I have worked cleaning HVAC in my area for almost 5 years. I always do a thorough inspection and cleaning, providing before and after photos. I have completed some jobs where I felt that it was not entirely necessary, but ultimately what the customer wanted. With that being said, I have endless photos of unspeakable horrors. Hotels are usually nasty, post construction mess is certain, pets and kids create lots off debris, bugs congregate and die, then spiders set up and die, I have even had one supply that was nearly plugged with sand!
I hope that those customers you have with breathing problems don't follow your advice too closely. You are doing them a disservice. Dirt in your ducts does not always stay there, depending on what the contaminants are. I bet you tell your customers not to worry about mold either- just to kill it with bleach. Educate yourself before opening your mouth- You may kill someone someday with your opinion.
The performance of vapor compression refrigeration cycles[26] is limited by thermodynamics. These air conditioning and heat pump devices move heat rather than convert it from one form to another, so thermal efficiencies do not appropriately describe the performance of these devices. The Coefficient-of-Performance (COP) measures performance, but this dimensionless measure has not been adopted. Instead, the Energy Efficiency Ratio (EER) has traditionally been used to characterize the performance of many HVAC systems. EER is the Energy Efficiency Ratio based on a 35 °C (95 °F) outdoor temperature. To more accurately describe the performance of air conditioning equipment over a typical cooling season a modified version of the EER, the Seasonal Energy Efficiency Ratio (SEER), or in Europe the ESEER, is used. SEER ratings are based on seasonal temperature averages instead of a constant 35 °C (95 °F) outdoor temperature. The current industry minimum SEER rating is 14 SEER.[27][dead link]
Furnace cleaners are mostly young men, I know this, I have been one for 15 years or so……so heres the truth, if there are any allergies, children, older people with health issues, we are GOING to make money. do not tell the company you have hired about any health complication. they are salesmen. and they don’t care about you. or your money. make sure they do a good job, then kick them out. you don’t need all the bells and whistles they wanna sell you. any idiot can clean duct work, like I said, I am one of them. I am very good at it, but I don’t have the back bone to sell a widowed old lady a humidifier that she doesn’t need for 500 bucks, overall, if you think you need this service done, which you probably don’t, get it done, do not spend anything over 300$ and do not do it again for at least ten years.
Cost Factors: The size of the unit, its efficiency and it’s single-stage, two-stage or variable-capacity are the top cost factors. Features like communicating technology and improved dehumidification performance also affect the price. Learn more about communicating technology here including the pros and cons, before being agreeing to a communicating system.
PickHVAC Tips: Electricity resistance heat is the most expensive heating type. You don’t want one of these unless you’re heating less than 30 days per year. The upfront cost of an electric furnace is much lower than the cost of a gas furnace. However, operating costs are two to three times higher. If winters are cold where you live, you’ll waste your upfront cost savings in just a few years of high electric bills.
I recently did some remodeling and figured I’d get the air ducts cleaned in our 12 year old home. After obtaining 4 estimates between $572 and a whopping $3,075 for 25 vents and 2 air handlers, I knew I was in for a ride. I read through this blog and decided to use a $79 inspection camera I just found online (Home Depot) to take a look at all my ducts by removing the ceiling grilles first and then try to get into the ducts from the other end. From what I have just learned here, I believe that will take care of my “concerns”.
Your HVAC unit and air ducts deliver heated or cooled air throughout your home year-in and year-out. The air your HVAC unit produces travels through your ductwork and heats or cools your home via the air vents in each room. The dust and other particles in your home’s air are known as particulate matter, which the EPA defines as "a complex mixture of extremely small particles and liquid droplets." The EPA also notes that "particle pollution is made up of a number of components, including acids (such as nitrates and sulfates), organic chemicals, metals, and soil or dust particles." Having clean air ducts means fewer of these particles moving through your home. If you remove your furnace filter and hold it up to the light, you can probably see several hundred of these minuscule particles floating in the air. 
It seems all the average costs for a complete heating and cooling system replacement I've found on websites are usually at least 1/4 less, mostly half lower, then quotes I've gotten from companies. The worst quote I got was from One Hour Heating & Air Conditioning (the company with the Mike Rowe commercials), for over $15,000! I finally settled on a Carrier dealer, for $10,700 & I'll get $950 of that back in energy co rebates eventually. The company I went with's basic system would have been around $8800 (the only one that sorta matched up with web avg cost). They did all the correct planning as far as I could see, not like One Hour, who just showed me a price guide for the same size units already in place. And they do all the rebate paperwork and submit it to the energy co, One Hour never even mentioned possible rebates! Plus Carrier gets above avg reviews. I would have greatly liked a price under 9 grand, but this company got me 0% APR financing, so at least nothing out of pocket. My advice is stay away from national chains, and shop around with local area companies. Of course, One Hour says local companies will fold before you need warranty service lol. For their cost, there should be a technician living in his work van outside my house hahaha.
On the other hand, if a service provider fails to follow proper duct cleaning procedures, duct cleaning can cause indoor air problems. For example, an inadequate vacuum collection system can release more dust, dirt and other contaminants than if you had left the ducts alone. A careless or inadequately trained service provider can damage your ducts or heating and cooling system, possibly increasing your heating and air conditioning costs or forcing you to undertake difficult and costly repairs or replacements.
1). Busy companies: The company is so busy, it doesn’t need the work. It will add 70% to 100% profit, and if the customer accepts the estimate, it will move that high-margin customer to the front of the line. This often happens in the worst heat of summer when overburdened ACs and heat pumps quit and the dead of winter when furnaces give up. This is a good reason to consider pre-emptively replacing your system once it’s about 15 years old and/or has had major repairs.
A little simple math can help determine the size system you need. A rule of thumb is 20 BTUs per square foot. So, a 500 square foot room would need 10,000 BTUs to cool or warm it efficiently. This assumes that you live in a temperate region and have adequate insulation with no energy loss. In the real world, all units have some degree of energy loss. This is reflected in an HVAC system's SEER rating for cooling and AFUE rating for heating.
The number of years an HVAC system lasts depend on the type and brand of components that make up your system. The lifespan of an air conditioner averages between 15 and 20 years. The life expectancy of a tankless water heater is approximately 20 years, while a storage water heater is closer to 10-15 years. Ducts may need replacing within 10-15 years. Your equipment will have a longer life if you have regular tuneups and maintenance to keep everything in good working order. If you’re having repair problems and your HVAC system is over 10 years old, it’s a good time to consider the costs and benefits of repairing vs. replacing. Energystar.gov provides the following tips to help you decide whether to repair or replace:
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