CIC vs. ITE: Comparison of OTC Types & Prices

Written by the Nano Hearing Aids Team
Reviewed for Accuracy by Lindsay Roberts, AuD.

Lindsay Roberts
CIC vs. ITE: Comparison of OTC Types & Prices

Key Takeaways

  • CIC (Completely-in-the-Canal) and ITE (In-the-Ear) hearing aids are both designed for individuals with perceived mild to moderate hearing loss.
  • OTC (Over-the-Counter) hearing aids are available without a prescription, making them more accessible and affordable.
  • CIC hearing aids are more discreet and fit deeper in the ear canal, while ITE hearing aids are larger and often come with more features.
  • Nano offers FDA-registered Class I CIC and ITE hearing aids, such as the First Ear Pro CIC and First Ear Plus ITE, combining advanced features like various listening programs, customizable ear-tips, and noise management.

NANO Hearing Aids are FDA-registered, Class I devices. Our OTC hearing aids are designed for individuals over 18 years of age with perceived mild to moderate hearing impairment. With prices starting at just $297, they offer a viable solution for those looking to improve their hearing without breaking the bank.

Shop NANO OTC Hearing Aids



What are CIC and ITE OTC Hearing Aids?

CIC OTC hearing aids fit completely inside your ear canal, matching the shape of your ear for a snug fit. Sitting deep in the ear canal, they are nearly invisible, and are suitable for individuals with perceived mild to moderate hearing loss and a normal ear canal size.

ITE OTC hearing aids, on the other hand, are larger and sit in the outer portion of the ear, covering more of the ear's surface compared to CIC hearing aids. Because of their size, ITE hearing aids can house more features and offer better amplification. Similarly to CIC hearing aids, they are suitable for individuals with perceived mild to moderate hearing loss.

Differences Between CIC and ITE

Aspect

CIC Hearing Aids

ITE Hearing Aids

Size and Discreetness

Smaller and fit entirely within the ear canal - nearly invisible.

Larger and more visible.

Features

Fewer features due to smaller size.

Accommodate more features - such as directional microphones and telecoils.

Amplification

Provide adequate amplification but may struggle in noisier environments due to their smaller size.

Offer stronger amplification, with better performance in various sound environments.

Battery Life

Generally shorter - limited by smaller battery size; most newer models are rechargeable, with battery life of up to 2 days.

Typically longer - due to larger battery size; most newer models are rechargeable, with a run time of around 24 hours.


Features of CIC and ITE OTC Hearing Aids

Discreetness and Visibility

CIC hearing aids fit deeply in the ear canal, so they are nearly invisible, ideal for those seeking discretion. ITE hearing aids are more visible but offer other benefits.

Sound Quality and Amplification

CIC OTC hearing aids, being smaller and more discreet, may offer less powerful amplification and reduced sound quality, particularly in noisy environments, due to limited space for advanced components. ITE OTC hearing aids, with their larger size, can house more sophisticated technology, providing better sound quality and stronger amplification. However, the sound quality of both CIC and ITE hearing aids can vary based on the specific model and features, with higher-end versions of both types offering comparable performance.


Battery Life and Power Options

ITE hearing aids have larger batteries, leading to longer life between charges or replacements. CIC hearing aids have smaller batteries, requiring more frequent changes. However, most modern CIC models feature rechargeable batteries, offering the convenience of less frequent battery replacements.

Comfort and Fit

CIC hearing aids, being smaller, offer a snug fit and comfort for extended wear. ITE hearing aids cover a larger ear area and may feel bulkier but can be easier to handle and insert, making them a better fit for larger or differently shaped ear canals.

Maintenance and Durability

CIC hearing aids can be harder to clean and maintain, meaning they are more prone to earwax buildup. ITE hearing aids are easier to clean and more durable, making them better equipped to withstand daily wear and tear.


Pros & Cons of CIC and ITE OTC Hearing Aids

Pros

Cons

CIC Hearing Aids

Almost invisible when worn, a discreet solution

Small size, fewer features compared to larger models

Tight fit, comfortable and secure, reducing the risk of falling out

Smaller batteries require more frequent replacements or recharging

Utilizes ear's natural shape, provides a more natural sound experience

More prone to earwax buildup, requires more frequent cleaning

ITE Hearing Aids

Larger size, easier to handle, insert, and remove

More visible, might concern those seeking discretion

Better amplification, accommodates advanced technology

Bulkier fit, may be less comfortable for some users


Cost Considerations: CIC vs. ITE

  • Initial Cost: CIC OTC hearing aids are typically more expensive due to their advanced technology and discreet design, while ITE models are generally more affordable. Nano's models offer a cost-effective solution, with the First Ear Pro CIC hearing aids priced at $397 per pair and the First Ear Plus ITE hearing aids currently available at $347 per pair, making them accessible for individuals seeking quality hearing aids at a low price point.
  • Maintenance Costs: CIC hearing aids may incur higher cleaning costs due to earwax buildup.
  • Battery Replacement: Both CIC and ITE OTC hearing aids offer options for disposable or rechargeable batteries - rechargeable hearing aids generally have a longer lifespan than battery-powered hearing aids.
  • Feature Costs: ITE hearing aids may incur higher costs due to additional features like directional microphones and Bluetooth, while CIC models, being more discreet, often have fewer advanced features.

