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USA Hearing Exam Guide: What to Expect, Cost and Coverage

Last reviewed · By the USA Exam Preparation editorial team

A hearing exam (audiological evaluation) measures how well you hear different pitches and volumes and how well you understand speech. It usually takes 30–60 minutes and is performed by an audiologist.

Test what you know with our free hearing exam quiz.

Key takeaways

  • Typical tests: pure-tone audiometry, speech testing and tympanometry.
  • Normal adult hearing is about 0–25 dB HL.
  • Costs without insurance usually run $75–$350.
  • Adults with mild-to-moderate loss can buy OTC hearing aids (since 2022).

USA Hearing Exam: Quick Facts

Performed by
Audiologist (or ENT)
Time
30–60 minutes
Cost
$75–$350 without insurance
Medicare
Diagnostic tests if doctor-ordered

What Happens During a Hearing Exam?

  1. Case history and an ear inspection (otoscopy)
  2. Pure-tone audiometry: you raise your hand or press a button for beeps
  3. Speech testing: repeating words at different volumes
  4. Tympanometry: checks eardrum movement and middle-ear fluid
More on What Happens During a Hearing Exam

Hearing Test Cost and Coverage

Without insurance, expect $75–$350. Some retailers offer free basic screenings. Original Medicare covers diagnostic hearing exams when a doctor orders them, but not routine tests or hearing aids. Many Medicare Advantage plans add hearing benefits. Vision is covered separately; see our eye exam guide.

More on Hearing Test Cost and Coverage

Free practice test

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USA Hearing Exam FAQs

How much does a hearing test cost?

Usually $75–$350 without insurance. Basic screenings are sometimes free.

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Does Medicare cover hearing exams?

Original Medicare covers diagnostic hearing exams ordered by a doctor, not routine tests or hearing aids.

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How long does a hearing exam take?

About 30–60 minutes for a full evaluation.

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Do I need a prescription for hearing aids?

Not for OTC hearing aids for adults with perceived mild-to-moderate hearing loss. Prescription aids need a professional fitting.

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Official sources

Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.

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