ReSound OMNIA RIE vs Signia Styletto AX

The ReSound OMNIA RIE is a premium prescription behind-the-ear hearing aid released in 2022, currently available at $4,498. In HearAdvisor's lab testing, it earns a B grade with a SoundScore of 3.9/5, ranking #31 of 39 devices in the prescription hearing aid category. This device shows notable strengths in speech clarity for quiet environments, scoring 3.7/5—a solid result that sits 0.34 points above the category average. Own-voice comfort also performs above average at 3.0/5, which may appeal to users who find their own voice bothersome in other devices. Feedback handling is strong in absolute terms at 4.1/5, though it falls 0.62 points below the category average of 4.72/5. The OMNIA RIE's most significant limitation is speech in noise performance, scoring just 1.0/5—a low result that trails the category average by 1.11 points. For users who frequently encounter challenging listening environments like restaurants or group conversations, this represents a meaningful gap compared to alternatives. Music streaming scores a mixed 2.7/5, essentially matching the category average. The device offers flexible power options with both rechargeable and disposable batteries, plus streaming compatibility with iPhone and Android devices including hands-free functionality. However, at this premium price point, several competitors deliver stronger overall performance, including options from Phonak, Oticon, and Widex. The OMNIA RIE may suit users who prioritize quiet-environment clarity and own-voice comfort over noise-handling capabilities.

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.