour delay)
Profit since last BUY63.85%
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BUY since 92 days
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Upturn Advisory Summary

01/09/2026: 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 $43.75

1 Year Target Price $43.75

Analysts Price Target For last 52 week
$43.75 Target price
52w Low $14.59
Current$39.34
52w High $42.17

Analysis of Past Performance

Type Stock
Historic Profit -59.69%
Avg. Invested days 32
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 01/09/2026

Key Highlights

Company Size Small-Cap Stock
Market Capitalization 1.16B USD
Price to earnings Ratio -
1Y Target Price 43.75
Price to earnings Ratio -
1Y Target Price 43.75
Volume (30-day avg) 9
Beta 1.06
52 Weeks Range 14.59 - 42.17
Updated Date 01/9/2026
52 Weeks Range 14.59 - 42.17
Updated Date 01/9/2026
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 913932607
Price to Sales(TTM) 3.39
Enterprise Value 913932607
Price to Sales(TTM) 3.39
Enterprise Value to Revenue 2.66
Enterprise Value to EBITDA 38.08
Shares Outstanding 29188659
Shares Floating 26976451
Shares Outstanding 29188659
Shares Floating 26976451
Percent Insiders 2.73
Percent Institutions 92.18

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 the mission to improve health through innovative diagnostics. The company focuses on developing and commercializing tests that provide clinically actionable information for dermatologic conditions. Key milestones include the launch of its initial products and subsequent FDA clearances, expanding its portfolio to address significant unmet needs in skin cancer diagnosis and management.

Company business area logo Core Business Areas

  • Dermatology Diagnostics: Castle Biosciences develops and markets proprietary genomic and other tests designed to improve the management of skin cancer and other dermatologic conditions. Their core focus is on providing physicians with objective, accurate diagnostic information to guide treatment decisions, thereby reducing uncertainty and improving patient outcomes.
  • Oncology Solutions: A significant portion of their business is dedicated to oncology, specifically in aiding the diagnosis and prognosis of melanoma and other skin cancers, helping to stratify patients for appropriate levels of care.

leadership logo Leadership and Structure

Castle Biosciences is led by a management team with expertise in diagnostics, biotechnology, and commercialization. The organizational structure is designed to support research and development, clinical validation, regulatory affairs, and commercial sales and marketing of its diagnostic tests.

Top Products and Market Share

Product Key Offerings logo Key Offerings

  • Description: A proprietary genomic expression profile test for identifying patients at high risk of distant metastasis from cutaneous melanoma. It helps stratify patients for appropriate surveillance and management strategies. Competitors include traditional staging methods and other prognostic tests.
  • Market Share: Significant within its niche of melanoma prognostics, but precise market share data is proprietary and not publicly disclosed. It is a leading test in its category.
  • Product Name 1: DecisionDx-Melanoma
  • Description: A gene expression profile test designed to identify patients with cutaneous squamous cell carcinoma (CSCC) who are at higher risk of metastasis. This test aids in determining the intensity of local and regional surveillance needed. Competitors include clinical assessment and other risk stratification tools.
  • Market Share: Emerging and growing within the CSCC risk stratification market. Market share is not as established as DecisionDx-Melanoma but is gaining traction.
  • Product Name 2: DecisionDx-SCC
  • Description: A proprietary test for the diagnosis of suspicious pigmented lesions, providing physicians with molecular insights to help differentiate benign nevi from melanoma, thereby reducing unnecessary excisions. Competitors include dermatopathologists and other in-vitro diagnostic tools.
  • Market Share: A newer offering, aiming to capture a segment of the lesion diagnosis market where there is a need for improved accuracy and reduced unnecessary procedures.
  • Product Name 3: IDGenetix

Market Dynamics

industry overview logo Industry Overview

The diagnostics market, particularly in oncology and dermatology, is characterized by rapid technological advancements, increasing demand for personalized medicine, and a growing emphasis on early and accurate disease detection. Regulatory environments and reimbursement policies play a significant role in market access and adoption.

