The fact is if they are dirty why not clean them. As for the Dr’s comment about if it is not disrupted it is fine. As a pet owner sometimes un disrupted pet hair will sit in the corner of a room or under a counter un disrupted but I still clean it when I notice it. Just because you cant see it doesn’t mean you should leave it there to collect more and more. The people that don’t want there air ducts clean either simply cant afford it but would like it done. OR! the crowd that are to cheap.. You should Clean all portions of your house.
In some older homes, there was a grey Mylar flexible duct. After years of use, it started to decompose. A duct cleaning company can come out and find why your air is so dirty and why your building doesn’t heat or cool like it used to. This is a savings on your part. You could also be sucking in Hot, dirty attic air. However, sometimes when a duct cleaning company comes out to clean it, the old duct can be destroyed and have to be replaced. Someone with little experience can replace this ductwork but if it isn’t done right it can ruin a lot of things and cost a lot in repairs.

The amount of debris or mold present in your system could certainly ratchet up the overall price. The cost of mildew removal is around $0.07-0.08 per square foot, on top of your initial cost, according to Blue Book. Removing these elements involves added time, special equipment and even special chemicals. In fact, you may be referred to a specialist if mildew and mold is too severe.

Pro Tips: Before you buy one of the learning thermostats available, you should beware of their shortcomings. First, many require a c-wire to work properly. A common problem is that the old thermostat might not use a c-wire, and this makes it confusing when swapping wires to the new thermostat. Secondly, if you change your thermostat setting often, you might become frustrated with a nest thermostat or other learning thermostat. It will be constantly trying to learn patterns in your random setting changes, and will therefore change your home’s temperature when you don’t want it to. If you have a fairly consistent schedule or don’t mind overriding the unit either manually or via the app on your way home or when leaving, then you won’t experience this issue.
Quality and price should come hand in hand, a too-good-to-be-true price for an efficient air duct cleaning will not give you the quality that you wanted. To make sure you are getting your money’s worth, check reviews of air duct cleaning companies, certifications from industry since this work requires continuous learning due to new techniques and research breakthrough from time to time. Make sure to shop around and get written estimates first.
Duct system installation and repairs affect HVAC installation cost. If you’re installing a new forced air heating or cooling system, your home must have ductwork – if you don’t have ducts installed, a new duct system will need to be designed and installed. Your existing duct system may require air sealing to eliminate air loss, helping your new heating and cooling system operate efficiently.

I agree, if you replace (or wash depending on type) your air filters regularly AND vaccum, then you probably don't need the ducts or air coils cleaned. However, if you purchase a pre-owned home, and the previous owners did not regularly change the air filter or vaccum the home, then duct cleaning is worth the expense especially if you are sensitive to allergens. Especially if the previous owners had pets.

2. If air quality is so important and duct cleaniliness is so uncertain, why not adopt doubling filtering; that is, in addition to the existing main furnace filter, add a filter at each air outlet. I understand replacing so many filters would be a burden, but air outlets can be designed for easy filter replacement. The builders and home design engineers should bear responsibility to provide good and low maintenance homes, rather than prioritizing on fancy or costly featuers for homes.
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