CSTL vs NTRA vs BLLN Stock Comparison

Castle Biosciences, Natera and BillionToOne Prices as of Nov 4, 2026 Peers: Industry group
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NTRA Natera, Inc.
$391.03 -8.1% 1M +99.0% 1Y
Market cap
$51.19B
P/E
–
Revenue (TTM)
$2.71B
Div. yield
–
Diagnostic Labs Healthcare
4 wins
BLLN BillionToOne, Inc.
$113.89 +4.4% 1M
Market cap
$5.18B
P/E
112.7x
Revenue (TTM)
$436.87M
Div. yield
–
Diagnostic Labs Healthcare
5 wins

Head to Head

9 decided of 12

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

QuestionCSTLNTRABLLNLeader
Larger companyMarket capitalisation $1.04B $51.19B $5.18B NTRA
Cheaper on earningsLower P/E, profitable companies only -53.5x -266.0x 112.7x –
Cheaper on forward earningsLower price / next fiscal year consensus EPS — — 149.9x –
Faster revenue growthRevenue growth, trailing twelve months +3.2% +37.8% +71.9% BLLN
More profitableNet margin, trailing twelve months -5.4% -7.1% 10.5% BLLN
Better return on capitalReturn on invested capital -6.7% -11.7% 6.9% BLLN
Less leveragedLower net debt / EBITDA 15.5x 4.5x -9.1x BLLN
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +13.0% +99.0% — NTRA
Better 5-year returnAnnualised price return, 5 years -9.7%/yr +27.5%/yr — NTRA
Less volatileAnnualised volatility, 1 year 55.6% 49.1% 93.4% NTRA
Higher overall scoreMean of the five percentile scores vs peers 49/100 50/100 57/100 BLLN

Percentile Scorecard

CSTLNTRABLLN

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

AxisCSTLNTRABLLN
Valuation 45 #53 of 95 16 #80 of 95 21 #75 of 95
Growth 47 #47 of 88 71 #26 of 88 100 #1 of 88
Profitability 38 #54 of 87 31 #60 of 87 58 #37 of 87
Financial Health 91 #10 of 100 84 #17 of 100 98 #3 of 100
Shareholder Returns 23 #45 of 58 47 #31 of 58 7 #54 of 58
Overall 49 50 57
  • CSTL ranked among 102 companies in Healthcare Providers
  • NTRA ranked among 102 companies in Healthcare Providers
  • BLLN ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodCSTLNTRABLLNSPY
1 month -2.5%-8.1%+4.4% -1.0%
3 months +17.6%+42.4%-24.1% -0.4%
6 months +44.4%+81.8%+39.9% +4.5%
Year to date -8.1%+70.7%+39.2% +12.4%
1 year +13.0%+99.0%— +13.6%
3 years +98.8%+814.9%— +76.4%
3 years, per year +25.8%+109.3%— +20.8%
5 years -40.0%+237.2%— +63.7%
5 years, per year -9.7%+27.5%— +10.4%
10 years —+4,527.6%— +267.7%
10 years, per year —+46.7%— +13.9%

Risk

MeasureCSTLNTRABLLNSPY
Volatility, 1Y 55.6%49.1%93.4% 12.8%
Downside volatility, 1Y 61.9%47.1%106.5% 12.7%
Beta vs S&P 500, 1Y 1.171.291.65 1.00
Return / volatility, 1Y 0.232.02— 1.06
Max drawdown, 5Y -81.0%-75.9%-50.8% -25.4%
From 52-week high -16.9%-10.3%-24.1% -1.6%
52-week high $43.04$436.00$149.97 $779.14
52-week low $18.15$182.65$64.03 $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.

MultipleCSTLNTRABLLN
P/E now vs peer median -56.0xmedian 25.6x -291.2xmedian 25.6x 117.2xmedian 25.6x
P/S now vs peer median 3.1xmedian 1.6x 20.7xmedian 1.6x 12.4xmedian 1.6x
EV/EBITDA now vs peer median -50.5xmedian 16.0x -245.9xmedian 16.0x 95.4xmedian 16.0x
P/FCF now vs peer median -2,230xmedian 21.6x 667.0xmedian 21.6x 160.0xmedian 21.6x
P/B now vs peer median 2.3xmedian 3.4x 30.8xmedian 3.4x 9.6xmedian 3.4x
PEG now vs peer median -1.32median 0.74 -8.78median 0.74 —median 0.74

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 monthsCSTLNTRABLLN
Revenue $357.28M $2.71B $436.87M
Gross profit $276.03M $1.71B $311.95M
Operating income -$32.11M -$289.67M $44.69M
Net income -$19.42M -$192.36M $49.39M
Free cash flow -$489.00K $84.20M $33.91M
R&D $55.45M $787.38M $66.47M
EPS (diluted) $-0.64 $-1.34 $0.86
Cash & equivalents $62.12M $1.10B $561.51M
Total debt $10.08M $80.29M $89.00M
Shares (diluted) 30.40M 143.28M 53.73M
Enterprise value -$76.00M $46.87B $3.03B

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
MetricCSTLNTRABLLN
P/E -56.0x -291.2x 117.2x
P/FCF -2,230x 667.0x 160.0x
P/Operating cash flow 25.6x 246.0x 113.2x
P/S 3.1x 20.7x 12.4x
P/B 2.3x 30.8x 9.6x
P/Tangible book 2.3x 38.4x 9.6x
EV/EBITDA -50.5x -245.9x 95.4x
EV/EBIT -26.0x -190.3x 110.8x
EV/Revenue 2.3x 20.4x 11.3x
EV/FCF -1,705x 654.9x 146.1x
EV/Operating cash flow 19.6x 241.6x 103.4x
PEG (3Y EPS CAGR) -1.32 -8.78 –

