Getting a hearing test before buying hearing aids is essential, but the cost varies wildly depending on where you go and what's included. Understanding what you'll actually pay—and what's covered—saves you money and helps you make a smarter purchase decision.
How Much Does a Hearing Test Cost?
A basic hearing evaluation typically runs $0 to $300, depending on the provider and location. Here's the breakdown:
- Audiologists: $100–$300 for a comprehensive hearing test
- Hearing aid retailers (like Costco, Sam's Club): Often free when bundled with a hearing aid purchase
- ENT offices: $150–$250, sometimes covered by insurance
- Online hearing tests: Free to $40, but these are screening tools, not diagnostics
The most thorough option—a complete audiological evaluation by a licensed audiologist—typically costs $150–$250 if you're not purchasing aids immediately. Many practices waive this fee if you buy from them.
What's Included in a Full Hearing Test?
Before budgeting, know what a legitimate evaluation covers. A real hearing assessment isn't just a quick noise-check in a booth.
Standard components include:
- Otoscopy (visual ear canal inspection)
- Tympanometry (measures how your eardrum moves)
- Pure-tone audiometry (sounds at different frequencies and volumes)
- Speech discrimination testing (how well you understand words)
- A complete report with recommendations
This process takes 45–90 minutes. If your test takes less than 30 minutes, you're getting a screening, not a full evaluation. Screening tests are fine for initial awareness, but they won't guide you toward the right hearing aid.
Where to Get Tested
Audiologists
Licensed audiologists offer the gold standard. Expect to pay $100–$300, but you get a detailed report and personalized recommendations. Some audiologists don't sell hearing aids directly, which means their recommendations are less biased.
Hearing Aid Retailers
Chains like Costco, Sam's Club, and brand-specific retailers (Widex, Signia, ReSound) often offer free testing when you're considering a purchase. This is convenient and cost-effective if you're ready to buy, but the test is primarily designed to sell you their products.
Your Primary Care Doctor or ENT
Your insurance is more likely to cover testing through a medical provider. Copays typically run $20–$50. The downside: non-specialists may miss nuances or push you toward generic solutions.
Online Hearing Assessments
Apps and websites offering free or low-cost hearing checks ($20–$40) can flag potential issues, but they're not diagnostically rigorous. Use them as a first step, not a final decision point.
Insurance and Coverage
Insurance coverage for hearing tests varies significantly:
- Medicare: Covers hearing tests only if ordered by a doctor for a specific medical reason (not for routine hearing aid fitting)
- Medicaid: Varies by state; some cover audiologist visits, others don't
- Private insurance: Often covers 50–100% if referred by a physician; check your plan
- Veterans: VA covers free testing and aids for eligible veterans
Call your insurer before scheduling. Ask specifically whether they cover "diagnostic hearing evaluations" versus "hearing aid fittings." These are billed differently and have different coverage rules.
Hidden Costs Beyond the Test
The hearing test is just the entry point. Budget for these additional expenses:
- Hearing aids themselves: $1,000–$6,000+ per pair, depending on technology level
- Fitting and programming: Often included or $200–$500 if separate
- Follow-up adjustments: Usually free during the trial period (typically 30–45 days)
- Batteries or chargers: $5–$15/month or one-time $100–$300 for rechargeable models
- Maintenance and repairs: $200–$500/year after warranty expires
How to Save Money on Testing
- Get tested at a big-box retailer (Costco charges nothing if considering purchase)
- Ask about package deals that bundle testing with aids
- Use HSA or FSA funds—hearing tests and aids often qualify
- Check if your workplace offers hearing health benefits
- Look for local audiology schools offering discounted services
Frequently Asked Questions
Q: Will my hearing test cost be waived if I buy hearing aids? Yes, most audiologists and retailers waive the testing fee ($100–$300) when you purchase aids from them. This is standard practice across the industry.
Q: Can I use an online hearing test instead of seeing an audiologist? Online tests are helpful for detecting potential hearing loss, but they can't measure the exact type, frequency, or severity you need to select the right hearing aid. Always follow up with a real audiologist before buying.
Q: Does Medicare cover hearing tests? Medicare covers tests only if your doctor orders them for a medical reason (like dizziness or sudden hearing loss), not for routine hearing aid fitting. Standard hearing aid evaluations aren't covered.
Ready to find a trusted hearing aid provider? Mercoly helps you compare and connect with local audiologists and retailers in your area.