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Model output · Signal date 2026-11-03

Castle Biosciences Inc (CSTL) Stock Forecast Nov. 3, 2026

Analysis updated on Nov. 3, 2026 (UTC) · Alpha · vs marketSwitch to Total · Nasdaq

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Rating · 90D Unlock rating and forecasts
90-day forecast Sign up free to reveal
30-day forecast Alpha
Rank in coverage of 4891 stocks scored
Rank correlation · 90D 32.0% Spearman, 358 dates
Market Cap $1.07B small-cap · #16 of 26 peers
Summary

Castle Biosciences Inc (CSTL) stock forecast summary

Our AI scores Castle Biosciences Inc every trading day against every stock it covers. Create a free account and follow it to see its rating and price target.

Castle Biosciences Inc is a small-cap company with a market capitalization of $1.07B. It ranks number 16 by market capitalization among the 26 Services-Medical Laboratories issuers in our coverage with a current forecast. Its Gross Margin of 77.3% is the highest of the 15 peers that report one.

For CSTL, the Spearman rank correlation between our 90-day forecasts and the returns that followed is 32.0%, measured on 358 forecast dates between 2022-08-16 and 2026-08-05 on this stock's own recent history. A rank correlation runs from -100% to +100%: it measures whether higher forecasts were followed by higher returns, and a value near zero or below means the model has shown little skill on this stock. On the 30-day forecasts the same correlation is 34.0%, measured on 400 forecast dates between 2022-08-16 and 2026-10-02. Across our coverage, the out-of-sample test on 4629 stocks from 2025-01-06 to 2026-08-04 produced a positive net return in 92.9% of rebalance periods (factor-neutral book, net of estimated costs). Full backtest report

Expected return relative to the market over the horizon: a positive alpha means the model expects the stock to beat the market, whatever the market does. Ratings: strong buy ≥ +1.9%, buy ≥ +0.2%, sell < -0.9%, strong sell < -1.2% (top 15%, next 20%, middle 30%, next 20%, bottom 15% of the 2026-10-30 signals)

A free account shows the exact forecast, rating and rank of 3 tickers you follow, CSTL included.

Price

CSTL price chart and AI forecast

CSTL
Cross-section · 2026-10-30

How CSTL ranks among 4891 stocks

90D Alpha forecasts of every company scored, cut into five relative ratings at the 15th, 35th, 65th and 85th percentiles (dashed lines).

Fundamentals · 2026-06-30

Castle Biosciences Inc (CSTL) fundamentals

Trailing twelve months. The industry median and the rank (1 = highest) are taken over the Services-Medical Laboratories peers listed below that report each metric.

Valuation & Market

MetricCSTLIndustry medianRank
Market Cap $1.07B $1.47B 16/26
P/B Ratio 2.27x 2.84x 13/21
EPS $-1.05 – –
Book Value/Share $15.39 – –
Revenue/Share $11.70 – –
FCF/Share $-0.02 – –

Profitability & Margins

MetricCSTLIndustry medianRank
ROE -4.1% -9.4% 6/14
ROA -3.5% -7.5% 7/18
ROIC -6.4% -13.8% 9/21
Gross Margin 77.3% 20.0% 1/15
Operating Margin -9.0% -13.4% 9/21
Net Margin -5.4% -16.6% 6/16
EBT Margin -9.0% -12.2% 9/21
Tax Rate -0.7% – –

Financial Health

MetricCSTLIndustry medianRank
Current Ratio 6.04x 3.18x 8/23
Quick Ratio 5.85x 4.50x 4/10
D/E Ratio 0.19x 0.46x 14/21
Financial Leverage 1.19x 1.46x 14/21
Interest Coverage -16.6x -10.2x 11/20
Working Capital $285M $285M 12/23

Cash Flow

MetricCSTLIndustry medianRank
Operating Cash Flow $43M -$2M 10/24
Free Cash Flow -$490K -$490K 9/17
Capital Spending -$43M -$17M 12/17
OCF Growth YoY -31.8% 20.4% 8/8
FCF Growth YoY -101.4% -6.8% 5/5
FCF/Sales -0.1% 1.5% 9/16
CapEx/Sales 12.1% 4.4% 4/16

Operational Efficiency

MetricCSTLIndustry medianRank
Asset Turnover 0.64x 0.63x 9/18
Receivables Turnover 7.4x 7.0x 9/19
Inventory Turnover 7.7x 7.7x 4/7
Fixed Assets Turnover 3.4x 4.4x 12/17
Days Sales Outstanding 49 days 52 days 11/19
Days Inventory 48 days 48 days 4/7
Payables Period 43 days 54 days 8/13
Cash Conversion Cycle 53 days 54 days 4/6

