Hearing care professionals (HCPs) deal with the question all the time: Why do hearing aids have to cost so much? Of course, there are many reasons commonly cited: the research and development that goes into advanced hearing aids, the associated professional investments and service costs, the relatively small number of hearing aids manufactured, hearing aid returns, and more.

More recently, personal sound amplification products (PSAPs) and DIY-type amplification devices have made price sensitivity an even larger issue. Consumers commonly ask, How can this same hearing aid cost $1100 online, while yours is twice that much? To better illustrate why hearing aids dispensed by audiologists are more expensive than if purchased online or as an OTC (as well as the benefit of unbundling device costs from services), renown clinician-researcher Michael Valente, PhD, would sometimes show a patient a picture of three ways to buy a chicken dinner: 1) A frozen chicken in the grocery store sold at $5; 2) the same chicken cooked and sold in a grocery store for $10; and 3) the same chicken cooked and prepared in a nice restaurant for $30 (Figure 1). Dr Valente’s point: there is value and benefit in a hearing aid fit with best practices, but that value and benefit comes with necessary associated costs.

Figure 1. The chicken/hearing aid pricing analogy used by Dr Valente in his patient counseling readily shows how different services—in this case, the various states of preparation in a chicken dinner—result in widely different prices for what are essentially the same meal.

What the Data Says About Price as an Obstacle to Hearing Aid Purchase

Numerous studies and surveys show that hearing aid price, while certainly not the only factor, remains a major obstacle in obtaining appropriate hearing care. A 2011 study by Fischer et al showed that the two main reasons for not obtaining a hearing aid were cost (overall 27% of respondents) and not needing an aid (26%). MarkeTrak VIII (MT8) published in the March 2012 Hearing Review presented a comprehensive analysis of hearing aid purchase intent and the factors that might lead a hearing aid non-user to consider purchasing a device. As shown in Figure 2, MT8 found that, of the top-10 factors that would convince a prospective consumer to purchase a hearing aid, 4 of those items related to cost in some way:

hearing-aid-consumer-motivating-factors
Figure 2. The top-10 factors that would motivate a non-purchaser of a hearing aid to purchase a hearing aid. Four of the top-10 relate to price of the hearing aid, according to MarkeTrak VIII (2012).

Similarly, a July 2020 survey by SeniorLiving.org cites cost (38.2% of survey respondents) as the second most important reason for not adopting hearing aids (the number-one reason was “Can manage without one” with 56.9% of respondents). The other significant factors were: “Not prescribed” (24.5%); “Doctor deemed unnecessary” (16.7%); “Don’t want one” (15.9%); “Uncomfortable” (10.8%); and “Other assistive technology” (1.0%). As the survey stated, “While many products have been developed to help mitigate hearing loss, most prominently hearing aids, many of these devices are quite expensive, and there’s no single standard across the country for whether hearing aids are covered by health insurance.”

According to HearingTracker.com, the average price of a hearing aid is $2372, usually equating to around $4500 for a binaural fitting. Given the above, it’s obvious that—although there are other important barriers besides cost—the prospect of paying for a hearing aid remains a significant deterrent to appropriate hearing care. 

Hearing Care Practices Increasingly Respond with Financing and Device Options

Most hearing care professionals would agree that cost should never be a reason to forgo treatment for a hearing loss. Increasingly, hearing aid financing is playing significantly greater role in the patient journey. A hearing care practice that provides the option of consistent, low monthly payment options for a hearing aid over an extended period is a boon to many consumers. Companies like Ally Financial offer a wide range of financing options designed to accommodate the consumer’s individual needs, including low monthly payments with a fixed Annual Percentage Rate (APR). Ally’s easy-to-navigate online experience allows patients to set up and schedule automatic payments, view statements, and get answers quickly. Patients can also turn to financing for some of our field’s incredibly effective assistive devices—like remote microphones, loop systems, and alarm/alerting devices—which may be underutilized in the armamentarium of HCPs due to cost issues.

Today, more hearing care professionals are also carrying a wider selection of hearing aid products, including more economy and basic-level hearing aids, and unbundling their prices and/or offering optional service packages to separate and reduce the “device cost”—bringing them into more favorable pricing when compared with Big Box and online pricing. A 2017 Hearing Review dispenser survey pointed to a fairly wide range of average unit prices—from about $900 to $3,100—for the various technology levels in a wide range of HCP practice settings (ie, from private practice to mass merchandisers).

Some hearing care practices have even started carrying PSAP/DIY amplification (ie, soon to be OTC hearing aids) with various options for consumers to be fitted appropriately with the device and/or then charged for any extra follow-up visits. In some cases, the HCP also provides the option of applying all or part of the device cost towards the purchase of a traditional hearing aid at a later date.

The bottom line is that financing options—and, perhaps in some cases, lower-priced hearing solutions—can drive more first-time users to your door while improving the consumer journey and patient care. In the era of Big Box aids, PSAPs and OTCs, and “Hearables,” it increasingly makes sense to answer questions about hearing aid pricing with transparency while also offering viable, attractive options for your patients.