Signia Styletto 5AX Review

Prices, Sound Recordings, Models
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Updated
January 19, 2024
Methodology
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Soundly is an independently owned hearing health research tool. Our reviews are conducted by hearing aid wearers and audiologists. We physically review the leading hearing aids on the market for sound quality, comfort, durability, and more. Our review process starts with hands-on unboxing and days, weeks, or months of wear. We also record live sound demos using a calibrated binaural microphone (read more here). We experiment with backend fitting software for prescription products and use test box measures to measure prescriptive accuracy and flexibility. Our work is funded through reader support. When you buy through our links, we may earn a commission. Read more about our story here.

Watch a video about this product.
Behind the Ear
Bluetooth
Rechargeable
PROFESSIONAL FITTING

Signia Styletto hearing aids have a sleek appearance that looks more like consumer tech than a medical device.

5X is the second technology level available and comes with most of the core features available. The 5X has 32 channels of customization for your audiologist to work with and loses some ability to process high-frequency sounds. If you spend time in mid-sized groups and at home, this product is an excellent choice.

Pros 👍
  • ‍Sleek product design
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  • Bluetooth streaming enabled for iPhone and Android
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  • Rechargeable

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Cons 👎
  • ‍No onboard pushbuttons (requires app or remote control changes)
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  • Signia Styletto is a premium product at a premium price that may be out of budget for some
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Soundly Scorecard
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Hearing Loss Level 🔊
Mild - Severe
  • Signia Styletto is a fully customizable, prescription hearing aid appropriate for mild-severe hearing loss
  • If you have severe hearing loss, your care provider may fit you with a custom earmold to reduce feedback
  • If you have profound hearing loss, you may be a better fit for a high-powered BTE style hearing aid
Care Type đŸĨ
Prescription
  • Signia Styletto is a prescription device fit and programmed by a professional
  • After an initial fitting, you can connect with your care provider remotely through the Signia app
Sound Quality 🔊
Strong in Background Noise
  • Signia uses a unique Split Processing technique helps isolate background noise and boost speech clarity
  • Signia's Own Voice Processing (OVP) helps take the edge off of that uncomfortable sound quality of the user's own voice that many patients experience when adjusting to hearing aids
Comfort đŸĻģ
Very Comfortable For All-Day Wear
  • Signia Styletto comes in in a comfortable receiver-in-canal style that is easy to wear all day
Style  đŸ’Ģ
Behind The Ear
  • Sits behind the ear with a receiver (speaker) that reaches into the ear canal
  • Signia Styletto offers a stylish, slender form factor that is unique in the category
  • Choose between various color schemes and options. Two-tone options: Black/fine gold, black/graphite, black/silver, cosmic blue/fine gold, blue/rose gold, blue/silver, white/fine gold, snow white/rose gold, snow white/silver. Solid color options: Beige, black, deep brown
Battery đŸ”‹
Rechargeable Only
  • Rechargeable only
  • 20 hours on a full charge (16 hours, including 5 hours of streaming)
  • Two charger options: Portable charger with induction charging, or plugin Dry & Clean charger
  • Wireless charging available with the purchase of a Qi USB-C charging cable
Connection đŸ“Ą
Bluetooth Available
  • Signia Styletto allows Bluetooth streaming, music listening, and phone calls. iPhone users can take calls hands-free, while Android users must keep their phones close to pick up outbound audio
  • Signia Styletto uses Apple's MFI connection and Android's ASHA connection to stream content through Bluetooth
  • Signia Styletto hearing aids can connect to multiple devices (ie. TV and phone) simultaneously
Dexterity Level 🤏
Average
  • Signia Styletto is reasonably easy to handle but does require the wearer to place the hearing aid behind their ear and insert the receiver into the ear (consistent across all behind-the-ear styles)
  • Signia Styletto does not include push buttons, so all program and volume changes need to be made through the Signia app or an external microphone (purchased separately)
Waterproof Level đŸ’Ļ
IP68
  • Signia Styletto is water resistant with an IP rating of 68
  • This hearing aid can withstand dust and water submersion in one meter of water for up to 30 minutes
App features đŸ“ą
Has An App, Telehealth Capable, Find My Hearing Aids
  • Remote care: Included in the Signia app (not a separate app)
  • Customization: Treble/bass, volume, microphone directionality, Signia Assistant
  • Tinnitus masking: Customizable options through your hearing care professional
  • Find my hearing aid: Not available
  • Health tracking: Step tracking, activity (e.g., high intensity versus low), and wear time
Pricing and Process
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Pricing

The national average price for Signia 7AX hearing aids is around $6,400 per pair.

Our research indicates that the best pricing and care packages are currently available through ZipHearing and Yes Hearing.

  • ZipHearing offers Signia 5AX hearing aids starting at $3,798 (see a professional in a local clinic)
  • YesHearing offers Signia 5AX hearing aids at $4,180 per pair (a professional will come to your home)

Process

ZipHearing or Yes Hearing will match you with a local professional and secure a lower price (typically 25% less than the national average).

Fill out the form on either site to get matched with local care.

ZipHearing Form - Yes Hearing Form

Recommendation

We review thousands of customer reviews and available prices to find the best available care providers. Our readers are consistently happy with ZipHearing and Yes Hearing and give both companies 95%+ 4 and 5-star ratings on Trustpilot.

How to Choose a Technology Level
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Signia Styletto comes in several technology levels. Each device looks identical from the outside, but on the inside, each technology jump offers more sophisticated sound processing and special features. In general, wearers opt for the top technology they can reasonably afford.

The key differences between tech levels mostly come down to background noise management.

Signia Styletto 7AX

  • 20 bands of customization
  • 48 background sound analysis settings
  • Includes Echo Shield

Signia Styletto 5AX

  • 16 bands of customization
  • 32 background sound analysis settings
  • Does not include Echo Shield

Signia Styletto 3AX

  • 12 bands of customization
  • 24 sound processing channels
  • Does not include Echo Shield

Review Signia's full feature matrix here.

Read our full guide to choosing a technology level here 👈

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What people are saying:

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The breakdown

Signia Styletto hearing aids come at a comparable price to the other top-of-the-line products like Oticon More and ReSound One. So what makes this hearing aid different?

Styletto hearing aids have a unique design to the hearing health category. The sleek devices look more like tech products than medical devices and are a favorite among style-seeking customers. Styletto combines this fashion-forward design with all the features you would expect, like Bluetooth streaming, rechargeability, and clear speech in background noise.

Styletto hearing aids in recharge case
Man holding Styletto hearing aids in recharge caseHand holding Signia Styletto hearing aid

The tech inside

Styletto hearing aids come with an AirPod-like charging case and Bluetooth streaming capabilities. The devices use motion detection to gather information about your surroundings as you move from one space to the next. The hearing aids automatically sense when you start walking or sit down and make intelligent decisions about where to focus. Styletto also gets top marks for the Signia Assistant feature in their app. The Signia assistant asks you simply worded questions about your current environment and preferences and adjusts your program based on your responses.

Getting up close

Styletto comes in 5 tech-forward colors, including all white, all black and two-toned with silver and rosegold accents.

Signia Styletto hearing aid colors

Overall notes:

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