Income Statement

MetricCSTLIndustry medianRank
Total Revenue $357M $357M 10/19
Operating Income -$32M -$11M 16/23
Net Income -$19M -$23M 8/18
R&D Expense $55M $56M 11/18
SG&A Expense $244M $273M 12/18
Cost of Goods Sold $81M $71M 7/14

Dividend & Shareholder Information

MetricCSTLIndustry medianRank
Shares Outstanding 31M – –
EPS Growth -328.3% 18.7% 6/6

Balance Sheet Highlights (USD millions)

Total Current Assets$341M60.8% of assets
Cash & Short-term Investments$62M11.1% of assets
Accounts Receivable$48M8.6% of assets
Inventory$11M1.9% of assets
Total Liabilities$91M16.2% of assets
Short-term Debt$47M8.3% of assets
Quarterly Financial Reports

CSTL quarterly financials and insider trading

Industry Peers · Services-Medical Laboratories

Castle Biosciences Inc (CSTL) industry peers

Companies classified under the same SEC industry code as Castle Biosciences Inc (Services-Medical Laboratories): 27 common-stock issuers with a forecast this week, one row per issuer, largest first. This is a classification match, not a curated list of competitors.

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Company 90-Day AI Forecast (Alpha) Market Cap P/E Ratio P/B Ratio
CSTL Castle Biosciences Inc $1.07B – 2.3x
NTRA Natera, Inc. $54.62B – 30.0x
LH Labcorp Holdings Inc. $28.84B 29.2x 3.3x
DGX Quest Diagnostics Inc $27.68B 25.0x 3.6x
GH Guardant Health, Inc. $22.91B – –
CAI Caris Life Sciences, Inc. $9.70B 7.2x 16.4x
GRAL Grail, Inc. $5.97B – 2.4x
RDNT Radnet, Inc. $5.78B – 5.3x
BLLN Billiontoone, Inc. $5.21B 380.8x –
CDNA Caredx, Inc. $4.52B 43.9x 9.7x
VCYT Veracyte, Inc. $3.94B 43.0x 2.8x
CELC Celcuity Inc. $3.38B – –
FTRE Fortrea Holdings Inc. $1.90B – 3.6x
PSNL Personalis, Inc. $1.68B – 7.2x
FRNM Freenome, Inc. $1.25B – –
LMRI Lumexa Imaging Holdings, Inc. $1.07B – 1.7x
FLGT Fulgent Genetics, Inc. $531M – 0.5x
BDSX Biodesix Inc $222M – 24.3x
XGN Exagen Inc. $203M – 16.6x
BNR Burning Rock Biotech Ltd $117M – 2.1x
SERA Sera Prognostics, Inc. $78M – 1.3x
MDXH Mdxhealth Sa $18M – –
AMS American Shared Hospital Services $8M – 0.4x
ACON Aclarion, Inc. $5M – 0.3x
ADVB Advanced Biomed Inc. $3M – 0.4x
BGLC Bionexus Gene Lab Corp $3M – 0.4x
RNLXY Renalytix Plc N/A – –

Where CSTL sits on the market map

Industrial Applications and Services · Services-Medical Laboratories
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News

Castle Biosciences Inc (CSTL) stock news

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FAQ

Castle Biosciences Inc (CSTL) stock forecast FAQ

What is the Castle Biosciences Inc (CSTL) stock forecast?

Our AI scores Castle Biosciences Inc every trading day against every stock it covers. Create a free account and follow it to see its rating and price target.

How accurate are Castle Biosciences Inc stock predictions?

For CSTL, the Spearman rank correlation between our 90-day forecasts and the returns that followed is 32.0%, measured on 358 forecast dates between 2022-08-16 and 2026-08-05 on this stock's own recent history. A rank correlation runs from -100% to +100%: it measures whether higher forecasts were followed by higher returns, and a value near zero or below means the model has shown little skill on this stock. On the 30-day forecasts the same correlation is 34.0%, measured on 400 forecast dates between 2022-08-16 and 2026-10-02. Across our coverage, the out-of-sample test on 4629 stocks from 2025-01-06 to 2026-08-04 produced a positive net return in 92.9% of rebalance periods (factor-neutral book, net of estimated costs). Full backtest report

How often are Castle Biosciences Inc forecasts updated?

Castle Biosciences Inc forecasts are refreshed on trading days as the daily model run completes. The forecast on this page was produced on Nov. 3, 2026.

Which companies are Castle Biosciences Inc's industry peers?

27 issuers in our coverage, CSTL included, share the SEC industry code Services-Medical Laboratories. The largest are: Natera, Inc. (NTRA), Labcorp Holdings Inc. (LH), Quest Diagnostics Inc (DGX), Guardant Health, Inc. (GH), Caris Life Sciences, Inc. (CAI), Grail, Inc. (GRAL).

This analysis is generated automatically using our proprietary AI systems and should not be considered personalized investment advice. Past performance does not guarantee future results. Always conduct your own research and consider consulting a financial advisor before making investment decisions.