I recently replaced my 44 year old furnace. Over the years we have had several construction projects inside the home. For many years breathing the heated air from the duct work caused excessive sneezing, sinus issues, and lung irritation. . The heat smelled like dust. To maximize air quality I added a humidifier, MERV-11 filter, and UV light onto the new furnace. To further improve air quality, I had the ducts cleaned and sanitized. I took before and after pictures of the inside of each return and output duct. They were filthy before, and sparkling clean and fresh after the procedure. Now when running the system, clean sanitized air flows through my whole house. A huge difference. It will make sleeping and being indoors during the winter months far more tolerable. I use window air conditioners, and run the system in the summer to keep the house air clean and fresh on hot summer days too. It works! Great decision!
What about ringworm? If the fungus is as contagious as doctors warn, and the spores can live several months, doesn’t it make sense to spray some sort of fungus killer into the HVAC system to kill the spores that it has sucked in from the air? Duct cleaning would not be helpful at all here; these spores are microscopic and it could actually spread them further. But given how severely contagious ringworm is, body and especially scalp, does anyone make an aerosol product that will clean the system and kill the fungus? One the resident can use, not call an HVAC company; you can’t do that when you are in an apartment. I hear it’s not the same as mold, it is much more difficult. Truth?
As you can see, if we know what the contractor is actually paying for specific equipment, we know what their labor rates are, and we know what they bid the project for, then we can also use some basic algebra (or just let the program do it for us because we’re lazy) to figure out how much of a profit they are making off of us (you) at different bid prices:

Here in Atlanta we get 6 to 10 $49 coupons in the mail weekly…I have always consider them a complete scam….just had my master bathroom& bedroom and guest bath completely remodeled down to the studs…Had my 3 returns nearest the area sealed to prevent sheet rock dust to spread…it worked and I personally cleaned all 7 returns when a 5 HP , new Rigid shop Vac($99 from HD)…took one hour and I found little evidence that “I need my ducts cleaned” Had quotes from $400 to $600…I use the best air filters for my air handler and change it every 2 to 3 months…..any dust is trapped in it and I believe the Air Duct folks are all cons….

Roof-mounted systems have the heating and cooling systems in one cabinet. Sometimes called "gas packs" (if the heater uses natural gas), they typically cost less than a comparable split system. In dry regions, most homes originally had "swamp-coolers" installed. When replacing them with HVAC systems, it's often cheaper to use existing mounts and ducting.

Some research suggests that cleaning heating and cooling system components (e.g., cooling coils, fans and heat exchangers) may improve the efficiency of your system, resulting in a longer operating life, as well as some energy and maintenance cost savings. However, little evidence exists that cleaning only the ducts will improve the efficiency of the system.