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BillionToOne vs Castle Biosciences: BLLN and CSTL compared

BillionToOne is the larger company: $123M of revenue in its latest quarter (Q3 2026) against $103M for Castle Biosciences (Q3 2026). BillionToOne is growing faster (+47% against +24% a year earlier). BillionToOne is more profitable, with an operating margin of 9.0% against -2.7%.

BillionToOne vs Castle Biosciences, latest quarterBillionToOne vs Castle Biosciences, latest quarterBillionToOne (BLLN)Castle Biosciences (CSTL)Revenue$123M$103MRevenue growth, Y/Y+47%+24%Operating margin9.0%-2.7%Net margin14.1%-4.0%Free cash flow$8.6M$12.2M

Where the money goes: BLLN and CSTL

BillionToOne (BLLN) · Q3 2026

BillionToOne, Q3 2026: revenue $123M (+47% year over year), operating margin 9.0%, net earnings $17.4M, operating cash flow $12.5M. The chart follows the revenue to costs, profit and cash.

Castle Biosciences (CSTL) · Q3 2026

Castle Biosciences, Q3 2026: revenue $103M (+24% year over year), operating margin -2.7%, net loss $4.1M, operating cash flow $19.7M. The chart follows the revenue to costs, profit and cash.

BillionToOne revenue by segment, Q3 2026BillionToOne revenue by segment, Q3 2026Prenatal$104MOncology$17.1MClinical trial support and other …$1.6M
Castle Biosciences revenue by segment, Q3 2026Castle Biosciences revenue by segment, Q3 2026Non-Dermatologic$55.0MDermatologic$47.9M
BillionToOne (BLLN)Castle Biosciences (CSTL)
Latest quarterQ3 2026Q3 2026
Revenue$123M$103M
Revenue growth, Y/Y+47%+24%
Gross margin70.9%—
Operating margin9.0%-2.7%
Net earnings$17.4M−$4.1M
Net margin14.1%-4.0%
Operating cash flow$12.5M$19.7M
Free cash flow$8.6M$12.2M

Where the revenue comes from

BillionToOne

Castle Biosciences

Questions

Which is bigger, BillionToOne or Castle Biosciences?

BillionToOne is the larger company: $123M of revenue in its latest quarter (Q3 2026) against $103M for Castle Biosciences (Q3 2026).

Is BillionToOne or Castle Biosciences growing faster?

BillionToOne is growing faster (+47% against +24% a year earlier).

Which is more profitable, BillionToOne or Castle Biosciences?

BillionToOne is more profitable, with an operating margin of 9.0% against -2.7%.

More: BillionToOne earnings · how BillionToOne makes money · Castle Biosciences earnings · how Castle Biosciences makes money

From the companies' latest 10-Q, 10-K or earnings release (10-Q filed Nov 4, 2026; 10-Q filed Nov 5, 2026). Fiscal quarters can end on different dates. Not investment advice.