But yeah, hearing tests cover a very tiny portion of the spectrum. Audiology, in this regards, seems to be completely divorced from the frequencies people hear in real life. In reality, the vast majority of hearing tests barely cover the frequency range of human voice - let alone frequency ranges for music or even tinnitus.
I asked my audiologist if it might be possible to cover a wider range of frequencies and she seemed flabbergasted that someone would even request such a thing.
So, yeah. If you have tinnitus, or music isn't sounding as nice to you anymore, or for some reason bass frequencies sound off - well, you won't find out with a traditional hearing test.
Almost all cases of hearing loss have hearing loss at high frequencies, so they may be able to screen you by just checking at higher frequencies. As far as I know, losing bass frequencies first only comes from specific conditions like Meniere's disease.
I'm perfectly happy with my condition, it's not getting worse and it's not preventing me from doing anything day to day.
What good would getting my hearing tested now do me in the future?
Funny story related to this question, one day in a conference room I thought my tinnitus was just particularly bad, until someone went and turned off some unused AV equipment. The pitch of the electronic noise was identical to my personal tinnitus (and different than someone else's - they commented that it wasn't the right pitch for them).