Audien Atom X vs Lucid Ultra 128
Side-by-side HearAdvisor lab results with SoundGrades, expert pick badges, and the same visualizations we use in product reviews.

Audien Atom X
The Audien Atom X is a budget OTC hearing aid priced at $389 that earns a B grade with a SoundScore of 3.3/5 in our lab testing. This visible-in-ear style device ranks #54 of 65 OTC hearing aids tested, placing it in the bottom portion of its category. In our testing, the Atom X shows a mixed performance profile with notable strengths and weaknesses. Music streaming quality is a standout, scoring 3.3/5—a solid result that sits 1.38 points above the category average. Feedback handling is excellent at 5.0/5, meaning users can expect stable performance without whistling issues. However, the core speech intelligibility metrics are where this device falls short: speech in quiet scores just 1.5/5 (1.25 points below the OTC average), and speech in noise scores 1.0/5 (0.48 points below average). Own-voice comfort is mixed at 2.3/5, slightly below the category norm. At this price point, several alternatives offer stronger overall performance. Devices like the Elehear Beyond (4.34/5) and Apple AirPods Pro 2 (4.04/5) score meaningfully higher in the same price range. For those prioritizing value, the JLab Hear OTC delivers a similar SoundScore of 3.54/5 at a lower price. The Atom X may appeal to users who prioritize music streaming quality and want simple rechargeable convenience, but those seeking improved speech clarity—especially in challenging listening environments—should consider higher-performing alternatives in this competitive OTC category.
Choice

Lucid Ultra 128
The Lucid Ultra 128 is a premium behind-the-ear prescription hearing aid priced at $5,000, earning an A grade with a SoundScore of 4.4/5 in our lab testing. It ranks #17 among 39 prescription hearing aids tested, placing it in the top 41% of its category. Speech performance is where the Lucid Ultra 128 truly excels. In our lab testing, speech in quiet scored a strong 4.3/5, which is 0.95 points above the category average. Speech in noise performance reached 2.7/5, which sits above the category average by 0.59 points, though it remains mixed in absolute terms. This suggests the device handles conversational clarity well in our test scenarios, particularly in quieter environments. The device does face some challenges. Feedback handling scored just 1.7/5, falling 3.02 points below the category average of 4.72/5—a notable weakness compared to other prescription aids in our testing. Music streaming also came in below average at 2.3/5, which is 0.46 points under the category norm. Own-voice comfort scored a mixed 2.9/5, slightly above average. At this price point, several competitors in our database achieved higher overall scores, including the Phonak Sphere Infinio and Oticon Intent. The Lucid Ultra 128 features disposable batteries and supports both iPhone and Android streaming. It may appeal to users who prioritize speech clarity in quiet settings and are less concerned about feedback stability or music streaming fidelity in our standardized tests.
We independently review each item we recommend and appreciate your trust and support. When you buy through our links, we may earn a commission. Learn More.
Performance metrics
Scale 1-5 (Tuned)
Lab metric by fit
Scale 1-5 (Tuned)
Speech level
Adjust input dB (Tuned)
Amplification (REIG)
Insertion gain at 65 dB (Tuned)
Fitting configuration for tuned fit