EarCentric EX2 vs Signia Styletto AX

The EarCentric EX2 is a budget-priced prescription behind-the-ear hearing aid released in 2021, earning a C grade with a SoundScore of 2.7/5 in HearAdvisor's lab testing. At $218, it ranks #33 of 36 prescription hearing aids tested, placing it in the bottom 11% of its category. In our testing, the EX2 showed a significant split in performance. Feedback handling was excellent at 4.7/5, essentially matching the category average and demonstrating stable operation during movement. However, speech performance was notably limited, with both speech in quiet and speech in noise scoring 1.0/5—well below the category averages of 3.32 and 1.96 respectively. Music streaming scored 0.0/5, falling 2.64 points below the prescription category average of 2.64/5. Own-voice comfort scored 2.3/5, a mixed result that sits 0.45 points below the category average. The device uses a rechargeable battery, which adds convenience for daily use. Notably, tuning did not improve performance in our testing—the Initial and Tuned fit scores were identical at 2.7/5. Budget-conscious shoppers in this price range may want to compare alternatives. The RxEars Rxi scored 4.09/5 at a similar price point, while OTC options like the Audien Hearing Atom offer comparable or better sound performance at lower prices. The EX2 may suit users who prioritize feedback stability and rechargeable convenience over speech clarity, but its limited speech performance is a significant tradeoff.

The Signia Styletto AX is a premium prescription behind-the-ear hearing aid released in 2022, priced at $4,398. In HearAdvisor's lab testing, it earns an A grade with a SoundScore of 4.3/5, ranking #19 among 36 prescription hearing aids tested. This device demonstrates strong speech-in-quiet performance at 4.0/5, scoring 0.71 points above the category average. Speech-in-noise shows mixed absolute results at 2.3/5, though this still sits 0.32 points above the category average of 1.96/5. Music streaming quality is solid at 3.1/5, exceeding the category average by 0.46 points—a meaningful advantage for users who frequently stream audio from their iPhone. Own-voice comfort scores a solid 3.0/5, slightly above category average. However, feedback handling at 3.9/5 falls 0.81 points below the category average of 4.71/5—solid in absolute terms but notably weaker than many prescription competitors in our testing. The Styletto AX has earned HearAdvisor's Expert's Choice Award in both 2023 and 2024. With its distinctive slim design, rechargeable batteries, and iPhone streaming capabilities, it may appeal to users prioritizing aesthetics and convenience alongside strong speech clarity in quieter environments. Those frequently in challenging noise situations or requiring maximum feedback stability may want to compare alternatives in this price tier.