Otofonix Groove vs Vivtone Xpure Hearing Aid
Side-by-side HearAdvisor lab results with SoundGrades, expert pick badges, and the same visualizations we use in product reviews.

Otofonix Groove
The Otofonix Groove is a behind-the-ear prescription hearing aid priced at $795, earning a C grade with a SoundScore of 2.7/5 in our lab testing. This rechargeable BTE device ranks 36th out of 36 tested prescription hearing aids, placing it in the bottom tier of its category. In our testing, the Groove demonstrated one clear strength: excellent feedback handling at 5.0/5, scoring 0.29 points above the category average. The device remained stable during our standardized challenge motions with no audible feedback issues. However, speech performance was significantly limited, with both speech in quiet and speech in noise scoring 1.0/5—falling 2.32 and 0.96 points below their respective category averages. Music streaming quality scored 0.0/5, which is 2.64 points below the prescription category average. Own-voice comfort was also low at 0.4/5 in the tuned configuration, 2.35 points below average, suggesting notable occlusion-related concerns. The normalized Initial Score of 2.7/5 and Tuned Score of 2.6/5 indicate that professional fitting adjustments did not improve overall performance. Given its positioning at the bottom of the prescription hearing aid category and the availability of lower-priced alternatives that scored higher in our testing, the Otofonix Groove may be difficult to recommend for most users seeking balanced sound quality across listening situations.

Vivtone Xpure Hearing Aid
The Vivtone Xpure is a mid-priced behind-the-ear OTC hearing aid priced at $549 that earns a B grade with a SoundScore of 3.1/5 in our lab testing. Ranking #57 of 65 OTC hearing aids tested, this 2023 release offers a mixed performance profile with one notable strength. The Xpure's standout feature is its music streaming quality, scoring an excellent 4.4/5—a full 2.48 points above the OTC category average. For users who prioritize listening to music or audio content through their hearing aids, this represents genuinely strong performance. Speech clarity in quiet environments scores 2.9/5, slightly above the category average but mixed in absolute terms. However, the Xpure shows limitations in several key areas. Speech understanding in noisy environments scores just 1.2/5, falling 0.29 points below the category average. Own-voice comfort is notably low at 0.8/5, sitting 1.71 points below average—users may find their own voice sounds unnatural or boomy. Feedback handling scores a solid 3.3/5 in absolute terms, though this still falls 1.24 points below the strong OTC category average of 4.54/5. The Xpure improves with professional fitting, with the normalized score increasing from 3.0/5 initially to 3.5/5 when tuned. Buyers seeking similar sound quality at lower prices may want to consider alternatives like the Linner Nova Earbud or Nuheara IQBuds Max, both of which scored higher in our testing at lower price points. The Xpure is best suited for users who prioritize excellent music streaming and can accept trade-offs in speech-in-noise performance and own-voice comfort.
We independently review each item we recommend and appreciate your trust and support. When you buy through our links, we may earn a commission. Learn More.
Performance metrics
Scale 1-5 (Tuned)
Lab metric by fit
Scale 1-5 (Tuned)
Speech level
Adjust input dB (Tuned)
Amplification (REIG)
Insertion gain at 65 dB (Tuned)
Audio scenes
Using MUSHRA scenes (Tuned)
Fitting configuration for tuned fit