Semantic similarity measures estimate the similarity between concepts, and play an important role in many text processing tasks. Approaches to semantic similarity in the biomedical domain can be roughly divided into knowledge based and distributional based methods. Knowledge based approaches utilize knowledge sources such as dictionaries, taxonomies, and semantic networks, and include path finding measures and intrinsic information content (IC) measures. Distributional measures utilize, in addition to a knowledge source, the distribution of concepts within a corpus to compute similarity, these include corpus IC and context vector methods. Prior evaluations of these measures in the biomedical domain showed that distributional measures outperform knowledge based path finding methods, but more recent studies suggested that intrinsic IC based measures exceed the accuracy of distributional approaches. Limitations of previous evaluations of similarity measures in the biomedical domain include their focus on the SNOMED CT ontology, and their reliance on small benchmarks not powered to detect significant differences between measure accuracy. There have been few evaluations of the relative performance of these measures on other biomedical knowledge sources such as the UMLS, and on larger, recently developed semantic similarity benchmarks.