Signia Active Pro IX vs Sontro Soundwave

The Signia Active Pro IX is a premium prescription hearing aid with a visible-in-ear design, priced at $3,199. In HearAdvisor's lab testing, it earned an A grade with a SoundScore of 4.6/5, ranking #8 among 39 prescription hearing aids tested. This device delivers strong speech clarity performance. Speech in quiet scores 4.3/5, which is +0.85 points above the category average—a notable strength for everyday conversations. Speech in noise measures 2.9/5, which is +0.74 points above the category average, though the absolute score reflects mixed performance in challenging listening environments. Own-voice comfort scores a solid 3.3/5, sitting +0.60 points above average, suggesting reasonable naturalness for wearers. Music streaming quality is mixed at 2.9/5, only slightly above the category average (+0.14 points). Feedback handling scores 3.4/5—solid in absolute terms but -1.32 points below the category average of 4.72/5, indicating this device may be more prone to feedback than typical prescription aids in our standardized tests. The Active Pro IX features rechargeable batteries and supports both iPhone and Android streaming with hands-free capability. It earned HearAdvisor's 2024 Expert's Choice Award. Buyers in this premium price tier should note that competitors like the Phonak Sphere Infinio and Oticon Intent score higher overall. Those seeking similar performance at lower cost may want to explore options like the Rexton Reach R-Li T80 at Costco.

The Sontro Soundwave is a mid-priced OTC hearing aid that earns a B grade with a SoundScore of 3.0/5 in our lab testing. At $849, this behind-the-ear device uses disposable batteries and sits in the lower tier of OTC performance, ranking #61 of 65 devices in its category. The Soundwave's strongest attribute is own-voice comfort, scoring 3.6/5—a solid result that sits 1.09 points above the OTC category average. This makes it relatively comfortable for wearers who are sensitive to hearing their own voice sound unnatural or boomy. However, other performance areas present significant limitations. Speech clarity scores are below average in both quiet and noisy environments. Speech in quiet scores 2.7/5 (0.12 points below average), while speech in noise drops to 1.2/5 (0.28 points below average). Feedback handling is a notable weakness at 2.5/5, falling 2.04 points below the category average of 4.54/5. Perhaps most limiting is the music streaming score of 0.0/5, indicating this device does not support phone audio streaming—a feature many competitors in this price range offer. Consumers prioritizing own-voice comfort on a moderate budget may find the Soundwave acceptable, but those seeking strong speech clarity or streaming capability should consider alternatives. Several higher-performing OTC devices are available at similar or lower price points, including options like the Lexie Lumen or HearingAssist Control that deliver comparable or better overall sound quality.