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Resound Nexia Expert Review

Premium RxReleased 2023

HearAdvisor's independent lab evaluated the Resound Nexia 9 60s microRIE using standardized acoustic measurements and controlled listening scenarios. This review presents objective performance data across five metrics to help you understand how this premium prescription hearing aid performs.

Dr. Steve TaddeiDr. Steve Taddei, Au.D.Lab Director & Reviewer
Dr. Abram BaileyDr. Abram Bailey, Au.D.Fact Checker / Editor
How We Test
Resound Nexia Hero
HearAdvisor
Resound Nexia
4.0HearAdvisor SoundScoreGrade A
As it sounds out of the box
Bottom Line

The Resound Nexia is a premium prescription hearing aid with excellent feedback control and natural own-voice quality, best for users prioritizing comfort in conversation.

Top 66% of Prescription Hearing Aid
Strengths
  • Excellent feedback handling
  • Natural own-voice quality+0.90 vs category
  • Hands-free calling with iPhone and Android
Drawbacks
  • Low speech-in-noise performance1.11 vs category
  • Premium price at $4,298
Metric Breakdown

SoundScore: 5 Acoustic Dimensions

The card below displays lab measurements for speech in quiet, speech in noise, own voice, feedback, and music streaming. The purple SoundScore graph is the overall result, and the five graphs after it break it into individual measurements for the selected fit. Each curve shows how scores are spread across all tested hearing aids, and the dot and number mark the score for Resound Nexia.

SoundScore
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6.0
Choose your fit

Every hearing aid is lab-tested in two states — as it sounds out of the box, and after professional tuning. Switch fits to update the five metric graphs below.

As it sounds out of the box
Speech in quiet
New
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5.4

How clearly speech comes through in calm, one-on-one surroundings.

Speech in noise
New
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6.4

Speech understanding against loud background noise — the toughest everyday test.

Own voice
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4.8

How natural your own voice sounds while wearing the aids, without a boomy, plugged-up quality.

Music streaming
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5.0

Sound quality of music streamed to the hearing aids over Bluetooth.

Feedback handling
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5.0

Resistance to the whistling and squealing caused by acoustic feedback.

Lab Assessment

How the Resound Nexia Performed in Independent Testing

The Resound Nexia is a premium behind-the-ear prescription hearing aid released in 2023, currently available at $4,298. In HearAdvisor's lab testing, it earned a SoundScore of 4.0/5 and an A grade, ranking #28 of 39 prescription hearing aids tested.

The Nexia demonstrates clear strengths in specific areas. Feedback handling is excellent at 5.0/5, scoring 0.28 points above the category average—users can expect stable performance without whistling during typical daily activities. Own-voice comfort also stands out at 3.6/5, a solid score that sits 0.90 points above average, suggesting wearers may find their own voice sounds more natural compared to many competitors.

However, speech performance presents a more mixed picture. Speech in quiet measures 3.2/5—solid in absolute terms but 0.19 points below the category average. More notably, speech in noise scores just 1.0/5, falling 1.11 points below average. This represents a significant limitation for users who frequently encounter challenging listening environments like restaurants or group conversations. Music streaming scores 2.8/5, essentially matching the category average.

At this price point, several alternatives deliver stronger overall performance. The Phonak Sphere Infinio, Oticon Intent, and Oticon Real all score notably higher while occupying the same premium tier. Budget-conscious buyers might also consider options like the Jabra Enhance Select 500 at a lower price point with competitive sound quality. The Nexia may be best suited for users who prioritize feedback stability and own-voice comfort over speech-in-noise performance.

Reliable & Repeatable Lab Results

Quality data starts with quality recordings. HearAdvisor worked with GRAS to build a no-compromise front end so every test is repeatable and reliable.

Learn more
Steve in HearAdvisor Lab

Blind Comparison

Hear the Resound Nexia Against Other Tested Devices

Our listening challenge lets you compare audio samples captured under identical acoustic conditions without knowing which product you are hearing. After you complete the comparison, the products are revealed and your anonymized responses contribute to ongoing research.

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Amplification Analysis

Resound Nexia Insertion Gain Measurements

The graph below shows how closely the Nexia's measured amplification matches evidence-based prescriptive targets across the frequency range. This insertion gain data was captured using standardized test signals in our acoustic lab.

Graph

Recorded Output

Audio Samples Captured Through the Resound Nexia

These recordings were made using an acoustic manikin fitted with the Nexia under controlled lab conditions. A reference recording without any hearing aid processing is included for direct comparison.

Resound Nexia Audio Samples

How this hearing aid sounds in our lab scenes. Compare it out of the box and after professional tuning.

Before you listen

  1. Use good-quality headphones.
  2. Take out your hearing aids while you compare.
  3. Play the to set a comfortable level, then leave it.
  4. Switch recordings while it plays. You won't lose your place.
Scene type

Scene type: Conversation

Scene: Cafe 1

As tested out of the box
0:00
–:––

164 lab recordings of this product. They demonstrate relative processing in our lab and cannot predict an individual fitting outcome.

Test Documentation

Fit Observations and Configuration Details for the Resound Nexia

Our lab documented observations for both Initial and Tuned fit conditions during testing. Below you will find notes on device configuration and any fitting considerations recorded by our technicians.

Lab Notes

Initial fit observations

In initial fit testing with a tulip dome and medium-power receiver using Audiogram+ targets, the Nexia achieved a normalized Initial Score of 4.0/5. Speech in quiet performed solidly at 3.5/5, while speech in noise measured 1.0/5. Feedback handling was excellent at 5.0/5, and own-voice comfort was solid at 3.6/5. Music streaming scored 2.2/5 in this configuration. The open coupling allows for natural sound entry but provides limited amplification for challenging listening situations.

Tuned fit observations

After professional fitting adjustments—still using a tulip dome and medium-power receiver with Audiogram+ targets—the Nexia achieved a normalized Tuned Score of 3.9/5. Speech in quiet measured 3.2/5, while speech in noise remained at 1.0/5. Feedback handling stayed excellent at 5.0/5, and own-voice comfort held steady at 3.6/5. Music streaming improved to 2.8/5. The tuned configuration maintained the same coupling, showing limited room for optimization within this fitting approach.

Test configuration

Initial Fitting
Tuned Fitting
Ear Coupling
Tulip Dome
Tulip Dome
Receiver
Medium-power
Medium-power
Fitting Formula
Audiogram+ (Manufacturer proprietary targets)
Audiogram+ (Manufacturer proprietary targets)
Listening Program
All-Around (Automatic)
All-Around (Automatic)
Volume Setting
Manufacturer defaults
Adjusted to match NAL-NL2 targets at 55, 65, and 75 dB SPL
Software Version
Software v1.17
Software v1.17
Tuning Adjustments
Programmed to N3 audiogram, Feedback calibrated, Experience Level set at "Experienced Non-Linear", Gain Level (%) set at "100%", Other settings at manufacturer defaults
Programmed to N3 audiogram, Feedback calibrated, Experience Level set at "Experienced Non-Linear", Gain Level (%) set at "100%", Other settings at manufacturer defaults
Notes
n/a
n/a
Specs
Behind Ear
Behind Ear
Rechargeable Batteries
Rechargeable Batteries
iPhone Streaming
iPhone Streaming
Android Streaming
Android Streaming
Hands-Free
Hands-Free
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