Resound Nexia vs Signia Active Pro IX

The Resound Nexia is a premium behind-the-ear prescription hearing aid released in 2023, priced at $4,298. In HearAdvisor's lab testing, it earned an A grade with a SoundScore of 4.0/5, ranking #26 of 36 devices in the Prescription Hearing Aid category. The Nexia demonstrates clear strengths in specific performance areas. Feedback handling is excellent at 5.0/5, scoring 0.29 points above the category average—meaning users can expect reliable stability without whistling during typical daily activities. Own-voice comfort is also a highlight at 3.6/5, measuring 0.85 points above average, which may appeal to those bothered by their voice sounding hollow or boomy in other devices. However, the Nexia shows meaningful limitations in challenging listening environments. Speech in noise performance is low at 1.0/5, falling 0.96 points below the category average of 1.96/5. Speech in quiet scores 3.2/5—solid in absolute terms, though 0.11 points below the category average. Music streaming is mixed at 2.8/5, slightly above average but not a standout. At this price point, several alternatives in the same range deliver stronger overall performance, including the Phonak Sphere Infinio and Oticon Intent. The Nexia may be best suited for users who prioritize own-voice comfort and feedback-free performance over speech clarity in noisy environments, and who value the Resound ecosystem's connectivity features including iPhone and Android streaming with hands-free capability.

The Signia Active Pro IX is a premium prescription hearing aid with a visible-in-ear style, priced at $3,199. In HearAdvisor's lab testing, it earned an A grade with a SoundScore of 4.7/5, ranking #7 among 36 prescription hearing aids tested—placing it in the top 17% of its category. This 2024 release demonstrates particular strength in speech performance. Speech in quiet scored a strong 4.3/5, sitting 0.93 points above the category average. Speech in noise measured 2.9/5, which is above the category average by 0.89 points, though only mixed in absolute terms. Own-voice comfort scored a solid 3.3/5, exceeding the category average by 0.55 points. Feedback handling presents a more nuanced picture at 3.4/5—solid in absolute terms, though 1.31 points below the category average. Music streaming scored 2.9/5, slightly above the category average but mixed overall. The device features rechargeable batteries, iPhone and Android streaming, and hands-free calling capabilities. The Signia Active Pro IX is best suited for those prioritizing speech clarity who want a discreet earbud-style design. It earned HearAdvisor's Expert's Choice Award for 2024. Shoppers in this premium price tier may also consider the Phonak Sphere Infinio or Oticon Intent, which scored higher in our testing, or explore options like the Rexton Reach at Costco for similar performance at a lower price point.