Hear.com Horizon Go IX vs Signia Styletto AX

The Hear.com Horizon Go IX is a premium prescription behind-the-ear hearing aid released in 2024, priced at $6,500. In HearAdvisor's lab testing, it earned an A grade with a SoundScore of 4.4/5, ranking #19 among 39 prescription hearing aids tested. Speech performance is a clear strength for the Horizon Go IX. It scores 4.0/5 in speech-in-quiet conditions—0.64 points above the category average—delivering strong audibility in conversational settings. Speech-in-noise performance also exceeds the category average by 0.46 points, though at 2.6/5 the absolute score remains mixed, meaning challenging listening environments may still pose difficulties. Own-voice comfort is the device's most notable weakness, scoring just 1.8/5—a low result that falls 0.90 points below the category average. Users sensitive to how their own voice sounds may find this limiting. Feedback handling scores 4.4/5, which is strong in absolute terms, though slightly below the category average of 4.72/5. Music streaming performance is essentially average at 2.7/5. At this price point, shoppers face stiff competition. Several alternatives in the same premium tier—including the Phonak Sphere Infinio, Oticon Intent, and Widex Allure RIC 440—deliver higher overall scores. Devices like the Rexton Reach R-Li T80 at Costco offer comparable or better sound performance at lower prices. The Horizon Go IX is best suited for users who prioritize speech clarity and have access to this product through hear.com's network, but those flexible on brand should compare alternatives before committing.

The Signia Styletto AX is a premium prescription behind-the-ear hearing aid that earned an A grade with a SoundScore of 4.3/5 in our lab testing, ranking #21 of 39 prescription hearing aids tested. Priced at $4,398, this 2022 release features a distinctive slim design with rechargeable batteries and iPhone streaming capability. In our testing, the Styletto AX demonstrated strong speech clarity in quiet environments, scoring 4.0/5—0.63 points above the category average. Speech in noise performance was above average at 2.3/5 (+0.17 vs category), though this remains mixed in absolute terms, suggesting challenging listening situations may still require additional strategies. Own-voice comfort scored a solid 3.0/5, sitting 0.30 points above average. Music streaming quality measured 3.1/5, performing 0.34 points above the category average for solid audio fidelity when streaming from compatible devices. Feedback handling scored 3.9/5—solid in absolute terms, though 0.82 points below the category average of 4.72/5, which is worth noting if feedback stability is a priority. The Styletto AX has earned Expert's Choice Awards in both 2023 and 2024. However, buyers in this premium price tier should be aware that several competitors offer higher SoundScores, including the Phonak Sphere Infinio (4.98/5) and Oticon Intent (4.83/5). The Styletto AX may appeal most to those prioritizing its sleek aesthetic and strong quiet-environment speech performance over maximum scores in noise or feedback handling.