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 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

Rexton Reach R-Li T80 at Costco
The Rexton Reach R-Li T80, available at Costco for $1,500, is a behind-the-ear prescription hearing aid that earned an A grade with a SoundScore of 4.6/5 in our lab testing. This places it in the top 28% of the 39 prescription hearing aids we've tested and earned it our 2024 Expert's Choice Award. In our testing, this device demonstrated solid speech clarity performance. Speech in quiet scored 3.9/5, which is 0.46 points above the category average. Speech in noise measured 2.5/5—above the category average by 0.39 points, though still mixed in absolute terms. Own-voice comfort was a particular strength at 3.6/5, scoring 0.90 points above the category average, which may appeal to users sensitive to how their own voice sounds while wearing hearing aids. Feedback handling proved excellent at 4.8/5, just above the category average of 4.72/5. Music streaming scored 2.7/5, which is 0.06 points below the category average—a minor gap but worth noting for users who frequently stream audio content. The Reach R-Li T80 features rechargeable batteries and supports both iPhone and Android streaming with hands-free capability. At its price point, it outperforms same-priced competitors like the Jabra Enhance Pro 20 at Costco (4.01/5) and the Orka Two (4.00/5). This device is well-suited for users seeking strong overall sound performance with excellent feedback stability and above-average speech clarity through the Costco channel.
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