An optimization system for testing a patient's hearing comprising a controller, right and left ear pieces, and a memory. The controller is configured to provide a series of tones to the right and left ear pieces and receive feedback from the patient between each tone provided, indicating that the respective tone was detected in one of the right ear piece and the left ear piece or that the respective tone was not detected. The controller is configured to also generate a data point on an audiogram after receiving each feedback and, after each data point is generated, compute a statistical distribution based on the generated data points, wherein the statistical distribution includes a lowest confidence level. A subsequent tone is selected, each subsequent tone provided in the series of tones being a tone represented at the lowest confidence level in statistical distribution at the time of selection.