Rexton Reach R-Li T80 at Costco vs Signia Styletto AX

The Rexton Reach R-Li T80, available exclusively at Costco for $1,500, is a behind-the-ear prescription hearing aid that earned an A grade and ranks #11 of 36 devices in its category in our lab testing. This 2024 release earned HearAdvisor's Expert's Choice Award, reflecting its strong overall performance. In our standardized testing, the Reach R-Li T80 delivered a SoundScore of 4.6/5, placing it in the top 28% of prescription hearing aids. Speech clarity stands out as a particular strength, scoring 3.9/5 in quiet environments—0.54 points above the category average. Own-voice comfort also impressed at 3.6/5, a full 0.85 points above average, suggesting wearers may experience less of the "talking in a barrel" sensation that can occur with hearing aids. Feedback handling is excellent at 4.8/5. Speech-in-noise performance scores 2.5/5, which is above the category average by 0.54 points but remains mixed in absolute terms—a common challenge across prescription devices. Music streaming similarly scores 2.7/5, slightly above average but not a standout feature. This device supports both iPhone and Android streaming, offers hands-free functionality, and uses rechargeable batteries. For Costco members seeking a prescription hearing aid with reliable speech clarity, strong own-voice comfort, and excellent feedback control at a mid-tier price point, the Reach R-Li T80 represents solid value in our testing framework.

The Signia Styletto AX is a premium prescription behind-the-ear hearing aid released in 2022, priced at $4,398. In HearAdvisor's lab testing, it earns an A grade with a SoundScore of 4.3/5, ranking #19 among 36 prescription hearing aids tested. This device demonstrates strong speech-in-quiet performance at 4.0/5, scoring 0.71 points above the category average. Speech-in-noise shows mixed absolute results at 2.3/5, though this still sits 0.32 points above the category average of 1.96/5. Music streaming quality is solid at 3.1/5, exceeding the category average by 0.46 points—a meaningful advantage for users who frequently stream audio from their iPhone. Own-voice comfort scores a solid 3.0/5, slightly above category average. However, feedback handling at 3.9/5 falls 0.81 points below the category average of 4.71/5—solid in absolute terms but notably weaker than many prescription competitors in our testing. The Styletto AX has earned HearAdvisor's Expert's Choice Award in both 2023 and 2024. With its distinctive slim design, rechargeable batteries, and iPhone streaming capabilities, it may appeal to users prioritizing aesthetics and convenience alongside strong speech clarity in quieter environments. Those frequently in challenging noise situations or requiring maximum feedback stability may want to compare alternatives in this price tier.