Castle Biosciences, Inc.
US ˙ NasdaqGM ˙ US14843C1053

SecurityCSTL / Castle Biosciences, Inc.
InstitutionCitadel Advisors Llc
ManagerKen Griffin
Latest Disclosed Ownership120,977 shares
Latest Disclosed Value $ 2,969,986
Citadel Advisors Llc ownership in CSTL / Castle Biosciences, Inc.

On May 15, 2026 - Citadel Advisors Llc filed a 13F-HR form disclosing ownership of 120,977 shares of Castle Biosciences, Inc. (US:CSTL) valued at $2,969,985 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 17, 2026 disclosing 366,356 shares of Castle Biosciences, Inc.. This represents a change in shares of -66.98% during the quarter. The current value of the position is $2,541,727 USD.

Citadel Advisors Llc has a history of taking positions in derivatives of the underlying security (CSTL) in the form of stock options. The firm currently holds call options representing 32,500 of underlying shares valued at $797,875 USD and put options representing 12,500 of underlying shares valued at $306,875 USD .

Note: prior versions of this page mistakenly stated that the share values represented the number of options, not the number of underlying shares. For more information on the data backing these reports, please see the SEC document Frequently Asked Questions About Form 13F.

Institutional Ownership: 13F and NPORT Filings

The Security and Class in the table below are shown exactly as filed by the investor. We do our best to track continuity of investments through acquisitions, and this will be reflected in the table as changes in names. In addition to descriptive data, performance of the investment is shown over time. To calculate quarterly performance, we first calculate cost basis of the shares purchased during the quarter, then use that to calculate gross profit. Quarterly return is Gross Profit / Starting Portfolio value.

Note that cost basis is calculated and stored in thousands, so small quarterly changes in shares frequently result in a cost basis of zero.

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Institutional Put/Call Ratios
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In addition to reporting standard equity and debt issues, institutions with more than 100MM assets under management must also disclose their put and call option holdings. Since put options generally indicate negative sentiment, and call options indicate positive sentiment, we can get a sense of the overall institutional sentiment by plotting the ratio of puts to calls. The chart to the right plots the historical put/call ratio for this instrument.

Using Put/Call Ratio as an indicator of investor sentiment overcomes one of the key deficiencies of using total institutional ownership, which is that a significant amount of assets under management are invested passively to track indices. Passively-managed funds do not typically buy options, so the put/call ratio indicator more closely tracks the sentiment of actively-managed funds.

