Eargo 5 vs Hear.com Horizon Go IX

The Eargo 5 is a premium-priced OTC hearing aid ($1,450) that earns a B grade with a SoundScore of 3.6/5 in our lab testing. This invisible-in-ear device offers a discreet rechargeable design, though its acoustic performance shows notable strengths and weaknesses compared to alternatives in its price range. In our testing, the Eargo 5 demonstrates solid speech-in-quiet performance at 3.5/5, scoring 0.75 points above the OTC category average. Own-voice comfort also measures above average, which may appeal to users sensitive to occlusion effects. However, speech-in-noise performance is low at 1.4/5, and music streaming scores 0.0/5—significantly below the category average of 1.92/5. Users who prioritize phone streaming or frequently encounter noisy environments should consider these limitations. Feedback handling is strong in absolute terms at 4.2/5, though slightly below the category average of 4.54/5. The device uses closed sleeves for ear coupling in both initial and tuned configurations, with minimal score improvement from tuning (3.6 to 3.7/5). At this price point, competitors like the Lucid Tala (4.63/5) and Audicus Omni 2 (4.61/5) offer substantially higher overall sound performance. Budget-conscious shoppers may also find similar or better sound quality from lower-priced options like the Sony CRE-C10. The Eargo 5 may suit users who prioritize invisible cosmetics and quiet-environment listening over streaming and noise performance.

The Hear.com Horizon Go IX is a premium prescription behind-the-ear hearing aid released in 2024, listed at $6,500. In HearAdvisor's lab testing, it earned an A grade with a SoundScore of 4.4/5, ranking #17 among 36 prescription hearing aids tested. This device demonstrates particular strength in speech clarity. Speech in quiet scored a strong 4.0/5, which is +0.72 points above the category average. Speech in noise performance also exceeded the category average by +0.61 points, though at 2.6/5 the absolute score remains mixed—meaning it handles challenging listening environments better than many competitors but still has room for improvement in demanding situations. The most notable limitation is own-voice comfort, scoring 1.8/5—a low result that falls 0.95 points below the category average. Users sensitive to how their own voice sounds may find this particularly noticeable. Feedback handling is strong in absolute terms at 4.4/5, though it sits slightly below the category average by 0.31 points. Music streaming performance is mixed at 2.7/5, essentially matching the category average. At this price point, the Horizon Go IX faces stiff competition. Same-price alternatives like the Phonak Sphere Infinio (5.0/5) and Oticon Intent (4.85/5) deliver higher overall sound performance. Budget-conscious shoppers might also consider options like the Rexton Reach R-Li T80 at Costco, which achieves a higher score at a lower price. The Horizon Go IX is best suited for those prioritizing speech clarity who can accept the own-voice trade-off and prefer the hear.com service model.