Signia Styletto AX vs Yeasound RIC800

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.

The Yeasound RIC800 is a mid-priced OTC hearing aid that earned an A grade with a SoundScore of 4.8/5 in our lab testing, placing it #2 among 65 OTC devices tested. At $659, this behind-the-ear rechargeable device delivers performance that significantly outpaces the category average of 3.71/5. Speech clarity is a standout strength. The RIC800 scores 4.4/5 for speech in quiet—a strong result that sits 1.63 points above the OTC category average. Speech in noise performance is more mixed at 2.4/5, though this still lands 0.93 points above the typical OTC device. Music streaming is where this device truly excels, scoring 4.3/5 and outperforming the category average by a substantial 2.38 points—making it one of the better choices for consumers who frequently stream audio from their phone. Feedback handling is excellent at 5.0/5, meaning users shouldn't encounter whistling issues during normal wear. The tradeoff comes with own-voice comfort, which scores 2.1/5—a mixed result that falls 0.41 points below the category average. Some users may notice their own voice sounds more hollow or boomy than expected. The RIC800 earned a 2025 Expert's Choice Award and supports both iPhone and Android streaming. For consumers seeking strong speech performance and exceptional streaming quality in the OTC space, this device represents a compelling option. Those particularly sensitive to own-voice quality may want to compare alternatives, but overall performance places the RIC800 among the top tier of OTC hearing aids we've tested.