CSTL / Castle Biosciences, Inc. Historical Put/Call Ratio
Disclosed Equity Positions (from 13F/NPORT Filings)
File
Date
Effective
Date
Form Security Class ID Avg Price
Paid (Est)
Reported
Shares
ΔShares ΔShares
(%)
Reported
Value
(x1000)
ΔValue
(%)
Alloc
(%)
ΔAlloc ΔAlloc (%) Cost Basis
(x1000)
Unrealized
Gain/Loss
(x1000)
2026-05-15 2026-03-31 13F CASTLE BIOSCIENCES COM 14843C105 120,977 -245,379 -66.98 2,970 -79.17 0.0004
2026-02-17 2025-12-31 13F CASTLE BIOSCIENCES COM 14843C105 366,356 115,441 46.01 14,251 149.45 0.0021
2025-11-14 2025-09-30 13F CASTLE BIOSCIENCES COM 14843C105 250,915 -637,600 -71.76 5,713 -68.51 0.0009
2025-08-14 2025-06-30 13F CASTLE BIOSCIENCES COM 14843C105 888,515 630,133 243.88 18,143 250.79 0.0032
2025-05-15 2025-03-31 13F CASTLE BIOSCIENCES COM 14843C105 258,382 -576,130 -69.04 5,173 -76.74 0.0010
2025-02-14 2024-12-31 13F CASTLE BIOSCIENCES COM 14843C105 834,512 201,496 31.83 22,240 23.19 0.0038
2024-11-14 2024-09-30 13F CASTLE BIOSCIENCES COM 14843C105 633,016 -60,369 -8.71 18,054 19.60 0.0035
2024-08-14 2024-06-30 13F CASTLE BIOSCIENCES COM 14843C105 693,385 37,619 5.74 15,095 3.92 0.0031
2024-05-15 2024-03-31 13F CASTLE BIOSCIENCES COM 14843C105 655,766 327,017 99.47 14,525 104.75 0.0028
2024-02-14 2023-12-31 13F CASTLE BIOSCIENCES COM 14843C105 328,749 -189,309 -36.54 7,094 -18.92 0.0014
2023-11-14 2023-09-30 13F CASTLE BIOSCIENCES COM 14843C105 518,058 461,775 820.45 8,750 1,033.29 0.0019
2023-08-14 2023-06-30 13F CASTLE BIOSCIENCES COM 14843C105 56,283 -604,673 -91.48 772 -94.86 0.0002
2023-05-15 2023-03-31 13F CASTLE BIOSCIENCES COM 14843C105 660,956 109,641 19.89 15,017 15.71 0.0033
2023-02-14 2022-12-31 13F CASTLE BIOSCIENCES COM 14843C105 551,315 -181,340 -24.75 12,978 -32.09 0.0030
2022-11-14 2022-09-30 13F CASTLE BIOSCIENCES COM 14843C105 732,655 102,059 16.18 19,108 38.05 0.0044
2022-08-15 2022-06-30 13F CASTLE BIOSCIENCES COM 14843C105 630,596 443,589 237.20 13,841 64.99 0.0036
2022-05-16 2022-03-31 13F CASTLE BIOSCIENCES COM 14843C105 187,007 89,121 91.05 8,389 99.93 0.0017
2022-02-14 2021-12-31 13F CASTLE BIOSCIENCES COM 14843C105 97,886 -132,553 -57.52 4,196 -72.62 0.0009
2021-11-15 2021-09-30 13F CASTLE BIOSCIENCES Cmn 14843C105 230,439 170,434 284.03 15,324 248.27 0.0032
2021-08-16 2021-06-30 13F CASTLE BIOSCIENCES COM 14843C105 60,005 -87 -0.14 4,400 6.95 0.0010
2021-05-21 2021-03-31 13F/A-1 CASTLE BIOSCIENCES COM 14843C105 60,092 50,103 501.58 4,114 514.03 0.0010
2021-05-17 2021-03-31 13F CASTLE BIOSCIENCES COM 14843C105 60,092 50,103 4,114 0.0010
2021-02-16 2020-12-31 13F CASTLE BIOSCIENCES COM 14843C105 9,989 -49,807 -83.29 670 -78.22 0.0002
2020-11-16 2020-09-30 13F CASTLE BIOSCIENCES COM 14843C105 59,796 -1,606 -2.62 3,076 32.87 0.0009
2020-08-14 2020-06-30 13F CASTLE BIOSCIENCES Cmn 14843C105 61,402 61,402 2,315 0.0008
2020-05-15 2020-03-31 13F CASTLE BIOSCIENCES Cmn 14843C105 0 -8,900 -100.00 0 -100.00
2020-02-14 2019-12-31 13F CASTLE BIOSCIENCES Cmn 14843C105 8,900 -21,775 -70.99 305 -45.05 0.0001
2019-11-14 2019-09-30 13F CASTLE BIOSCIENCES Cmn 14843C105 30,675 30,675 555 0.0003
Disclosed Call Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share
Price
Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-05-15 2026-03-31 13F CASTLE BIOSCIENCES COM Call 32,500 -19.95 798 -49.53 n/a n/a n/a
2026-02-17 2025-12-31 13F CASTLE BIOSCIENCES COM Call 40,600 67.08 1,579 185.53 n/a n/a n/a
2025-11-14 2025-09-30 13F CASTLE BIOSCIENCES COM Call 24,300 553 n/a n/a n/a
2025-08-14 2025-06-30 13F CASTLE BIOSCIENCES COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2025-05-15 2025-03-31 13F CASTLE BIOSCIENCES COM Call 9,500 -76.94 190 -82.68 n/a n/a n/a
2025-02-14 2024-12-31 13F CASTLE BIOSCIENCES COM Call 41,200 -26.43 1,098 -31.31 n/a n/a n/a
2024-11-14 2024-09-30 13F CASTLE BIOSCIENCES COM Call 56,000 351.61 1,597 493.68 n/a n/a n/a
2024-08-14 2024-06-30 13F CASTLE BIOSCIENCES COM Call 12,400 -65.84 270 -66.54 n/a n/a n/a
2024-05-15 2024-03-31 13F CASTLE BIOSCIENCES COM Call 36,300 450.00 804 466.20 n/a n/a n/a
