Eargo SE vs Starkey Evolv AI

The Eargo SE is a premium-priced OTC hearing aid at $1,699, featuring an invisible-in-ear design and earning a B grade with a SoundScore of 3.1/5 in our lab testing. This places it in the top 85% of the OTC hearing aid category, ranking #56 of 65 devices tested. In our testing, the Eargo SE demonstrated solid performance in speech clarity for quiet environments, scoring 3.2/5—0.43 points above the category average. Feedback handling was excellent at 4.6/5, meaning users should experience stable performance without whistling issues. However, the device showed limitations in challenging listening situations, with speech in noise scoring 1.3/5, which falls 0.23 points below the category average. A notable weakness is the complete absence of music streaming capability, scoring 0.0/5 compared to the category average of 1.92/5. Own-voice comfort scored 2.4/5, slightly below the category average. These mixed results suggest the Eargo SE prioritizes its discreet form factor over comprehensive audio features. The Eargo SE may appeal to users who prioritize an invisible design and primarily need help hearing conversations in quieter settings. However, given its premium price point and the availability of alternatives like the Jabra Enhance Select 50R that deliver stronger overall scores at lower prices, value-conscious consumers may want to explore other options before committing.

The Starkey Evolv AI is a premium prescription behind-the-ear hearing aid released in 2022, currently available at $4,598. In HearAdvisor's lab testing, it earns a B grade with a SoundScore of 3.9/5, ranking #30 of 39 prescription hearing aids tested. This device shows notable strengths in specific performance areas. Music streaming quality scores a solid 3.7/5, which is +0.94 points above the category average—a meaningful advantage for users who frequently stream audio from their phone. Speech in noise performance also stands out at 2.8/5, sitting +0.66 points above the category average, though this remains a mixed absolute score. Speech in quiet is solid at 3.4/5, essentially matching the category average. The Evolv AI does show some limitations in our testing. Own voice comfort scores 2.1/5, falling -0.60 points below the category average, which may affect how natural your own speech sounds. Feedback handling presents a more significant gap: while the 3.5/5 score is solid in absolute terms, it sits -1.22 points below the category average of 4.72/5, meaning competing prescription devices generally perform better in feedback stability tests. Professional fitting makes a meaningful difference with this device. The normalized Initial Score of 3.8/5 improves to 4.2/5 after tuning, a +0.4 point gain primarily driven by improvements in speech clarity metrics. At this premium price point, several competitors like the Phonak Sphere Infinio and Oticon Intent deliver higher overall scores. The Evolv AI is best suited for users who prioritize music streaming quality and speech understanding in noise, and who have access to professional fitting services to optimize performance.