Lexie B2 Plus vs Starkey Genesis AI

The Lexie B2 Plus is a mid-priced OTC hearing aid that earns an A grade with a SoundScore of 4.4/5 in HearAdvisor's lab testing, ranking #7 among 65 OTC devices. Priced at $899, this behind-the-ear rechargeable device has earned back-to-back Expert's Choice Awards in 2023 and 2024. In our testing, the B2 Plus demonstrates strong speech-in-quiet performance at 4.3/5, which is 1.49 points above the OTC category average. Own-voice comfort is excellent at 4.8/5, measuring 2.29 points above average—a notable strength that may appeal to users who find their own voice bothersome with other devices. Speech-in-noise scores 2.1/5, which is above the category average by 0.58 points but remains mixed in absolute terms, reflecting the broader challenge OTC devices face in noisy environments. The device does show a weakness in feedback handling, scoring 2.8/5—which is 1.74 points below the category average of 4.54/5. Users may encounter occasional whistling during activities that bring objects close to the ear. Music streaming performance is mixed at 2.6/5, though still 0.68 points above the OTC average. The Lexie B2 Plus offers both iPhone and Android streaming compatibility. It's well-suited for users prioritizing clear speech in quieter settings and natural own-voice perception, though those frequently in noisy environments or concerned about feedback stability may want to consider alternatives like the Sony CRE-E10 in this price range.

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.