Nano First Ear Pro CIC comes with compact and discreet design with a portable charging case.


Choosing the Right Hearing Aid: CIC vs. ITE Use Cases

CIC OTC hearing aids are suitable for those who prioritize discretion and have perceived mild to moderate hearing loss. They suit active lifestyles and users who prefer less noticeable devices.

ITE OTC hearing aids are a better option for individuals needing robust amplification and advanced features. They are also designed for individuals with perceived mild to moderate hearing loss or who require more advanced features.

Benefits of CIC and ITE OTC Hearing Aids

  • Improved Hearing Quality: Enhances your ability to hear and understand conversations.
  • Increased Social Interaction: Reduces feelings of isolation and facilitates participation in social events.
  • Enhanced Communication: Strengthens relationships and boosts productivity by improving interactions with others.
  • Accessibility and Affordability: More accessible and affordable compared to prescription hearing aids.
  • Boosted Self-Confidence: Encourages fuller engagement in activities and enjoyment of life.

Improved Hearing Quality

Both CIC and ITE OTC hearing aids enhance your ability to hear and understand conversations: you can catch every word, enjoy your favorite music, and hear important sounds in your environment. Improved hearing quality reduces the cognitive load associated with straining to hear - allowing you to focus better on other tasks and activities.

Increased Social Interaction

Better hearing enhances your ability to engage in social interactions - both CIC and ITE OTC hearing aids help you participate more actively in conversations at family gatherings, social events, or casual meetups with friends. This can lead to a more fulfilling social life and reduce feelings of isolation.

Enhanced Communication

Both CIC and ITE OTC hearing aids improve communication with family, friends, and colleagues - leading to better relationships and increased productivity. Clearer hearing helps you understand and respond during conversations, making interactions smoother and more effective. For example, in a business meeting, you can contribute to discussions without asking for repetitions - boosting your confidence and ensuring full engagement.

Accessibility and Affordability

OTC hearing aids offer greater accessibility and affordability - you can purchase them directly from a store or online - bypassing the need for a prescription and multiple visits to an audiologist. 

Boosted Self-Confidence

Better hearing increases your self-confidence, encouraging you to engage in conversations, participate in social activities, and perform better professionally. This confidence can positively impact personal relationships and career success.

Nano First Ear Plus ITE - Designed for comfort and performance with customizable ear-tips.

How Nano OTC Hearing Aids Are Different

At Nano, our commitment to quality and safety is evident in our hearing aids, including the First Ear Plus ITE and First Ear Pro CIC models. With over seven years of experience since our founding in 2017, we ensure our products meet stringent safety standards as FDA-registered Class I medical devices. Our First Ear Plus ITE model features a portable charging case, customizable ear-tips, and powerful noise management. The First Ear Pro CIC features a nearly invisible design, automatic on/off functionality, and excellent sound quality.

Our Class I classification means minimal risk - avoiding issues like over-amplification or tinnitus that can occur with other devices. We at Nano combine advanced technology with safety to deliver a superior hearing experience, making us a trusted choice for enhancing your hearing and improving your quality of life.


Frequently Asked Questions

What is the main difference between CIC and ITE hearing aids?

CIC hearing aids are smaller and fit entirely inside the ear canal, making them nearly invisible. ITE hearing aids are larger, fitting in the outer ear, which allows for more features and better amplification.

Are CIC hearing aids more expensive than ITE hearing aids?

CIC hearing aids can be more expensive due to their discreet design and custom fit. While some ITE hearing aids offer advanced features like directional microphones, not all models include these options, so the cost of ITE hearing aids varies depending on the specific features and technology incorporated.

Which type of hearing aid is more durable?

ITE hearing aids are generally more durable due to their larger size and robust construction. They can withstand daily wear and tear better than CIC hearing aids. However, both types require regular maintenance to ensure longevity and optimal performance.

How do I choose between CIC and ITE hearing aids?

Selecting between CIC and ITE hearing aids depends on your hearing needs and preferences. CIC hearing aids are ideal if you prioritize discretion and a snug fit, as they fit deep in the ear canal. ITE hearing aids are better if you need more advanced features and amplification, as they are larger and sit in the outer ear.

At Nano, we offer both CIC and ITE models, all FDA-registered Class I medical devices, ensuring safety and effectiveness. Choose Nano for a hearing aid that enhances your quality of life, designed to fit your needs and lifestyle!

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