How to Choose an Audiologist

You’ve made the decision to address your hearing loss—a significant and often challenging step. Now comes another question that can feel overwhelming: Who should you trust with your hearing care? The relationship with your audiologist can span years or even decades, making this choice one of the most important you’ll make in your hearing health journey.

The good news: you don’t need to guess. There are clear markers of quality care, specific credentials that matter, and concrete questions that separate excellent providers from merely adequate ones. This guide will help you navigate your options with confidence.

Understanding audiologist credentials

Not everyone who fits hearing aids has the same training. Understanding professional credentials helps you know what expertise you’re getting.

Doctor of Audiology (AuD)

Since 2007, the standard entry-level degree for audiologists has been the Doctor of Audiology (AuD), typically requiring four years of graduate study plus supervised clinical experience. Audiologists with an AuD have training in:

• Diagnostic testing for hearing, balance, and related disorders across ages
• Hearing aid fitting and programming using evidence-based protocols
• Rehabilitation strategies beyond devices
• Medical conditions affecting hearing and when to refer for further evaluation

You may also encounter audiologists with Master’s degrees (MA/MS in Audiology) trained before 2007. These practitioners are fully qualified—many have decades of experience—but universities no longer offer Master’s-level audiology programs.

Certificate of Clinical Competence in Audiology (CCC-A)

The CCC-A is a voluntary national certification from the American Speech-Language-Hearing Association (ASHA). While not required for state licensure, it signals that a provider has met additional standards and participates in ongoing professional development.

Board certification and state licensure

Every audiologist must hold a valid state license to practice. This is non-negotiable. The American Board of Audiology (ABA) offers board certification as an additional credential.

Hearing instrument specialists (HIS)

Some hearing aid dispensers are Hearing Instrument Specialists (HIS) rather than audiologists. They can assess basic hearing loss and fit hearing aids, but their training is typically shorter than audiology graduate training. An HIS may be a reasonable option for straightforward fittings. Audiologists can offer broader expertise in diagnosis, medical referrals, balance issues, and complex hearing needs.

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Comparing care settings

Audiologists practice in different settings, each with advantages and tradeoffs. Matching your needs to the right environment matters.

Private practice audiology clinics

Private practices often offer personalized care, flexible scheduling, and broad services (custom ear protection, tinnitus counseling, sometimes balance testing). You’re more likely to see the same provider consistently. Consideration: Upfront costs can be higher, but follow-up care is often bundled.

Hospital and academic medical centers

These settings can be ideal for complex needs (medical coordination with ENT, cochlear implants, vestibular disorders) and specialized diagnostics. Consideration: Wait times can be longer, and care may involve multiple providers or trainees.

Retail chains (Costco, Sam’s Club, etc.)

Retail clinics can offer lower prices and convenient locations. Consideration: Staff credentials vary by location, appointment times may be shorter, and testing may be more limited than a comprehensive diagnostic evaluation.

Comparison table: care settings

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Green flags: signs of quality hearing care

Look for providers who:

• Perform comprehensive diagnostic testing before recommending treatment (not only a quick screening).
• Ask about your listening environments and goals (work, family, noise, phone, TV).
• Use Real Ear Measurement (REM) to verify hearing aid programming in your ears.
• Offer a clear trial period with written return policies.
• Provide transparent written pricing that spells out what’s included (devices, visits, warranty).
• Explain options without pressure, including multiple technology/price levels when appropriate.

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Red flags: warning signs to watch for

Be cautious if a provider:

• Uses high-pressure sales tactics (“today only” pricing, countdown timers).
• Refuses written quotes or is vague about what’s included.
• Only offers one brand without a clinical reason.
• Promises “normal hearing” or miracle results.
• Does only a brief screening rather than diagnostic evaluation.
• Resists questions about credentials, return policy, or follow-up care.
• Won’t give you a copy of your test results (your records belong to you).

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Questions to ask during your initial consultation

It’s okay to interview your provider. These questions help you evaluate expertise, compatibility, and value.

Credentials and experience

• What are your credentials (AuD or Master’s), and where did you train?
• Are you licensed in this state? Do you have CCC-A or ABA board certification?
• Do you have experience with my specific type of hearing loss or needs?

The practice and devices

• Which hearing aid brands do you work with, and why?
• Do you use Real Ear Measurement for fittings?
• How many follow-up visits are included? Is there a time limit on adjustments?
• Do you offer loaner hearing aids during repairs?

Costs and policies

• Can you provide a written estimate that itemizes all costs?
• What is your trial period, and what fees apply if I return devices?
• Do you accept my insurance? What does it cover (testing vs devices)?

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The importance of long-term relationships

Choosing an audiologist isn’t just about the first appointment—it’s about establishing a partnership that may last years. Hearing devices often need updates over time, and your hearing and listening needs can change.

• Location and accessibility: can you get there easily for follow-ups?
• Office hours: do they match your schedule? what’s the plan for urgent issues?
• Continuity: will you see the same person, or do providers rotate?

Frequently asked questions

Do I need a referral to see an audiologist?

It depends on your insurance plan. Many plans allow direct access, but some—particularly HMOs—require a referral from your primary care clinician. Check with your plan before scheduling.

Should I go to an audiologist or an ENT doctor first?

Audiologists are appropriate for most hearing evaluations. See an ENT first (or urgent care) if you have sudden hearing loss, hearing loss in only one ear, ear pain or drainage, or significant dizziness/vertigo. Your audiologist will refer you to ENT if medical issues are suspected.

How much should I expect to pay at a private practice versus Costco?

Private practices often quote higher prices because they bundle more follow-up care and service. Retail chains may have lower upfront prices. The “best” choice depends on your hearing needs, how much follow-up you want, and whether the devices are locked to one provider.

How do I verify an audiologist’s credentials?

Verify licensure through your state’s licensing board website. National certifications may appear in professional directories. A legitimate professional should be comfortable explaining their training, licensure, and certifications.

The bottom line

Next steps: move forward with hearing care

Use what you’ve learned to choose a trusted provider, prepare for your visit, and understand how hearing care is typically paid for.

Explore the Getting Care Guide Insurance & Costs

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