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What is Pure Tone Audiometry?

Last update on Jun, 26, 2025

If you've had a hearing evaluation, you’ve likely experienced pure tone audiometry, a common and reliable tool used to better understand hearing health. But what exactly does this hearing test measure, and what can the results reveal?

In this guide, we’ll walk you through the basics of this hearing test, its purpose, how it works, and what the results can tell you about your hearing health.

Pure Tone Audiometry Meaning

Pure tone audiometry is a hearing test that determines the quietest sounds a person can hear at various frequencies. [1] It uses calibrated tones to measure hearing sensitivity through air conduction (using headphones) or bone conduction (using a small device, a bone oscillator, placed behind the ear). The results are then plotted on an audiogram, giving the hearing health care provider a clear picture of how well each ear hears.

The Purpose of Pure Tone Audiometry

The primary purposes behind this test are to:

  • Identify your degree and type of hearing loss [2]
  • Monitor changes in hearing over time
  • Support the diagnosis of ear-related conditions
  • Help guide treatment decisions, including hearing aid recommendations

To make sure you get a comprehensive assessment, this test is often performed in conjunction with speech audiometry and tympanometry.

Speech Audiometry vs. Pure Tone Testing

While pure tone testing measures your ability to detect sounds, speech audiometry evaluates how well you understand spoken words at different intensity levels. [3] Together, they provide a more complete picture of your hearing health.

Pure Tone Audiometry and Tympanometry

Tympanometry can be performed alongside pure tone audiometry to assess the function of the middle ear. Tympanometry checks for fluid, ear infections, or eardrum movement issues that may impact your hearing health. [4]

Pure Tone Audiometry Procedure

Here’s what to expect during a pure tone audiometry test:

  1. Air Conduction Pure Tone Audiometry: You’ll wear headphones and respond to a series of beeping sounds of varying frequencies and loudness levels. The test determines your hearing threshold across the frequency spectrum using both your middle and inner ear.
  2. Bone Conduction Testing: To assess your inner ear function, a bone oscillator is used to transmit sound through the bones of the skull, bypassing the middle ear, to test the response of the inner ear.  This bone conduction assessment is used to assess the impact of outer, middle ear, and ear drum function on hearing thresholds.  This difference between air conduction and bone conduction thresholds indicates the type of hearing loss you may be experiencing.

The test takes 5-10 minutes. You’ll sit in a soundproof booth to prevent external noise interference and raise your hand or press a button each time you hear a tone, no matter how quiet the sound is.

Pure Tone Audiometry Interpretation

Pure tone audiometry test results are shown on an audiogram. Analyzing the results can help audiologists determine:

●      Type of hearing loss (conductive, sensorineural, or mixed)

●      Severity of hearing loss (mild to profound hearing loss)

What are normal values for a pure tone audiometry test?
For adults, pure tone audiometry test normal values typically fall between 0 and 25 decibels (dB HL). [5] Anything above that may suggest some degree of hearing impairment.

Don’t Put Off Your Hearing Evaluation

Pure tone audiometry is a critical first step in diagnosing hearing loss and guiding effective treatment. Amplifon Hearing Health Care supports your hearing health with an array of programs.

Request an appointment at a nearby clinic to get the hearing support you need and deserve. We have over 8,800+ top-quality Amplifon® providers. Our array of hearing aid brands allows you to find the right fit for your needs, lifestyle, and budget. What’s even better is that our members see an average savings of 68% off the manufacturer's suggested retail price (MSRP) on the leading hearing aid brands.

If you’re concerned about your hearing, don’t wait. Schedule a hearing evaluation and take the first step toward clearer sound and better communication.

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Use our hearing loss quiz to get a basic understanding of your hearing health. While this doesn’t provide an official diagnosis, it may inspire you to schedule an appointment with a healthcare professional.

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Sources

[1] American Speech-Language-Hearing Association. “Pure Tone Testing.” Retrieved from https://www.asha.org/public/hearing/pure-tone-testing/

[2] National Library of Medicine. “Audiology Pure Tone Evaluation.” Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK580531/

[3] National Library of Medicine. “Speech Audiometry.” Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK613286/

[4] Cleveland Clinic. “Tympanometry.” Retrieved from https://my.clevelandclinic.org/health/diagnostics/24222-tympanometry

[5] Medscape. “Audiology Pure-Tone Testing.” Retrieved from https://emedicine.medscape.com/article/1822962-overview

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