Signia Active Pro IX Hero
Expert
Choice

Signia Active Pro IX Expert Review

Premium Rx
Released 
2024

Summary

The Signia Active Pro IX is a premium prescription hearing aid with a visible-in-ear design that achieved an A grade in HearAdvisor's lab testing, ranking #3 among 34 prescription hearing aids tested. At $3,199, it sits in the highest price tier and delivers strong overall sound performance with a SoundScore of 4.63 out of 5.

In our testing, the Active Pro IX demonstrated exceptional speech clarity, scoring well above average in both quiet and noisy environments. Its speech-in-noise performance was particularly impressive, measuring 1.48 points above the category average—a meaningful advantage for users who struggle in challenging listening situations like restaurants or social gatherings. Own-voice comfort also measured above average, suggesting Signia's occlusion management works effectively with the vented sleeve coupling.

The device does show some trade-offs worth noting. Music streaming quality measured slightly below average, and feedback handling in the tuned condition dropped to well below average despite strong initial performance. This suggests that users pushing for maximum audibility may need to balance gain against feedback stability. The rechargeable design and streaming compatibility with both iPhone and Android add practical convenience.

The Signia Active Pro IX competes closely with the Oticon Intent and Phonak Sphere Infinio at similar price points. For budget-conscious shoppers, the Rexton Reach R-Li T80 at Costco offers comparable sound performance at less than half the price. This device is best suited for users prioritizing speech understanding who work with a hearing care professional to optimize the fitting.

In the initial fit condition using a vented sleeve coupling, the Signia Active Pro IX delivered strong out-of-box performance. Speech-in-quiet scored 4.20 and speech-in-noise reached 2.60, both well above category averages. Feedback handling was excellent at 5.00, indicating stable performance without audible feedback during standardized challenge tests. Own-voice comfort measured 3.30, suggesting reasonable occlusion control. Music streaming at 2.40 was adequate but not a standout. The overall initial fit score of 3.52 reflects a device that performs well with minimal professional adjustment.

The tuned fit condition maintained the same vented sleeve coupling and showed modest improvements in speech performance, with speech-in-quiet rising to 4.30 and speech-in-noise improving to 3.00. However, feedback handling dropped significantly to 3.40 as gain was increased to better match prescriptive targets. Music streaming improved to 2.90 with optimization. Own-voice comfort remained stable at 3.30. The overall tuned fit score of 3.52 matched the initial condition, indicating that while speech clarity improved, the feedback trade-off balanced out overall gains.

Loading listening test...

Lab Review Scores

A
SoundGrade
Initial Score
4.6
Tuned Score
4.6
Expert
Choice
Speech in quiet
best
4.2
5.0
Own voice
best
3.3
5.0
Speech in noise
best
2.6
5.0
Feedback handling
best
5.0
5.0
Music streaming
best
2.4
5.0

State-of-the-art Acoustic Laboratory

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
Graph

Lab recordings

Adjust volume to make "No hearing aids" as loud as it would be in the real world, without hearing aids. Remove hearing aids while auditioning. High-quality headphones will improve results!
Signia Active Pro IX Lab

Lab notes

Initial Fitting
Tuned Fitting
Ear Coupling
Initial Fitting
Sleeve Vented
Tuned Fitting
Sleeve Vented

Specs

Visible in Ear
Visible in Ear
Rechargeable Batteries
Rechargeable Batteries
iPhone Streaming
iPhone Streaming
Android Streaming
Android Streaming
Hands-Free
Hands-Free