BLLN vs CSTL vs GH Stock Comparison

BillionToOne, Castle Biosciences and Guardant Health Prices as of Oct 29, 2026 Peers: Industry group
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BLLN BillionToOne, Inc.
$114.84 -2.8% 1M
Market cap
$5.19B
P/E
172.6x
Revenue (TTM)
$397.41M
Div. yield
–
Diagnostic Labs Healthcare
5 wins
GH Guardant Health, Inc.
$185.31 +4.3% 1M +156.4% 1Y
Market cap
$24.04B
P/E
–
Revenue (TTM)
$1.18B
Div. yield
–
Diagnostic Labs Healthcare
4 wins

Head to Head

9 decided of 12

BillionToOne leads on 5 of the 12 questions below (BillionToOne 5, Guardant Health 4). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionBLLNCSTLGHLeader
Larger companyMarket capitalisation $5.19B $1.16B $24.04B GH
Cheaper on earningsLower P/E, profitable companies only 172.6x -59.5x -53.0x –
Cheaper on forward earningsLower price / next fiscal year consensus EPS 151.1x — — –
Faster revenue growthRevenue growth, trailing twelve months +90.1% +3.2% +42.7% BLLN
More profitableNet margin, trailing twelve months 7.6% -5.4% -38.3% BLLN
Better return on capitalReturn on invested capital 7.0% -6.7% — BLLN
Less leveragedLower net debt / EBITDA -9.1x 15.5x — BLLN
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months — +62.2% +156.4% GH
Better 5-year returnAnnualised price return, 5 years — -9.2%/yr +9.7%/yr GH
Less volatileAnnualised volatility, 1 year 94.1% 58.8% 57.3% GH
Higher overall scoreMean of the five percentile scores vs peers 57/100 51/100 28/100 BLLN

Percentile Scorecard

BLLNCSTLGH

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisBLLNCSTLGH
Valuation 21 #73 of 92 46 #50 of 92 18 #76 of 92
Growth 100 #1 of 87 52 #42 of 87 48 #46 of 87
Profitability 60 #35 of 86 39 #53 of 86 7 #80 of 86
Financial Health 97 #4 of 97 92 #9 of 97 55 #44 of 97
Shareholder Returns 7 #51 of 55 24 #42 of 55 15 #47 of 55
Overall 57 51 28
  • BLLN ranked among 102 companies in Healthcare Providers
  • CSTL ranked among 102 companies in Healthcare Providers
  • GH ranked among 102 companies in Healthcare Providers

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodBLLNCSTLGHSPY
1 month -2.8%+10.4%+4.3% +0.7%
3 months -17.7%+43.7%+21.6% +3.7%
6 months +53.0%+57.2%+112.8% +7.1%
Year to date +40.3%-1.0%+81.4% +12.8%
1 year —+62.2%+156.4% +11.9%
3 years —+170.6%+631.6% +85.2%
3 years, per year —+39.4%+94.2% +22.8%
5 years —-38.2%+58.7% +67.6%
5 years, per year —-9.2%+9.7% +10.9%

Risk

MeasureBLLNCSTLGHSPY
Volatility, 1Y 94.1%58.8%57.3% 12.7%
Downside volatility, 1Y 107.3%61.6%48.9% 12.6%
Beta vs S&P 500, 1Y 1.660.961.03 1.00
Return / volatility, 1Y —1.062.73 0.94
Max drawdown, 5Y -50.8%-82.1%-86.7% -25.4%
From 52-week high -23.4%-10.5%-1.0% -1.2%
52-week high $149.97$43.04$187.22 $779.14
52-week low $64.03$18.15$72.27 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleBLLNCSTLGH
P/E now vs peer median 177.3xmedian 26.0x -60.3xmedian 26.0x -54.3xmedian 26.0x
P/S now vs peer median 13.5xmedian 1.6x 3.3xmedian 1.6x 20.9xmedian 1.6x
EV/EBITDA now vs peer median 97.9xmedian 15.4x -55.6xmedian 15.4x -54.9xmedian 15.4x
P/FCF now vs peer median 162.1xmedian 21.5x -2,403xmedian 21.5x -102.9xmedian 21.5x
P/B now vs peer median 10.0xmedian 3.2x 2.5xmedian 3.2x -111.1xmedian 3.2x
PEG now vs peer median —median 0.87 -1.43median 0.87 -5.47median 0.87

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsBLLNCSTLGH
Revenue $397.41M $357.28M $1.18B
Gross profit $283.22M $276.03M $769.16M
Operating income $43.30M -$32.11M -$470.26M
Net income $37.71M -$19.42M -$453.44M
Free cash flow $33.18M -$489.00K -$240.72M
R&D $59.21M $55.45M $375.79M
EPS (diluted) $0.55 $-0.64 $-3.41
Cash & equivalents $548.63M $62.12M $1.05B
Total debt $91.03M $10.08M –
Shares (diluted) 54.46M 30.40M 132.87M
Enterprise value $3.41B $39.52M $20.11B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricBLLNCSTLGH
P/E 177.3x -60.3x -54.3x
P/FCF 162.1x -2,403x -102.9x
P/Operating cash flow 118.6x 27.6x -133.7x
P/S 13.5x 3.3x 20.9x
P/B 10.0x 2.5x -111.1x
P/Tangible book 10.0x 2.5x -99.8x
EV/EBITDA 97.9x -55.6x -54.9x
EV/EBIT 113.6x -28.6x -50.4x
EV/Revenue 12.4x 2.6x 20.0x
EV/FCF 148.3x -1,878x -98.5x
EV/Operating cash flow 108.5x 21.5x -128.0x
PEG (3Y EPS CAGR) – -1.43 -5.47

