Cost Segregation Pricing Last updated: May 2026 · n=51 providers

Cost segregation pricing for medical office buildings

May 2026 dataset · 51 U.S. providers documented · CC-BY 4.0

Median price

$10,000

across n=51 providers

P25 (lower quartile)

$6,500

25% of providers below

P75 (upper quartile)

$16,500

75% of providers below

Range

$500–$20,000

low end to high end

Medical office buildings (MOBs) sit at the higher-reclassification end of commercial real estate. Specialty MEP for imaging suites, dedicated medical-grade HVAC zones, lead-lined walls for radiology, plumbing for procedure rooms, and medical-grade electrical service all carry reclassifiable basis. Reclassification ranges typically 22–34% of depreciable basis vs. 18–25% for standard office. MACRS recovery is 39 years under IRC §168 (commercial).

Provider pricing table

Sorted by low end of pricing range. * marks Cost Seg Smart (this dataset is operated by Cost Seg Smart — see methodology).

Provider	Pricing range	Turnaround	Methodology	ASCSP
Cost Seg Smart *	$495–$2,995	Under 1 hour	Automated	—
Expert Cost Seg	$500	Varies	Hybrid	—
R.E. Cost Seg	$950–$5,000	5-10 days (Rapid) / 3-4 weeks (Engineered)	Hybrid	—
Modern CFO / FreeCostSeg	$1,800	1-3 weeks	Hybrid	—
Maven Cost Seg	$1,900–$6,000	1-3 weeks	Hybrid	—
Remote Cost Seg	$2,000–$8,000	2-3 weeks	Hybrid	—
We Do Cost Seg	$2,000–$8,000	~3 days	Hybrid	—
Seneca Cost Seg	$3,000–$10,000	2-4 weeks (1 week rush available)	Engineered	Yes
Bedford Cost Segregation	$3,000–$8,000	3-5 weeks	Engineered	Yes
Dimov Tax & CPA	$3,000–$8,000	2-4 weeks	Hybrid	—
Segregation Holding	$3,000–$10,000	4-6 weeks	Engineered	—
ELB Consulting	$3,000–$8,000	3-5 weeks	Engineered	Yes
Patrick Accounting	$3,000–$10,000	3-6 weeks	Hybrid	—
Veritax Advisors	$3,000–$10,000	3-6 weeks	Engineered	—
Dark Horse CPAs	$3,000–$10,000	3-6 weeks	Hybrid	—
CSA Partners	$3,500–$10,000	3-5 weeks	Engineered	Yes
Cost Segregation Initiatives	$3,500–$12,000	3-6 weeks	Engineered	Yes
Omega Accounting Solutions	$3,500–$12,000	4-8 weeks	Engineered	Yes
Lindon Engineering Services	$4,000–$12,000	4-6 weeks	Engineered	Yes
KBKG	$5,000–$15,000	4-8 weeks	Engineered	Yes
Engineered Tax Services	$5,000–$20,000	6-8 weeks	Engineered	Yes
CSSI	$5,000–$15,000	4-8 weeks	Engineered	Yes
Madison SPECS	$5,000–$15,000	2-4 weeks	Engineered	Yes
Capstan Tax Strategies	$5,000–$10,000	3-5 weeks	Engineered	Yes
McGuire Sponsel	$5,000–$15,000	4-8 weeks	Engineered	Yes
Source Advisors	$5,000–$15,000	4-8 weeks	Engineered	Yes
Cost Segregation Guys	$5,000–$15,000	1-3 weeks	Engineered	—
ICS Tax	$5,000–$15,000	4-8 weeks	Engineered	Yes
Bracket Partners	$5,000–$15,000	4-8 weeks	Engineered	Yes
MS Consultants (MSC)	$5,000–$20,000	4-8 weeks	Engineered	Yes
Strategic Cost Segregation	$5,000–$15,000	4-8 weeks	Engineered	Yes
Anders CPA	$5,000–$15,000	4-8 weeks	Engineered	Yes
Warren Averett	$6,000–$18,000	5-8 weeks	Engineered	Yes
Moss Adams / Baker Tilly	$8,000–$25,000	6-10 weeks	Engineered	Yes
EisnerAmper	$8,000–$25,000	6-10 weeks	Engineered	Yes
Cherry Bekaert	$8,000–$25,000	6-10 weeks	Engineered	Yes
Kaufman Rossin	$8,000–$25,000	6-10 weeks	Engineered	Yes
Carr, Riggs & Ingram	$8,000–$25,000	6-10 weeks	Engineered	Yes
Anchin	$8,000–$25,000	6-10 weeks	Engineered	Yes
Aprio	$8,000–$25,000	6-10 weeks	Engineered	Yes
CohnReznick	$8,000–$25,000	6-10 weeks	Engineered	Yes
Eide Bailly	$8,000–$25,000	6-10 weeks	Engineered	Yes
CBIZ	$8,000–$25,000	6-10 weeks	Engineered	Yes
Wipfli	$8,000–$25,000	6-10 weeks	Engineered	Yes
CliftonLarsonAllen (CLA)	$8,000–$25,000	6-10 weeks	Engineered	Yes
Baker Tilly	$8,000–$25,000	6-10 weeks	Engineered	Yes
Crowe LLP	$8,000–$25,000	6-10 weeks	Engineered	Yes
Marcum LLP	$8,000–$25,000	6-10 weeks	Engineered	Yes
Plante Moran	$8,000–$25,000	6-10 weeks	Engineered	Yes
Withum	$8,000–$25,000	6-10 weeks	Engineered	Yes
BDO USA	$10,000–$30,000	6-12 weeks	Engineered	Yes
Cost Segregation Authority	—	4-6 weeks	Engineered	Yes

