How much are hearing aids? Answered by audiologists

How much do hearing aids cost?

According to our audiologists, the average price of a single prescription hearing aid ranges from $1,000 to $3,500. Since most people need two devices, expect to pay between $2,000 to $7,000.  The exact price depends on the hearing aid model, type, the audiologist’s relationship with vendors, walk-in prices vs. pre-negotiated, and the overall technology offered in the device. The technology level is often the biggest determinant of cost, but the style also can influence the price. This also holds true for the cost of OTC hearing aids.

Over-the-counter hearing aids typically range in price from $300 to $2,000 per pair, making them a more affordable choice for adults with mild to moderate hearing loss.

There are also several different types of hearing aids, with varying price points, designed to help meet the unique needs of hearing loss patients.

BTE hearing aid cost

Behind-the-ear (BTE) models are worn externally and usually cost a little less than ITE or ITC styles. While a BTE hearing aid often uses a custom earmold, the earmolds are typically included in the price. Dr. Hinson notes that some clinics may charge extra for this, however, adding up to $100 extra per device.  Expect to pay between $1,000 and $6,000 for a pair of BTE hearing aids, depending on the manufacturer and technology level.

ITE hearing aid cost

In-the-ear (ITE) hearing aids fit inside the ear, but outside of the ear canal. They typically cost around $1,000 to $6,000 per pair depending on technology level.

RIC hearing aid cost

The price for receiver-in-canal (RIC) hearing aids hover in between ITE and BTE hearing aids. Depending on the features and technology, they usually cost between $1,200 and $7,000.

ITC hearing aid cost

Tiny and discreet, in-the-canal (ITC) hearing aids rest inside the ear but not fully inside the ear canal.   This custom-molded style is slightly larger than CIC hearing aids, allowing them to host more tech, which usually makes them the most expensive, costing between $2,000 and $7,000.

CIC hearing aid cost

Completely-in-canal (CIC) hearing aids are also custom fitted, though these rest completely inside the ear canal making them nearly invisible. CIC hearing aids cost, on average, between $1,000 and $5,000 per device.

What is included in the cost of hearing aids?

Comparing the top hearing aids, along with their features and service packages, can feel overwhelming—especially given the wide price range. One of your options for potentially lower costs is to compare bundled and unbundled services.

Bundled hearing aid services

As the name implies, bundled hearing aid services mean that most, if not all, aspects of a person’s hearing care are included with the price of hearing aids. This price tag consists of the cost of the medical devices themselves and a professional fitting with a hearing care professional. The bundled cost of hearing aids typically includes the devices, initial fitting, orientation, and additional services. These services usually include all follow-up visits for adjustments, fine-tuning, cleaning, and maintenance. Follow-up visits are typically included throughout the warranty period, but some audiologists offer lifetime follow-up services in their bundled model.

Pros of bundling

• It streamlines costs. With bundled services, you get most, if not all, aspects of hearing aid care covered for one price. Hearing aids often need maintenance throughout their lifetime and at no additional cost. By bundling services, you avoid paying service fees at each visit.
• Less stress. If tracking every penny and new category related to your hearing aid costs feels overwhelming, bundling services may bring peace of mind.
• Diagnostic testing may be included. Sometimes, the first diagnostic hearing test will be bundled with the price.

Cons of bundling

• Read the fine print. Some providers may limit the number of appointments you can book for fine-tuning.
• You may be paying a high price tag for services you don’t need. Can you handle cleaning your hearing aid on your own? You may not need as many visits and may end up paying less by unbundling your services.
• Lack of transparency. You don’t get an itemized list of what you’re paying for, so it’s unclear if the high price is primarily for the prescription device, fitting, check-ups, etc. Consequently, you can’t re-evaluate whether bundling is worth it when purchasing a new hearing aid.