Growth

14 metrics
MetricBLLNCSTLGH
Revenue growth (1Y) 90.1% 3.2% 42.7%
Revenue CAGR (3Y) – 28.7% 32.4%
Gross profit growth (1Y) 122.4% -1.6% 47.7%
Gross profit CAGR (3Y) – 29.2% –
Operating income growth (1Y) 253.2% -39.3% -2.1%
Operating income CAGR (3Y) – 30.8% 4.8%
Net income growth (1Y) 223.2% -105.1% -9.6%
Net income CAGR (3Y) – 39.8% 3.7%
EPS growth (1Y) 118.7% -99.3% -2.4%
EPS CAGR (3Y) – 42.3% 9.9%
Operating cash flow growth (1Y) – -31.8% 22.4%
Operating cash flow CAGR (3Y) – 45.1% 18.1%
Free cash flow growth (1Y) – -101.4% 11.4%
Free cash flow CAGR (3Y) – 78.8% 14.4%

Profitability

14 metrics
MetricBLLNCSTLGH
Gross margin 71.3% 77.3% 65.0%
EBITDA margin 12.6% -4.6% -36.5%
Operating margin 10.9% -9.0% -39.7%
Pretax margin 9.5% -5.4% -38.4%
Net margin 7.6% -5.4% -38.3%
FCF margin 8.3% -0.1% -20.3%
Operating cash flow margin 11.4% 11.9% -15.7%
Return on equity 7.2% -4.2% –
Return on assets 5.3% -3.5% -23.7%
Return on invested capital 7.0% -6.7% –
Return on capital employed 6.6% -6.4% -29.9%
Asset turnover 0.6x 0.6x 0.6x
Cash conversion (OCF / net income) 1.2x -2.2x 0.4x
Stock comp / revenue 6.4% 12.6% 16.2%

Financial Health

11 metrics
MetricBLLNCSTLGH
Debt / assets 12.5% 1.8% –
Debt / equity 0.2x 0.0x –
Net debt / EBITDA -9.1x 15.5x –
Debt / FCF 2.7x -20.6x –
Liabilities / assets 26.4% 16.2% 111.7%
Equity / assets 73.6% 83.8% -11.7%
Interest coverage 1,056x -85.6x -97.6x
Current ratio 11.7x 6.0x 4.0x
Quick ratio 11.2x 5.6x 3.5x
Cash ratio 9.8x 4.7x 3.1x
Altman Z-score 17.97 8.19 5.05

Shareholder Returns

7 metrics
MetricBLLNCSTLGH
Dividend yield – – –
Net buyback yield -5.6% -0.5% -1.6%
Shareholder yield -5.6% -0.5% -1.6%
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusBLLNCSTLGH
Forward P/E 151.1xFY2026 – –
EPS, next fiscal year $0.76FY2026 $-1.31FY2026 $-3.33FY2026
EPS growth, next FY +442.9%FY2026 – –
EPS growth, the year after +22.4% – –
Revenue, next fiscal year $481.76MFY2026 $385.85MFY2026 $1.42BFY2026
Revenue growth, next FY +57.9%FY2026 +12.1%FY2026 +44.5%FY2026
Revenue growth, the year after +27.1% +2.3% +27.0%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersBLLNCSTLGH
Held by institutions 36.1% 89.6% 100.0%
Institutions holding 155 177 595
Change in shares held, QoQ +34.7% -1.0% -2.6%
Institutions buying 127 104 354
Institutions selling 13 55 180
Buyers to sellers 9.77 1.89 1.97

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

BLLNCSTLGH
BLLN 1.00 0.16 0.30
CSTL 0.16 1.00 0.48
GH 0.30 0.48 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, BLLN, CSTL and GH?

Guardant Health (GH) is the largest by market capitalisation: BillionToOne (BLLN) $5.19B, Castle Biosciences (CSTL) $1.16B, Guardant Health (GH) $24.04B.

Which company is growing faster?

BillionToOne (BLLN) grew revenue fastest over the trailing twelve months: BillionToOne (BLLN) +90.1%, Castle Biosciences (CSTL) +3.2%, Guardant Health (GH) +42.7%.

Which company is more profitable?

BillionToOne (BLLN) has the highest net margin (BillionToOne (BLLN) 7.6%, Castle Biosciences (CSTL) -5.4%, Guardant Health (GH) -38.3%). On return on invested capital, BillionToOne (BLLN) leads (BillionToOne (BLLN) 7.0%, Castle Biosciences (CSTL) -6.7%).

Which stock has performed better?

Over the past year Guardant Health (GH) returned the most: Castle Biosciences (CSTL) +62.2%, Guardant Health (GH) +156.4%. Over five years, Guardant Health (GH) compounded fastest (Castle Biosciences (CSTL) -9.2%/yr, Guardant Health (GH) +9.7%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Guardant Health (GH) has been the steadiest (BillionToOne (BLLN) 94.1%, Castle Biosciences (CSTL) 58.8%, Guardant Health (GH) 57.3%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, BLLN, CSTL and GH?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, BillionToOne (BLLN) leads on 5. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.