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, placing it in the top 9% of OTC devices tested in our lab. At $899, this behind-the-ear style device delivers strong performance in several key areas while showing some limitations worth considering. In our testing, the Lexie B2 Plus excels in speech clarity for quiet environments, scoring a strong 4.3/5—significantly above the OTC category average by 1.49 points. Own-voice comfort is a particular standout at 4.8/5, well above the category average by 2.29 points, meaning wearers are unlikely to experience the hollow or booming quality of their own voice that can make some hearing aids uncomfortable. Speech in noise performance scores 2.1/5, which is above the OTC category average by 0.58 points but remains mixed in absolute terms—typical for this device class. Music streaming scores 2.6/5, similarly above average by 0.68 points while remaining modest overall. Feedback handling at 2.8/5 falls below the category average by 1.74 points, which may require attention during phone calls or when wearing hats. The Lexie B2 Plus is a solid choice for users prioritizing speech clarity in quieter settings and natural own-voice comfort. It features rechargeable batteries and streaming compatibility with both iPhone and Android devices. This two-time Expert's Choice Award winner (2023, 2024) competes against devices like the higher-scoring Sony CRE-E10 in its price range, but offers a compelling balance of comfort and core speech performance.

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 #31 of 36 prescription hearing aids tested. This device demonstrates solid speech clarity in quiet environments, scoring 3.5/5—0.13 points above the category average. Its standout feature is excellent feedback handling, achieving a perfect 5.0/5 score. Speech-in-noise performance lands at 2.3/5, which is 0.36 points above the category average but remains mixed in absolute terms. Music streaming scored 2.8/5, slightly above average (+0.16 points) though still in mixed territory. Own-voice comfort presents a notable weakness, scoring 2.2/5—0.55 points below the category average. This may be a consideration for users sensitive to how their own voice sounds while wearing hearing aids. The Genesis AI showed meaningful improvement with professional tuning, with the normalized score jumping from 3.5/5 (Initial) to 4.3/5 (Tuned), suggesting that proper fitting is particularly important for this device. At this premium price point, competitors including the Phonak Sphere Infinio (5.0/5), Oticon Intent (4.85/5), and Oticon Real (4.75/5) deliver stronger overall sound performance. The Genesis AI may suit users who prioritize Starkey's ecosystem, hands-free calling features, and robust feedback control, but those seeking top-tier sound quality in this price range have higher-scoring alternatives to consider.