What drives medical office pricing variance

Imaging and procedure rooms. MRI/CT imaging suites, lead-lined radiology rooms, and dedicated procedure rooms carry specialty MEP that pushes 5-year and 7-year personal property allocations higher than standard office. Engineered firms with healthcare experience capture this; generalist firms may not.
Property basis. Sub-$2M owner-occupied physician-owned MOBs (single-physician practice) fit automated/hybrid tier ($1,295–$3,000). $2M–$10M multi-tenant medical office runs $5,000–$15,000 engineered. $10M+ medical office park moves to KBKG / ETS / accounting-firm tier.
Tenant improvements. Medical office TI capex is often substantial — dedicated plumbing, electrical, and HVAC per practice suite. Strong studies itemize TIs separately. Provider experience with medical TI matters more than for standard office.
CPA familiarity with healthcare-specific deductions. Some accounting-firm-tier providers (KBKG, ETS, Cherry Bekaert) bundle cost segregation with broader healthcare tax credits (§179D, §45L, R&D for medical practice equipment). Provider selection can affect adjacent tax positioning.

Methodology breakdown (51 providers)

Automated (n=1)
Hybrid (n=9)
Engineered (n=42)

Cost Seg Smart positioning. Cost Seg Smart's commercial tier ($995–$2,995) covers sub-$2M owner-occupied medical office where the component mix is standardized (typical physician practice with limited specialty MEP). For multi-tenant medical office or facilities with imaging/procedure suites, engineered firms with healthcare experience (KBKG, ETS, McGuire Sponsel) typically earn the premium. See the Cost Seg Smart calculator for a basis-specific estimate.

Frequently asked questions

How much does cost segregation cost for a medical office building?

Documented medical office pricing across U.S. providers ranges $1,295 (Cost Seg Smart sub-$2M physician-owned) to $25,000+ (KBKG, ETS large multi-tenant MOB). Median for engineered medical office engagements is approximately $7,500. Specialty MEP for imaging suites, dedicated HVAC zones, and lead-lined radiology rooms drives pricing above standard office benchmarks.

Why does medical office have higher reclassification percentages than standard office?

Medical office buildings contain more specialty MEP per square foot: imaging-suite electrical service, dedicated medical-grade HVAC zones, lead-lined walls for radiology, plumbing for procedure rooms, and specialty exam-room finishes. These components are 5-year or 7-year property under MACRS rather than 39-year structural — pushing reclassification percentages to 22–34% vs. 18–25% for standard office.

Do I need an engineered firm for a physician-owned medical office?

For single-physician practices with standardized component mix (typical exam rooms, basic medical equipment), automated or hybrid tier providers can produce defensible studies under Pub 5653. For multi-physician practices, multi-tenant MOBs, or facilities with imaging suites, on-site engineering judgment captures specialty MEP that desktop methodology may miss. The threshold is typically $2M basis.

Methodology. Statistics computed from midpoints of each provider's published or estimated pricing range, filtered to providers serving medical office. Sample sizes reflect documented providers in the May 2026 dataset; the U.S. provider universe is larger. Each pricing claim cites at least one public source in the canonical dataset.csv. See full methodology.

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Cost Segregation Pricing (2026). Medical Office Pricing Benchmark. https://costsegregationpricing.com/pricing/medical-office/ · CC-BY 4.0 · n=51