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
$33.57
Last Close (24-hour delay)
Profit since last BUY39.82%
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Upturn Advisory Summary

11/05/2025: 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 $36.5

1 Year Target Price $36.5

Analysts Price Target For last 52 week
$36.5 Target price
52w Low $14.59
Current$33.57
52w High $34.64

Analysis of Past Performance

Type Stock
Historic Profit -65.61%
Avg. Invested days 27
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 11/05/2025

Key Highlights

Company Size Small-Cap Stock
Market Capitalization 979.28M USD
Price to earnings Ratio -
1Y Target Price 36.5
Price to earnings Ratio -
1Y Target Price 36.5
Volume (30-day avg) 9
Beta 1.2
52 Weeks Range 14.59 - 34.64
Updated Date 11/6/2025
52 Weeks Range 14.59 - 34.64
Updated Date 11/6/2025
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 2025-11-10
When -
Estimate -0.5544
Actual -0.02

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 406276086
Price to Sales(TTM) 2.85
Enterprise Value 406276086
Price to Sales(TTM) 2.85
Enterprise Value to Revenue 1.17
Enterprise Value to EBITDA 12.47
Shares Outstanding 29188659
Shares Floating 26928581
Shares Outstanding 29188659
Shares Floating 26928581
Percent Insiders 2.89
Percent Institutions 94.21

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 2005. It is focused on providing personalized genomic information to improve healthcare outcomes. Initially focused on melanoma, it has expanded its test offerings to other dermatologic cancers and precision dermatology.

Company business area logo Core Business Areas

  • Dermatologic Cancers: Provides diagnostic and prognostic tests for skin cancers, including melanoma, cutaneous squamous cell carcinoma, and basal cell carcinoma.
  • Precision Dermatology: Offers tests to personalize treatment approaches for inflammatory skin conditions.

leadership logo Leadership and Structure

Derek Maetzold is the President and CEO. The company has a typical corporate structure with departments like R&D, Sales & Marketing, Finance, and Operations.

Top Products and Market Share

Product Key Offerings logo Key Offerings

  • DecisionDx-Melanoma: A gene expression profile test that predicts the risk of metastasis in patients with cutaneous melanoma. There is not publicly available market share data, but is a key product in their dermatology cancer portfolio, generating a significant amount of revenue. Key competitors include Myriad Genetics (MYGN) and Interpace Biosciences (IDXG).
  • DecisionDx-SCC: A gene expression profile test for cutaneous squamous cell carcinoma, designed to predict the risk of metastasis. Market share data is not available. Key competitors include Myriad Genetics (MYGN) and Interpace Biosciences (IDXG).
  • MyPath Melanoma: A gene expression profile test used to help differentiate between benign nevi and melanoma. Market share data is not available. Key competitors include Myriad Genetics (MYGN) and Interpace Biosciences (IDXG).

Market Dynamics

industry overview logo Industry Overview

The market for dermatologic cancer diagnostics and precision dermatology is growing, driven by increasing incidence of skin cancer and a growing demand for personalized treatment approaches.

Positioning

Castle Biosciences is a leader in the dermatologic cancer diagnostic market, particularly with its gene expression profile tests. Its competitive advantage lies in its proprietary technology and focus on unmet clinical needs.

Total Addressable Market (TAM)

The TAM for skin cancer diagnostics is estimated to be in the billions of dollars. Castle Biosciences is well-positioned to capture a significant share of this market through its established products and pipeline of new tests.

Upturn SWOT Analysis

Strengths

  • Proprietary gene expression profiling technology
  • Strong clinical evidence supporting test performance
  • Experienced management team
  • Established sales and marketing infrastructure
  • Focus on unmet clinical needs

Weaknesses

  • Reliance on reimbursement from payers
  • Competition from other diagnostic companies
  • Risk of technological obsolescence
  • Limited diversification beyond dermatology

Opportunities

  • Expansion into new indications
  • Development of new diagnostic tests
  • Partnerships with pharmaceutical companies
  • International expansion
  • Increased awareness of personalized medicine

Threats

  • Changes in reimbursement policies
  • Increased competition
  • Negative clinical trial results
  • Economic downturn
  • Regulatory changes

Competitors and Market Share

Key competitor logo Key Competitors

  • MYGN
  • IDXG
  • VRML

Competitive Landscape

Castle Biosciences has a strong position in the dermatologic cancer diagnostic market, but faces competition from larger diagnostic companies like Myriad Genetics. Castle Biosciences' focus on personalized medicine and proprietary technology provide a competitive advantage.

Growth Trajectory and Initiatives

Historical Growth: Castle Biosciences has experienced strong revenue growth in recent years, driven by increased adoption of its diagnostic tests.

Future Projections: Analysts project continued revenue growth for Castle Biosciences, driven by expansion into new markets and development of new products.

Recent Initiatives: Recent initiatives include expanding the sales force, launching new diagnostic tests, and pursuing partnerships with pharmaceutical companies.

Summary

Castle Biosciences is a strong player in the dermatologic cancer diagnostic market, driven by its proprietary gene expression profiling technology and focus on personalized medicine. Its strong clinical evidence and experienced management team provide a solid foundation for future growth. However, the company faces challenges related to reimbursement, competition, and technological obsolescence and needs to keep on top of future acquisitions.

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Sources and Disclaimers

Data Sources:

  • Company Website
  • SEC Filings
  • Analyst Reports
  • Third-party market research reports

Disclaimers:

The information provided is for informational purposes only and should not be considered investment advice. Market share data is approximate and may vary depending on the source. Financial data requires current data from financial websites and the stock's home page

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.