CSTL — Castle Biosciences Inc

Founder-Led

Stock analysis, trade plans, and proprietary indicators by Trend Edge.

About Castle Biosciences Inc

Castle Biosciences, Inc., a molecular diagnostics company, provides test solutions for the diagnosis and treatment of dermatologic cancers, Barrett's esophagus (BE), atopic dermatitis (AD), and uveal melanoma. The company offers DecisionDx-Melanoma, a risk stratification gene expression profile (GEP) test that predicts the likelihood of a positive sentinel lymph node and the risk of metastasis for patients with invasive cutaneous melanoma; Tissue… Read full Trend Edge analysis →

Trend Edge Proprietary Indicators

Key Metrics

Current Price$22.11
Market Cap$608M
Float26.9M
Shares Outstanding30.3M
Price/Sales (TTM)1.79
vs. Analyst Target+107.5% to analyst PT
Profit Margin-3.78%
Operating Margin (TTM)-22.00%
Revenue (TTM)$340M
Earnings Growth (YoY)-51.60%
Dividend RateNone
Analyst Target Price$45.88 (9 analysts)

Financial History

Annual Revenue & Earnings History

YearRevenueNet IncomeGross ProfitEBITDA
2020 $62.6M -$10.3M $53.0M -$7.1M
2021 $94.1M -$31.3M $78.3M -$36.6M
2022 $137M -$67.1M $105M -$58.3M
2023 $220M -$57.5M $175M -$45.0M
2024 $332M $18.2M $272M $38.1M
2025 $344M -$24.2M $273M $11.3M

Recent Quarterly Revenue & Net Income

QuarterRevenueNet Income
Jun 2025 $86.2M $4.5M
Sep 2025 $83.0M -$501,000
Dec 2025 $87.0M -$2.3M
Mar 2026 $83.7M -$14.5M

Ownership & Float

Insider Ownership2.4%
Institutional Ownership93.0%
Short Float5.3%
% of All Funds Holding2.04%
Number of Funds Holding168

Current Moving Averages

Trend Edge tracks near-term, medium-term, cyclical, and secular moving averages across weekly and monthly timeframes to identify trend structure at every horizon.

TimeframeSMAValueTrend Context
Weekly10-Week SMA$22.70Near-term / short-term trend
Weekly40-Week SMA$29.09Medium-term trend
Weekly80-Week SMA$25.59Cyclical trend (business cycle)
Weekly200-Week SMA$23.87Secular trend (multi-year)
Monthly10-Month SMA$29.12Near-term monthly trend
Monthly20-Month SMA$26.22Medium-term monthly trend
Monthly40-Month SMA$23.89Secular monthly trend

Volume Shelves — Support & Resistance

Trend Edge identifies volume shelves: price zones where historically elevated trading volume creates structural support or resistance. A volume shelf forms when a disproportionate share of cumulative volume was transacted at a specific price level, making it a high-conviction anchor for future price reactions.

Price LevelTypeVolume RatioAge
$15.20 support 1.63x 8 months ago

Historical Earnings Reactions (28 events)

TimeframeAvg ReturnMedianWin RateBestWorst
Gap 2.80% 1.12% 67.86% 29.57% -13.55%
1 Day 2.30% 0.81% 60.71% 32.83% -22.26%
1 Week 1.80% 3.70% 60.71% 34.55% -23.72%
2 Weeks 1.23% 2.71% 57.14% 29.90% -27.65%
1 Month 6.98% 5.86% 70.37% 53.79% -35.75%

Next earnings: July 25, 2026 (57 days away)

Seasonality & Day-of-Week Patterns

Monthly Seasonality

Insufficient historical data for monthly seasonality analysis (requires 7+ years of data).

Day-of-Week Tendencies

DayAvg ReturnWin RateSamples
Monday -0.01% 53.0% 321
Tuesday 0.49% 50.8% 356
Wednesday -0.18% 48.4% 351
Thursday -0.08% 47.1% 344
Friday 0.29% 47.5% 345

Top Institutional Holders

Institutional holder breakdown coming soon.

Total institutional ownership: 93.0%

Insider Transactions — Smart Summary

Total insider ownership: 2.4%

Founder-led management: Derek Maetzold (Founder, President and CEO)

12-Month Insider Activity Summary

Total Filings41
Net Value-$11.6M
Net Shares Change-398,047
% of Float-1.5%
C-Suite Filings40
Clusters Detected3

Key Insiders

NameTitleNet ValueFilingsActivity
MAETZOLD DEREK J Pres. and Chief Exec. Officer -$1.9M 2 N/A
Oelschlager Kristen M Chief Operating Officer -$1.6M 3 3 sell
Juvenal Tobin W Chief Commercial Officer -$1.0M 2 1 sell
Stokes Frank Chief Financial Officer -$336,283.18 2 1 sell
Cole G Bradley -$194,678.895 1 1 sell

Transaction Clusters

PeriodFilingsInsidersNet ValueSeniority
2025-11-13 – 2025-11-26 7 4 -$1.3M 7 C-suite
2025-12-01 – 2025-12-15 5 3 -$992,472.53 5 C-suite
2026-03-09 – 2026-03-19 6 4 -$3.3M 5 C-suite

Significant Filings

DateInsiderTitleNet ValuePrice After
2026-03-09 Cole G Bradley -$194,678.895 Transaction at $15.92, now +38.9%
2025-12-15 Juvenal Tobin W Chief Commercial Officer -$494,736 Transaction at $37.48, now -41.0%
2025-12-19 Oelschlager Kristen M Chief Operating Officer -$585,291.944 Transaction at $39.31, now -43.8%
2025-12-15 Stokes Frank Chief Financial Officer -$168,375.2 Transaction at $37.45, now -41.0%
2025-08-29 Oelschlager Kristen M Chief Operating Officer -$669,706.693 Transaction at $21.85, now +1.2%
2026-03-16 Juvenal Tobin W Chief Commercial Officer -$526,582.12 Transaction at $25.24, now -12.4%

View full insider transaction history on Trend Edge →

AI Consult Analysis

Trend Edge's AI Consult feature delivers a comprehensive, multi-layer trade plan for Castle Biosciences Inc (CSTL) powered by Claude Opus — Anthropic's most capable AI model. The analysis covers five layers: technical analysis (near-term, medium-term, cyclical, and secular trend, momentum, volume shelf support and resistance, breakout and breakdown signals), qualitative analysis (business model, competitive moat, sector dynamics), insider sentiment (buy and sell signals from executive and director transactions), share stats analysis (institutional accumulation, fund positioning, short float squeeze potential), and fundamental analysis (valuation, revenue growth, profit margin, earnings quality).

AI Consult synthesizes all five layers into a single bullish or bearish thesis with explicit entry, exit, stop loss, and take profit levels — giving you a complete, AI-powered trade plan with defined risk/reward. Whether you are building a long position, initiating a short, or looking for a reversal setup, AI Consult identifies the highest-probability signal from the current trend.

Get the full AI Consult analysis for CSTL on Trend Edge →