Signia Active Pro IX vs Starkey Genesis AI

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 Starkey Genesis AI is a premium behind-the-ear prescription hearing aid released in 2023, priced at $4,798. In HearAdvisor's lab testing, it earned a B grade with a SoundScore of 3.7/5, ranking #33 of 39 prescription hearing aids tested. In our testing, the Genesis AI demonstrated excellent feedback handling, scoring a perfect 5.0/5—0.28 points above the category average. This makes it exceptionally stable during movement and physical activities. Speech in quiet performance is solid at 3.5/5, sitting 0.05 points above the category average. Speech in noise scores 2.3/5, which is 0.21 points above the category average but remains mixed in absolute terms. Own-voice comfort is a weaker area, scoring 2.2/5—0.50 points below the category average. Users sensitive to the sound of their own voice may notice this limitation. Music streaming quality is mixed at 2.8/5, essentially matching the category average with a +0.04 point difference. The Genesis AI shows meaningful improvement with professional tuning, with the normalized score rising from 3.5/5 at initial fit to 4.2/5 when tuned—a 0.8-point gain. The device offers rechargeable batteries and streaming compatibility with both iPhone and Android, plus hands-free functionality. However, at this premium price point, several competitors in the same range deliver notably higher sound performance scores, which prospective buyers should consider when evaluating options.