Comparison Guide Updated: December 2025

CNC Milling vs 3D Printing Orthotics: Which is Better?

3D printing wins for small-medium practices: Equipment costs $4,500 (vs $15K-$50K for CNC), produces 90% less waste, and enables same-day delivery. CNC excels only for high-volume industrial production requiring traditional polypropylene materials.

3D: $4,500 vs CNC: $15K-$50K
90% less material waste
Same-day production

Quick Answer: 3D Printing vs CNC for Orthotics

Choose 3D printing if you're a small-medium clinic producing 2-15 pairs daily. Lower cost ($4,500 vs $15K-$50K), less waste (10% vs 80%), simpler workflow. Choose CNC only if you need traditional polypropylene materials or produce 20+ pairs daily in an industrial setting.

Complete Comparison: CNC vs 3D Printing

Factor 3D Printing (Apex Belt V2) CNC Milling Winner
Equipment Cost $4,500 $15,000-$50,000 3D Printing
Material Waste ~10% (additive process) ~80% (subtractive process) 3D Printing
Daily Capacity 8-12 pairs 4-8 pairs 3D Printing
Post-Processing Minimal (belt removes parts) Sanding, grinding, finishing 3D Printing
Same-Day Delivery Yes Yes (with more labor) Tie
Dust/Cleanup None (enclosed, clean) Significant dust, ventilation required 3D Printing
Design Complexity Unlimited geometries Limited by tool access 3D Printing
Traditional Materials TPU, Nylon, flexible polymers Polypropylene, EVA, cork CNC Milling
Learning Curve Low (load file, press start) Medium (toolpaths, feeds, speeds) 3D Printing
ROI Timeline 8-12 months 18-24 months 3D Printing

Verdict: 3D Printing Wins 8 of 10 Categories

For the vast majority of podiatry practices and orthotic labs, 3D printing with the Apex Belt V2 is the better choice. Lower investment, faster ROI, less waste, and simpler operation.

When to Choose Each Method

Choose 3D Printing If:

  • You produce 2-15 pairs daily
  • Budget is under $10,000
  • You want minimal waste
  • You need same-day turnaround
  • You want simple operation
  • TPU/flexible materials work for you
View Apex Belt V2 →

Choose CNC Milling If:

  • You produce 20+ pairs daily
  • You need polypropylene specifically
  • You have existing CNC expertise
  • Industrial facility with ventilation
  • High-volume contracts require it

Cost Analysis: 3D Printing vs CNC

Cost Category 3D Printing CNC Milling
Equipment $4,500 $15,000-$50,000
Material per pair $15-25 (TPU) $20-35 (polypropylene + waste)
Labor per pair 10 min (load file, minimal post) 25-40 min (setup, sanding, finishing)
Maintenance $200-500/year $500-2,000/year (bits, belts)
Facility requirements Standard outlet, any room Dust collection, ventilation
Year 1 Total (500 pairs) ~$17,000 ~$40,000-$75,000

Material Comparison

3D Printing Materials

  • TPU (85A-95A): Excellent cushioning, durability, flexibility. Most popular for orthotics.
  • Nylon 11: High strength, chemical resistant. Good for rigid shells.
  • Flexible polymers: Variable shore hardness for multi-density designs.

CNC Milling Materials

  • Polypropylene: Traditional orthotic material. Rigid, durable.
  • EVA foam: Soft, cushioning. Requires different tooling.
  • Cork: Natural material for eco-conscious options.

Frequently Asked Questions

Is 3D printing or CNC milling better for orthotics?

For small-medium practices, 3D printing is better: lower equipment cost ($4,500 vs $15K-$50K), 90% less material waste, same-day production capability, and simpler operation. CNC is better only for high-volume industrial production requiring polypropylene materials.

How much does a CNC orthotic milling machine cost?

CNC orthotic milling machines cost $15,000-$50,000 for professional models. Entry-level desktop mills start around $5,000-$10,000 but have limited capacity. In comparison, the Apex Belt V2 3D printer costs $4,500 with higher daily throughput.

Are 3D printed orthotics as good as milled orthotics?

Yes, 3D printed orthotics using medical-grade TPU provide equivalent support and durability to traditional milled polypropylene. Many practitioners prefer 3D printing because it enables complex geometries and variable-density zones impossible with CNC.

Which method produces less waste?

3D printing produces dramatically less waste. CNC milling removes ~80% of the starting material as chips and dust. 3D printing uses only the material needed for the orthotic (~10% waste from supports). This also makes 3D printing more environmentally sustainable.

Ready to Switch to 3D Printing?

See why 2,400+ practices chose the Apex Belt V2 over CNC milling. Schedule a live demo today.