Apple AirPods Pro 2 vs MDHearing Neo XS

The Apple AirPods Pro 2 is a budget-priced OTC hearing aid that earns an A grade with a SoundScore of 4.1/5 in our lab testing, placing it in the top 26% of OTC hearing aids tested. At $249, it represents one of the more affordable options in the category while delivering strong overall performance. In our testing, the AirPods Pro 2 shows particular strength in speech clarity for quiet environments, scoring 4.2/5—a strong result that sits 1.38 points above the category average. Music streaming is where this device truly excels, earning 4.4/5 and outperforming the category average by a substantial 2.48 points. Feedback handling is excellent at 5.0/5, meaning users should experience virtually no whistling issues. The device does have limitations. Own-voice comfort scores 1.9/5, which is low in absolute terms and 0.61 points below the category average—users may notice their own voice sounds different or boomy. Speech in noise performance is above average for the category at 2.3/5 (+0.77 points), but this remains a mixed result in absolute terms, suggesting challenging listening environments will still be difficult. The AirPods Pro 2 is best suited for consumers already in the Apple ecosystem who want hearing support primarily in quieter settings and value excellent music and media streaming. Those frequently in noisy environments or sensitive to own-voice changes may want to consider alternatives.

The MDHearing Neo XS is a budget-priced OTC hearing aid in the invisible-in-ear style, available for $397. In HearAdvisor lab testing, it earned a C grade with a SoundScore of 2.9/5, ranking #63 of 65 OTC hearing aids tested. Performance results reveal a mixed profile. The Neo XS shows strength in own-voice comfort, scoring 3.2/5—0.69 points above the category average—meaning wearers may experience less of the "boomy" quality that can accompany hearing aid use. Feedback handling is excellent at 5.0/5, sitting 0.46 points above average, so users should experience stable performance without whistling during typical wear. However, speech clarity is a significant limitation. Speech in quiet scores just 1.0/5, falling 1.77 points below the OTC category average. Speech in noise also scores 1.0/5, 0.48 points below average. Music streaming scored 0.0/5, which is 1.92 points below the category average—this device is not suited for audio entertainment. At this price point, several alternatives offer notably stronger performance. The Elehear Beyond (4.36/5), Apple AirPods Pro 2 (4.06/5), and Zepp Clarity Omni (3.88/5) all deliver better overall sound quality in the same price range. The Neo XS may appeal to those prioritizing own-voice comfort and feedback stability over speech intelligibility, but most users seeking meaningful hearing benefit should consider higher-scoring options.