Replace the lab · Keep the margin
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.
Fit360 alternative
Fit360 processes 1M+ scans per year using “advanced algorithms” to create personalized insoles.
The question for podiatrists: Do you want an algorithm making clinical decisions, or do you want protocols that translate your exam into specific mechanical features?
ArchSpline was built by a practicing DPM because algorithms can’t replace clinical reasoning. Here’s how we compare to Fit360.
| ArchSpline Systems | Fit360 | |
|---|---|---|
| Design philosophy | Protocol-driven: Your exam findings → built-in design logic → specific orthotic features. Transparent, reproducible, billable | Algorithm-driven: 3D scan → proprietary algorithm → personalized shape. Black box |
| Clinical control | You see why the medial flange is 12mm: PTTD Stage II protocol | Algorithm decides. You adjust the output |
| Built by | Practicing DPM with 15+ years clinical + manufacturing | Software company |
| Billing & reimbursement | HCPCS L3000 mapping, auto-doc, denial prevention built in | Not advertised. Requires separate billing software |
| Scanner required | Scanner-agnostic. Use any device — including free iPhone scanners that send files directly into ArchSpline to create the patient file | Accepts scans. No mobile app advertised |
| CAD required | Zero CAD skill needed. Protocols do the work. Web-native CAD available for edge cases | Requires design skill or lab outsourcing |
| Pricing | $229/mo for 20 cases. $449/mo for 60. $899/mo for 200. +$3–10/case | Not public. Labs report $500–$1500/mo typical |
| Production | Flexible: Print in-house or use Production Marketplace. No printer required | Printer-agnostic. You manage production |
| Beta program | Founding Beta Partner tier: 5 designs/month + locked-in early adopter pricing | Contact for demo |
| Typical savings | $90–$120+ per pair vs lab invoices. Cash orthotics bill $300–$500 | Not published. Varies by your production setup |
ArchSpline
Protocol-driven: Your exam findings → built-in design logic → specific orthotic features. Transparent, reproducible, billable
Fit360
Algorithm-driven: 3D scan → proprietary algorithm → personalized shape. Black box
ArchSpline
You see why the medial flange is 12mm: PTTD Stage II protocol
Fit360
Algorithm decides. You adjust the output
ArchSpline
Practicing DPM with 15+ years clinical + manufacturing
Fit360
Software company
ArchSpline
HCPCS L3000 mapping, auto-doc, denial prevention built in
Fit360
Not advertised. Requires separate billing software
ArchSpline
Scanner-agnostic. Use any device — including free iPhone scanners that send files directly into ArchSpline to create the patient file
Fit360
Accepts scans. No mobile app advertised
ArchSpline
Zero CAD skill needed. Protocols do the work. Web-native CAD available for edge cases
Fit360
Requires design skill or lab outsourcing
ArchSpline
$229/mo for 20 cases. $449/mo for 60. $899/mo for 200. +$3–10/case
Fit360
Not public. Labs report $500–$1500/mo typical
ArchSpline
Flexible: Print in-house or use Production Marketplace. No printer required
Fit360
Printer-agnostic. You manage production
ArchSpline
Founding Beta Partner tier: 5 designs/month + locked-in early adopter pricing
Fit360
Contact for demo
ArchSpline
$90–$120+ per pair vs lab invoices. Cash orthotics bill $300–$500
Fit360
Not published. Varies by your production setup
Fit360 is proven in labs processing hundreds of pairs per month.
Fit360’s algorithm gives you a personalized shape. But when Medicare audits you, can you defend why the heel cup is 14mm deep?
With ArchSpline, you can: “Patient presented with PTTD Stage II, RCSP 6° valgus, NCSP 2° valgus. Protocol 4B applies: 4° intrinsic rearfoot post, 12mm medial flange, 2mm Kirby skive. Here’s the documentation.”
Algorithms optimize for shape. Protocols optimize for defensible clinical care + reimbursement.
| Cost | Fit360 | ArchSpline |
|---|---|---|
| Software | $500–$1500/mo reported | $229/mo for 20 cases |
| Billing software | Separate purchase required | Included: HCPCS L3000 automation |
| CAD training | Required for adjustments | Not required. Protocols do it |
| Denial prevention | Manual | Automated checklists |
| Per-pair savings | Depends on your production | $90–$120+ typical vs lab |
Break-even on ArchSpline Starter: ~2 cases/month vs lab fees. Most clinics hit that in week 1. Calculate your ROI.
Fit360 accepts scans. ArchSpline accepts scans from:
Use any phone-based scan workflow with protocol-driven design + billing support in one platform.
Founding Beta Clinic Program includes 5 designs/month, guided biomechanical workflows, structured revision workflows, research-informed starting templates, educational onboarding resources, direct beta feedback access, and locked-in early adopter pricing.
Clinics evaluating Fit360 alternatives usually ask the same question: who is accountable for geometry decisions at chart review time? Algorithm-driven systems can generate a shape quickly, but the clinical team still has to explain why that shape was chosen for this diagnosis, this exam, and this treatment plan. That gap becomes visible during audits, payer disputes, and difficult follow-up visits.
Protocol-driven design changes that conversation. The orthotic is not only a mesh output; it is a documented chain from findings to features, with revision history that can be reviewed by clinicians, billers, and operations staff. This is especially important for multi-provider clinics that need consistent prescribing logic across locations, not just fast rendering.
In practice, many teams adopt ArchSpline by starting with cases where documentation quality matters most, then expanding as confidence grows. That phased approach preserves throughput while improving consistency, reimbursement defensibility, and communication between clinical and fabrication teams.