Embodiments typically relate to ear tips for sound transmission devices, designed to fit snuggly in the user's ear canal and block external noise from the environment while being sufficiently comfortable for long-wearing and/or deep insertion. Embodiments may comprise a stem and a foam body, with the hollow stem lying on the centerline of the foam body. The foam body may comprise a concave opening in its nose, a rear extension flange projecting rearward to extend its length without significantly impacting perceived comfort, and/or a plurality of indentations about the periphery of the nose of the foam body. The foam body may be formed of polyurethane foam, and the stem may be formed of elastomeric polyurethane.