Positioning

Castle Biosciences is positioned as a leader in proprietary genomic and molecular diagnostics for dermatologic conditions. Its competitive advantage lies in its scientifically validated tests that provide critical prognostic and diagnostic information, aiming to improve patient outcomes and reduce healthcare costs by guiding appropriate patient management.

Total Addressable Market (TAM)

The TAM for dermatologic diagnostics and oncology prognostics is substantial, driven by the prevalence of skin cancers and other skin diseases. While specific TAM figures vary, it encompasses millions of diagnostic tests annually globally. Castle Biosciences is positioned to capture a significant portion of this TAM by focusing on high-need areas where its tests offer a distinct clinical advantage.

Upturn SWOT Analysis

Strengths

  • Proprietary genomic expression profile tests with strong clinical validation.
  • Focus on high-need areas within dermatology and oncology.
  • Established commercial infrastructure and sales force.
  • Strong intellectual property portfolio.
  • Positive physician adoption and patient outcomes reported.

Weaknesses

  • Reliance on a limited number of core products.
  • Reimbursement challenges and complexities for new diagnostic tests.
  • Competition from established diagnostic companies and traditional methods.
  • High research and development costs.
  • Potential for new, disruptive technologies to emerge.

Opportunities

  • Expansion into new dermatologic and oncologic indications.
  • International market expansion.
  • Development of new diagnostic and prognostic tests.
  • Partnerships with academic institutions and pharmaceutical companies.
  • Increasing adoption of personalized medicine and molecular diagnostics.

Threats

  • Changes in regulatory policies and reimbursement landscapes.
  • Intensified competition from existing and new market entrants.
  • Development of alternative diagnostic or therapeutic approaches.
  • Economic downturns impacting healthcare spending.
  • Patent expirations and challenges to intellectual property.

Competitors and Market Share

Key competitor logo Key Competitors

  • Myriad Genetics Inc. (MYGN)
  • Guardant Health, Inc. (GH)
  • Tempus AI, Inc. (TEMPTEMP)

Competitive Landscape

Castle Biosciences holds a strong position in its specific niches of dermatologic diagnostics and melanoma prognostics due to its proprietary technology and clinical validation. However, it faces competition from larger, more established diagnostic companies and emerging players in the broader precision medicine and oncology diagnostics space. Castle's advantage lies in its focused approach and specialized tests.

Growth Trajectory and Initiatives

Historical Growth: Castle Biosciences has experienced strong historical revenue growth, driven by the increasing adoption of its diagnostic tests, particularly DecisionDx-Melanoma. The company has steadily expanded its product portfolio and market reach.

Future Projections: Analyst projections generally indicate continued revenue growth for Castle Biosciences, fueled by the expanding use of its current tests and the potential launch of new products. Profitability is a key area of focus for future projections.

Recent Initiatives: Recent initiatives likely include efforts to expand commercial reach, secure favorable reimbursement for its tests, further clinical validation of existing products, and invest in the development of new diagnostic solutions for unmet needs in dermatology and oncology.

Summary

Castle Biosciences is a growing diagnostics company with strong, validated products in dermatology and oncology. Its core strength lies in its proprietary genomic tests that aid in patient management. The company faces challenges related to profitability and reimbursement, but has significant opportunities for expansion and new product development. Continued investment in R&D and strategic market penetration are key to its future success.

Similar Stocks

Sources and Disclaimers

Data Sources:

  • Company Investor Relations Filings (e.g., 10-K, 10-Q)
  • Financial Data Providers (e.g., Refinitiv, Bloomberg)
  • Industry Research Reports
  • Company Press Releases and Website

Disclaimers:

This analysis is based on publicly available information and may not be exhaustive. Financial data is subject to change. Market share estimates are indicative and not precise. This information is for informational purposes only and does not constitute financial advice.

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.