2024-02-14 2023-12-31 13F CASTLE BIOSCIENCES COM Call 6,600 -86.72 142 -83.08 n/a n/a n/a
2023-11-14 2023-09-30 13F CASTLE BIOSCIENCES COM Call 49,700 529.11 839 676.85 n/a n/a n/a
2023-08-14 2023-06-30 13F CASTLE BIOSCIENCES COM Call 7,900 -38.28 108 -62.76 n/a n/a n/a
2023-05-15 2023-03-31 13F CASTLE BIOSCIENCES COM Call 12,800 -44.83 291 -46.89 n/a n/a n/a
2023-02-14 2022-12-31 13F CASTLE BIOSCIENCES COM Call 23,200 -20.27 546 -28.06 n/a n/a n/a
2022-11-14 2022-09-30 13F CASTLE BIOSCIENCES COM Call 29,100 759 n/a n/a n/a
2022-02-14 2021-12-31 13F CASTLE BIOSCIENCES Cmn Call 0 -100.00 0 -100.00 n/a n/a n/a
2021-11-15 2021-09-30 13F CASTLE BIOSCIENCES Cmn Call 17,600 15.03 1,170 4.28 n/a n/a n/a
2021-08-16 2021-06-30 13F CASTLE BIOSCIENCES COM Call 15,300 -43.33 1,122 -39.29 n/a n/a n/a
2021-05-21 2021-03-31 13F/A CASTLE BIOSCIENCES COM Call 27,000 81.21 1,848 84.62 n/a n/a n/a
2021-05-17 2021-03-31 13F CASTLE BIOSCIENCES COM Call 27,000 1,848 n/a n/a n/a
2021-02-16 2020-12-31 13F CASTLE BIOSCIENCES COM Call 14,900 1,001 n/a n/a n/a
Disclosed Put Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share Price Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-05-15 2026-03-31 13F CASTLE BIOSCIENCES COM Put 12,500 307 n/a n/a n/a
2026-02-17 2025-12-31 13F CASTLE BIOSCIENCES COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2025-11-14 2025-09-30 13F CASTLE BIOSCIENCES COM Put 9,300 212 n/a n/a n/a
2025-08-14 2025-06-30 13F CASTLE BIOSCIENCES COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2025-05-15 2025-03-31 13F CASTLE BIOSCIENCES COM Put 5,000 -39.76 100 -54.75 n/a n/a n/a
2025-02-14 2024-12-31 13F CASTLE BIOSCIENCES COM Put 8,300 40.68 221 31.55 n/a n/a n/a
2024-11-14 2024-09-30 13F CASTLE BIOSCIENCES COM Put 5,900 5,800.00 168 8,300.00 n/a n/a n/a
2024-08-14 2024-06-30 13F CASTLE BIOSCIENCES COM Put 100 2 n/a n/a n/a
2024-05-15 2024-03-31 13F CASTLE BIOSCIENCES COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2024-02-14 2023-12-31 13F CASTLE BIOSCIENCES COM Put 3,500 -47.76 76 -33.63 n/a n/a n/a
2023-11-14 2023-09-30 13F CASTLE BIOSCIENCES COM Put 6,700 509.09 113 653.33 n/a n/a n/a
2023-08-14 2023-06-30 13F CASTLE BIOSCIENCES COM Put 1,100 450.00 15 275.00 n/a n/a n/a
2023-05-15 2023-03-31 13F CASTLE BIOSCIENCES COM Put 200 -96.72 5 -97.20 n/a n/a n/a
2023-02-14 2022-12-31 13F CASTLE BIOSCIENCES COM Put 6,100 144 n/a n/a n/a
2021-08-16 2021-06-30 13F CASTLE BIOSCIENCES COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2021-05-21 2021-03-31 13F/A CASTLE BIOSCIENCES COM Put 4,800 -60.98 329 -60.17 n/a n/a n/a
2021-05-17 2021-03-31 13F CASTLE BIOSCIENCES COM Put 4,800 329 n/a n/a n/a
2021-02-16 2020-12-31 13F CASTLE BIOSCIENCES COM Put 12,300 115.79 826 181.91 n/a n/a n/a
2020-11-16 2020-09-30 13F CASTLE BIOSCIENCES COM Put 5,700 293 n/a n/a n/a
Legend
Shares
The total number of shares held by the institution at the end of the reporting period (the effective date). This is provided in the filing.
Value
The total value of the shares as of the effective date. This is provided in the filing.
Avg. Share Price
The weighted average share price of the shares held by the institution. We use FIFO accounting to determine this price
Class
This is the security class as indicated by the filer. There are a variety of values for this field. Common values include "EC" = equity common, "EP" - equity preferred
Allocation (%)
The percent of the institution's portfolio that this position represents. This is provided in NPORT filings. For 13F filings, we calculate it.
Change in Allocation
The change in allocation from the prior reporting period. This is calculated as current allocation - prior allocation.
Change in Allocation (%)
The percent change in allocation from the prior reporting period. This is calculated as (current allocation - prior allocation) / prior allocation.
Cost Basis
The total cost of the shares held. This is calculated as reported shares * avg. share price
Unrealized Gain/Loss
This is the market value of the position as of the effective date minus the cost basis.