Audien Atom X vs Rexton Reach R-Li T80 at Costco
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-priced OTC hearing aid available for $389, earning 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 lower portion of the category. In our testing, the Atom X showed a mixed performance profile with notable strengths and weaknesses. Feedback handling was excellent at 5.0/5, scoring 0.46 points above the category average—meaning users are unlikely to experience whistling during normal wear. Music streaming was also a highlight at 3.3/5, coming in 1.38 points above the OTC average, making it a solid choice for those who prioritize audio entertainment. However, speech clarity showed limitations. Speech in quiet scored 1.5/5, falling 1.25 points below the category average, while speech in noise measured 1.0/5, which is 0.48 points below average. These low absolute scores suggest users may find speech understanding challenging, particularly in difficult listening environments. Own voice comfort was mixed at 2.3/5, slightly below the category average. The Atom X may appeal to budget-conscious consumers who prioritize streaming quality and feedback-free wear over speech enhancement. However, several competitors in the same price range—including the Elehear Beyond (4.36/5) and Apple AirPods Pro 2 (4.06/5)—offer stronger overall performance. Shoppers focused primarily on speech clarity may want to explore alternatives.
Choice

Rexton Reach R-Li T80 at Costco
The Rexton Reach R-Li T80, available exclusively at Costco for $1,500, is a behind-the-ear prescription hearing aid that earned an A grade and ranks #11 of 36 devices in its category in our lab testing. This 2024 release earned HearAdvisor's Expert's Choice Award, reflecting its strong overall performance. In our standardized testing, the Reach R-Li T80 delivered a SoundScore of 4.6/5, placing it in the top 28% of prescription hearing aids. Speech clarity stands out as a particular strength, scoring 3.9/5 in quiet environments—0.54 points above the category average. Own-voice comfort also impressed at 3.6/5, a full 0.85 points above average, suggesting wearers may experience less of the "talking in a barrel" sensation that can occur with hearing aids. Feedback handling is excellent at 4.8/5. Speech-in-noise performance scores 2.5/5, which is above the category average by 0.54 points but remains mixed in absolute terms—a common challenge across prescription devices. Music streaming similarly scores 2.7/5, slightly above average but not a standout feature. This device supports both iPhone and Android streaming, offers hands-free functionality, and uses rechargeable batteries. For Costco members seeking a prescription hearing aid with reliable speech clarity, strong own-voice comfort, and excellent feedback control at a mid-tier price point, the Reach R-Li T80 represents solid value in our testing framework.
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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