Unbundled hearing aid services

Unbundled hearing aid services offer a more a la carte approach. You’re paying for the hearing aid rather than the services, such as testing and fine-tuning. This option has become increasingly attractive to patients with mild to moderate or self-diagnosed hearing loss in the wake of the new FDA rule, which opened up a more competitive marketplace. However, the rule doesn’t apply to prescription hearing aid users, who still must be evaluated and prescribed devices by an audiologist.

Pros of unbundling

• Transparency. With unbundling, you know where your money is going and can itemize expenses.
• The lower cost upfront. The main reason for someone’s decision to go with unbundling is the lower initial cost.
  • Can you handle cleaning and maintaining your hearing aid on your own? You may not need as many visits and may end up paying less by unbundling your services.
• It leaves room for your unique needs. You may need fewer fine-tunings and follow-ups than the average hearing aid wearer. Unbundled services don’t lump all users together.

Cons of unbundling

• More expenses. The need for maintenance is inevitable, so you will incur those costs eventually.
• Foresight needed. You’ll need to plan, track, and budget for additional costs, so the unbundled model is not as streamlined.
• More stress. If the process of needing a hearing aid already feels like a lot, all the tracking and foresight may exacerbate the issue.

What factors affect the price of hearing aids?

The average price of a single hearing aid has such a wide range because many factors go into setting it. Here are some of the main considerations:

Technology and features

Advanced technology has given rise to extra features that enhance sound quality and everyday life. Artificial intelligence, advanced processors, directional microphones, the Bluetooth streaming can result in a higher price.

Batteries 

Devices using rechargeable hearing aid batteries typically cost more upfront but can save time and money long-term. On the flip side, models with disposable batteries—which need to be replaced every 4 to 7 days— are typically cheaper upfront and tend to last longer on a single charge.

Model year 

Hearing aid brands come out with newer models constantly, which means choosing an older model is likely to cost less. Even choosing last year’s model, which often has similar features, can allow you to save on high-quality hearing aids.

Audiology services 

A device isn’t the only factor in maintaining your hearing health. You’ll need support, maintenance, check-ups, and additional testing. These professional services may be included in the price tag of a hearing aid, especially if you opt for bundled services.

While a hearing test isn’t legally necessary to purchase an over-the-counter model, it’s still a good idea to take any new pair of hearing aids to a professional to have them adjusted to suit your specific needs before using them.

Medical insurance coverage

Currently, hearing aids are not covered by Medicare Part A or B. However, Medicare Advantage, private insurance policies, and Medicaid may cover part of the cost. It’s always a good idea to check with your provider.

Does health insurance cover hearing aids?

Navigating hearing aid prices can feel like a tall task. It can be helpful to know that you may be eligible for financing options or financial assistance for hearing aids, which make upfront costs more manageable.

Medicare and Medicaid hearing aid coverage

Many people find themselves wondering: does Medicare pay for hearing aids? While Medicare (Parts A and B) doesn’t pay for hearing aids or hearing exams, some Medicare Advantage (Part C) and Medicare Part D plans may cover diagnostic exams if a physician orders them for a suspected hearing loss or balance disorder.

Medicaid coverage varies by state. Some states cover part or the entire cost of hearing aids (and the necessary exams and maintenance) while others don’t offer any coverage. You can contact your state’s Medicaid office and view the Financial Options for Hearing Loss Treatment page from the Hearing Loss Association of America to learn more.

Private insurance

Private insurance may cover a portion of hearing aid costs, especially in states with mandated coverage, but it’s important to check your specific policy for details.

According to Children Now, over 30 states now require that private insurance covers pediatric hearing aids. The American Speech-Language-Hearing Association is a great resource for up-to-date information on state-by-state legislation.

Veteran benefits

If military service resulted in hearing loss, you can likely receive free hearing aids from the VA.

Financing options

Most hearing aid providers offer financing options. Typically, the wearer will go on a payment plan, opening a credit card or credit line to pay back the overall cost in smaller increments. An audiology center may also offer a leasing plan, and you can trade your device for a new model with upgraded technology after a period of time.