Growth

14 metrics
MetricCSTLNTRABLLN
Revenue growth (1Y) 3.2% 37.8% 71.9%
Revenue CAGR (3Y) 28.7% 42.7% –
Gross profit growth (1Y) -1.6% 43.6% 88.4%
Gross profit CAGR (3Y) 29.2% 68.1% –
Operating income growth (1Y) -39.3% 1.3% 844.7%
Operating income CAGR (3Y) 30.8% 17.3% –
Net income growth (1Y) -105.1% 24.0% 593.9%
Net income CAGR (3Y) 39.8% 27.8% –
EPS growth (1Y) -99.3% 27.7% 193.7%
EPS CAGR (3Y) 42.3% 33.2% –
Operating cash flow growth (1Y) -31.8% 22.2% 794.7%
Operating cash flow CAGR (3Y) 45.1% 38.6% –
Free cash flow growth (1Y) -101.4% -26.8% 934.5%
Free cash flow CAGR (3Y) 78.8% 30.4% –

Profitability

14 metrics
MetricCSTLNTRABLLN
Gross margin 77.3% 63.2% 71.4%
EBITDA margin -4.6% -8.3% 11.9%
Operating margin -9.0% -10.7% 10.2%
Pretax margin -5.4% -9.3% 11.4%
Net margin -5.4% -7.1% 10.5%
FCF margin -0.1% 3.1% 7.8%
Operating cash flow margin 11.9% 8.4% 11.0%
Return on equity -4.2% -10.7% 9.0%
Return on assets -3.5% -7.3% 6.6%
Return on invested capital -6.7% -11.7% 6.9%
Return on capital employed -6.4% -13.9% 6.5%
Asset turnover 0.6x 1.0x 0.6x
Cash conversion (OCF / net income) -2.2x -1.2x 1.0x
Stock comp / revenue 12.6% 14.1% 7.0%

Financial Health

11 metrics
MetricCSTLNTRABLLN
Debt / assets 1.8% 3.0% 11.7%
Debt / equity 0.0x 0.0x 0.2x
Net debt / EBITDA 15.5x 4.5x -9.1x
Debt / FCF -20.6x 1.0x 2.6x
Liabilities / assets 16.2% 31.5% 25.5%
Equity / assets 83.8% 68.5% 74.5%
Interest coverage -85.6x -75.9x 1,655x
Current ratio 6.0x 3.0x 11.2x
Quick ratio 5.6x 2.8x 10.7x
Cash ratio 4.7x 2.0x 9.3x
Altman Z-score 7.64 39.92 18.11

Shareholder Returns

7 metrics
MetricCSTLNTRABLLN
Dividend yield – – –
Net buyback yield -0.5% -0.1% -5.6%
Shareholder yield -0.5% -0.1% -5.6%
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.

ConsensusCSTLNTRABLLN
Forward P/E – – 149.9xFY2026
EPS, next fiscal year $-1.31FY2026 $-1.48FY2026 $0.76FY2026
EPS growth, next FY – – +442.9%FY2026
EPS growth, the year after – – +22.4%
Revenue, next fiscal year $385.85MFY2026 $3.07BFY2026 $481.76MFY2026
Revenue growth, next FY +12.1%FY2026 +32.8%FY2026 +57.9%FY2026
Revenue growth, the year after +2.3% +7.2% +27.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersCSTLNTRABLLN
Held by institutions 89.6% 95.5% 32.6%
Institutions holding 177 850 155
Change in shares held, QoQ -1.0% +2.7% +34.7%
Institutions buying 104 516 127
Institutions selling 55 240 13
Buyers to sellers 1.89 2.15 9.77

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.

CSTLNTRABLLN
CSTL 1.00 0.46 0.16
NTRA 0.46 1.00 0.35
BLLN 0.16 0.35 1.00

Add a Peer

Largest companies in the same industry

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Frequently Asked Questions

Which is bigger, CSTL, NTRA and BLLN?

Natera (NTRA) is the largest by market capitalisation: Castle Biosciences (CSTL) $1.04B, Natera (NTRA) $51.19B, BillionToOne (BLLN) $5.18B.

Which company is growing faster?

BillionToOne (BLLN) grew revenue fastest over the trailing twelve months: Castle Biosciences (CSTL) +3.2%, Natera (NTRA) +37.8%, BillionToOne (BLLN) +71.9%.

Which company is more profitable?

BillionToOne (BLLN) has the highest net margin (Castle Biosciences (CSTL) -5.4%, Natera (NTRA) -7.1%, BillionToOne (BLLN) 10.5%). On return on invested capital, BillionToOne (BLLN) leads (Castle Biosciences (CSTL) -6.7%, Natera (NTRA) -11.7%, BillionToOne (BLLN) 6.9%).

Which stock has performed better?

Over the past year Natera (NTRA) returned the most: Castle Biosciences (CSTL) +13.0%, Natera (NTRA) +99.0%. Over five years, Natera (NTRA) compounded fastest (Castle Biosciences (CSTL) -9.7%/yr, Natera (NTRA) +27.5%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Natera (NTRA) has been the steadiest (Castle Biosciences (CSTL) 55.6%, Natera (NTRA) 49.1%, BillionToOne (BLLN) 93.4%). Volatility measures how widely the price swings, not the risk of the business.

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

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.