Replace the lab · Keep the margin

  • $90–$120+typical variable savings per pair vs many outsourced lab invoices
  • 70–90% marginscommonly cited on cash-pair orthotics when you keep the lab margin
  • Same-daydevices in-clinic vs 2–4 week lab turnaround—when printer + staffing fit

Orthotics are not a cost center—they are a high-margin clinical service when you own design + production. Numbers vary by payer mix and shop cost—use our calculators to stress-test yours.

Clinical moat

Protocol-Driven Design + Billing in One Workflow

ArchSpline connects exam findings, orthotic geometry, and reimbursement-ready documentation so your team can move faster without turning design into a black box.

Protocol Engine

Your exam findings drive design automation

  • Diagnosis → Geometry

    PTTD Stage II, forefoot varus, etc. automatically map to posting angles, skive depth, and flange height

  • Structured Revision

    Follow-up visits pull previous data. Change one exam finding and see design cascade updates

  • Research-Backed Templates

    Starting geometries informed by biomechanical literature, not guess-and-check

Billing Workflow

Designed for reimbursement from day one

  • HCPCS L3000 Mapping

    Orthotic type, custom components, and documentation tied automatically to billing code

  • ICD-10 Pairing

    Diagnosis code suggestions and medical-necessity language support for insurance submissions

  • Denial Prevention

    Pre-submission checklists flag missing documentation, absent justification, or code mismatches

Orthotics are a revenue line—not a lab pass-through

Cash orthotics commonly bill $300–$500 per pair while outsourced labs often invoice the clinic ~$80–$120. In-house production puts that spread in your control—especially when you compress turnaround from weeks to same-day.

Payback Story

Model printer depreciation + software + pairs/month on the ROI calculator—most clinics care about months to breakeven, not feature lists.

Why Switch Now

Patients expect speed. Labs add queue + shipping. Owning scan → CAD → print removes the middleman and remakes become easier and less costly when iteration is local.

Why Protocol-Driven Design Matters

Reproducibility

Same diagnosis leads to consistent geometry across clinicians and time. Easier training, easier scaling.

Speed

Protocol automation cuts design time from 20–30 min (manual CAD) to 5–10 min (parameter tweaks).

Documentation

Rationale is built into the design process, not a painful afterthought. Insurance loves this.

Compliance

Automated checklists and HCPCS mapping lower denial rates and audit risk.

See protocol-driven design in action

Book a demo and we'll walk through a complete case from intake to billing submission.

Book a Demo

What clinicians are saying

Feedback from podiatry and orthotic design specialists using ArchSpline in practice.

New version is amazing. You created a cool program for new feet morphology and individual insoles design! Amazing Bryan!

Sergey Aleks

Orthopedic doctor, Podiatrist, Orthotic Design Specialist