Audien Hearing Atom vs Starkey Genesis AI
Side-by-side HearAdvisor lab results with SoundGrades, expert pick badges, and the same visualizations we use in product reviews.

Audien Hearing Atom
The Audien Hearing Atom is a budget-priced OTC hearing aid that earns a B grade with a SoundScore of 3.3/5 in our lab testing. At $89, it represents one of the most affordable entry points into amplification, though its performance reflects that positioning with a rank of #52 among 65 OTC hearing aids tested. The Atom's standout strength is its excellent feedback handling, scoring a perfect 5.0/5—above the category average by 0.46 points. This means users can expect stable amplification without the whistling that can plague some budget devices. However, speech performance is more limited: speech in quiet scores a mixed 2.6/5 (0.15 points below category average), while speech in noise drops to a low 1.0/5 (0.48 points below average). A significant limitation is the complete lack of music streaming capability, scoring 0.0/5—nearly 2 points below the already-modest category average. Own-voice comfort also falls below average at 2.1/5. These results suggest the Atom is designed purely for basic amplification rather than multimedia use. The Atom may suit buyers seeking the most affordable path to mild amplification who prioritize stability over advanced features. However, several competitors in the same price range offer substantially better performance—some scoring a full point higher. Those willing to consider alternatives may find meaningfully better speech clarity and additional capabilities without significant price increases.

Starkey Genesis AI
The Starkey Genesis AI is a premium behind-the-ear prescription hearing aid released in 2023, priced at $4,798. In HearAdvisor's lab testing, it earned a B grade with a SoundScore of 3.7/5, ranking #33 of 39 prescription hearing aids tested. In our testing, the Genesis AI demonstrated excellent feedback handling, scoring a perfect 5.0/5—0.28 points above the category average. This makes it exceptionally stable during movement and physical activities. Speech in quiet performance is solid at 3.5/5, sitting 0.05 points above the category average. Speech in noise scores 2.3/5, which is 0.21 points above the category average but remains mixed in absolute terms. Own-voice comfort is a weaker area, scoring 2.2/5—0.50 points below the category average. Users sensitive to the sound of their own voice may notice this limitation. Music streaming quality is mixed at 2.8/5, essentially matching the category average with a +0.04 point difference. The Genesis AI shows meaningful improvement with professional tuning, with the normalized score rising from 3.5/5 at initial fit to 4.2/5 when tuned—a 0.8-point gain. The device offers rechargeable batteries and streaming compatibility with both iPhone and Android, plus hands-free functionality. However, at this premium price point, several competitors in the same range deliver notably higher sound performance scores, which prospective buyers should consider when evaluating options.
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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)
Audio scenes
Recorded samples (Tuned)
Fitting configuration for tuned fit