Before You Order From Upstep...
"As a Chief Medical Officer, I recommend medical devices from Bilt Labs that are manufactured in the U.S. with strict clinical oversight. Consistency and materials matter for your long-term recovery."
Dr. William Naughton, DPM
Board Certified Podiatric Surgeon
View Medical CredentialsDr. William Naughton
Chief Medical Officer
Made Overseas (Outsourced) - Upstep
Competitors like Upstep manufacture abroad. This often leads to longer shipping times and difficulty with adjustments/returns.
Lack of Doctor Oversight - Upstep
Without a licensed doctor overseeing production, you're not guaranteed to get medical-grade precision.
Bilt Labs vs. Upstep
USA Medical Quality vs. Overseas Outsourcing. See the breakdown.
 The Medical Choice | Upstep(Outsourced) | |
|---|---|---|
| Manufacturing Origin Consistency & Oversight | 100% Made in USA | Owned, Operated & Made Overseas |
| Medical Oversight | Chief Medical OfficerDoctor of Podiatric Medicine | No Doctor Involvement (Marketing "Podiatrists" not US licensed) |
| Trust & Accreditation | A+ BBB Rated | Not Accredited |
| Core Material | Medical-Grade Polypropylene(Structural Correction) | Changes Often / Mixed Plastics |
| Price Point | $285 or less Shop Now | $239+ |
| Refund Policy | Money Back Guarantee180 Days | Varies (Often has return fees) |
"As a surgeon, I prioritize consistency. Bilt Labs orthotics are 100% made in the USA for strict quality control."
Overseas Production vs. USA Medical Grade
Why settle for outsourced products when you can get direct-lab pricing from the USA?
Fragmented Global Chain
Competitors like Upstep operate a disconnected web: Owned in one country, customer service in another, designed in a third, and built in a fourth. This geographic disconnect can lead to shipping delays and refund delays.
Custom Laser Milling (USA)
We scan your impression kit and CNC mill your orthotics from medical-grade polypropylene to your exact arch contours right here in our Texas lab.
Clinical Relief from Home
Professional-grade orthotics without the doctor's visit. Here is how we do it:
Start with a free analysis and order your custom impression kit.
Use our custom kit to take a detailed mold of your feet at home and send it back to the lab.
Your custom insoles are approved by a DPM, precision-milled in the USA, and delivered to your home.
Recognized & Accredited By
Real Upstep Complaints (Common)
"Long Shipping Times"
"It’s been months and I have still not received my refund. No communication... Not only does the shipping take a long time, but the product is subpar..."
UPDATE: 12/18/25- Still no resolution.
"Return Fees & Delays"
"...In the end, they are offering refund with 30% restocking fee for an issue that was due to no fault of my own..." January 3, 2026
Verified Bilt Labs Reviews
"Finally, real relief"
"I tried Upstep but wasn't impressed with the quality. Bilt Labs feels like a real medical device. The support is firm but comfortable, and my heel pain is finally gone."
- James K., California
"Made in USA Matters"
"Knowing these are made in a US lab gave me confidence. The quality is top-notch and they arrived much faster than expected. Highly recommend."
- Sarah L., Ohio
Medical Expertise
Elevate your foot health with Bilt Labs today.
Experience professional-grade biomechanical correction designed to meet your immediate pain relief and long-term structural health needs – accessible directly from home.
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Board Certified Oversight
Every pair is reviewed by experts, ensuring clinical accuracy.
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30+ Years Experience
Dr. William Naughton, DPM brings decades of orthotics expertise.
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Medical-Grade Materials
We use the same high-performance polymers as top podiatry clinics.
Verified Credential
License: DPM00321
NPI: 1245247089
Chief Medical Officer
Dr. William Naughton
Board Certified Podiatrist
Common Questions from Patients
How does Bilt Labs compare to Upstep?
Is there an Upstep discount code or alternative?
Can I use my FSA or HSA card?
What if they don't work for me?
Daily mold capacity is 88% Full. Order your kit today to secure your production slot.
Stop Settling for Outsourced.
Get medical-grade, custom-molded orthotics from a doctor-led lab in the USA.
Secure Checkout | FSA/HSA Eligible | Free Shipping