Over-the-counter vs prescription hearing aids

In 2022, the FDA approved over-the-counter hearing aids for adults 18 and over. The ruling allows individuals to purchase FDA-regulated medical devices even without a hearing exam or audiologist appointment. No prescription is required. Though prescription devices remain the gold standard for personalized fittings, especially for severe hearing loss.

Prescription hearing aids

Prescription aids from one of the six major hearing aid manufacturers—Starkey, Oticon, ReSound, Phonak, Widex, and Signia—are only available to purchase after a hearing evaluation from an audiologist. While the required hearing tests and the devices themselves cost more than simply purchasing an over-the-counter model, prescription hearing aids are generally tailored to your individual level and type of hearing loss, which may make them more effective.

Over-the-counter hearing aids

OTC models offer a more affordable hearing aid option for those with mild to moderate hearing loss. Plus, OTC hearing aids with Bluetooth and smartphone app controls are becoming increasingly common, making them more convenient and user-friendly.

Pros of OTC hearing aids

• Cost-effective — OTC hearing aids start around $300, which is significantly lower than the average price of prescription hearing aids.
• No need for a prescription — This helps streamline the process and cut costs.
• Adjustable and often Bluetooth compatible — Some customization is usually possible, allowing users to tailor the hearing aid fit and sound to their hearing needs. OTC devices may offer technology features of prescription devices, like Bluetooth compatibility, allowing the wearer to talk on the phone, watch TV, and listen to music.

Cons of OTC hearing aids

• Not designed for those with severe to profound hearing loss — Most OTC hearing aids are not powerful enough for patients with severe to profound hearing loss, or those who have trouble with background noise.
• Are not custom fitted — Without an appointment with a hearing care professional, the wearer may be taking their best guess on fit.
• Not always matched to a hearing test — No hearing test is required, so a person may not choose the absolute best device for their unique needs.

Our favorite over-the-counter hearing aids

Brands like Lucid Hearing, Eargo, Elehear, and Jabra Enhance are among the popular OTC hearing aid providers. These are three we love.

• Jabra Enhance. Jabra Enhance medical-grade hearing aids offer similar quality as prescription devices for people with mild to moderate hearing loss. The company’s customer service, including virtual and in-person support from audiologists, help set Jabra Enhance apart.
• Lexie Hearing. Modern technology can offer great perks, but not everyone is tech-savvy. Lexie’s easy-to-use devices don’t require you to be.
• Sontro. These BTE hearing aids are some of the more discreet on the market. The otoTune app helps the user match their device to their environment.

Hearing aids are expensive, with prescription options carrying four-figure price tags. But OTC options are considerably lower, often coming in at under $1,000 per device. Many factors can increase the price, including whether you bundle professional services, add customization or technology, or purchase the newest model.

How to save money on hearing aids

Hearing aids can restore value to your quality of life, but they may weigh heavily on your budget. Here are ways to make a hearing aid purchase more affordable.

Buying online

While you can only purchase prescription hearing aids through your audiologist, you can buy over-the-counter or even used prescription hearing aids online. If you decide to buy used hearing aids, opt for a BTE or RIC model since those aren’t as fitted to your ear as a ITE option. A used prescription hearing aid also won’t be tailored to your level of hearing loss and may need a thorough cleaning.

Refurbished hearing aids

Like used hearing aids, only refurbished BTE or RIC models should be considered. ITE styles are less likely to fit since they were tailored to another individual’s ears. Purchasing a refurbished prescription hearing aid through an audiologist may give you technology superior to over-the-counter models while still saving you hundreds of dollars.

Financial assistance programs

Health insurance doesn’t usually cover hearing aids, which means you’ll likely find more opportunities through a non-profit program, your state government, or the VA.

Next steps in buying a hearing aid

It’s a good idea to do your research and look at a few devices to see which ones meet your unique needs and budget. For more personalized guidance, consult our audiologist’s guide to choosing a hearing aid to help identify the right device for you.