The bottom line is: no one knows. There are examples of ducts that have become badly contaminated with a variety of materials that may pose risks to your health. The duct system can serve as a means to distribute these contaminants throughout a home. In these cases, duct cleaning may make sense. However, a light amount of household dust in your air ducts is normal. Duct cleaning is not considered to be a necessary part of yearly maintenance of your heating and cooling system, which consists of regular cleaning of drain pans and heating and cooling coils, regular filter changes and yearly inspections of heating equipment. Research continues in an effort to evaluate the potential benefits of air duct cleaning.
Installing a split system may involve making modifications to the house itself for the necessary lines to be run. The heat exchangers are also more prone to picking up debris and must be cleaned on a regular basis. While they come with protective screens over the fan, care must still be taken to ensure that nothing gets in, especially in a home with children.

One of the best ways to know if your ducts or vents need to be cleaned is to just check them. Your eyes will be able to check for indications of mold, dust or pollen buildup. You might also be able to smell the presence of mold, which would be a clear indicator. Ductwork will have some buildup of dust, since the return registrars pull air back in. However, this doesn't mean your ducts have too much debris, and you can easily clean them with a duster or vacuum.
I always get a laugh at anyone claiming to be in the business for any length of time that doesnt understand the importance of cleaning out a ventilation system. Not only for better indoor air quality but for maintaining your heating equipment. I guess it makes more sense to some people that the furnace will just run better with a ton of dust and debris and maybe this wont be a big cause of sytem breakdown and malfunction. I mean really? Maybe this guy got a bad company and or cleaning and is a little jaded but to advise cleaning your grills , which does nothing, and replacing a filter....come on guy.
R-22 Freon is being phased out & isn't readily available. So the service company may only purchase as needed and the lack of availability would make their cost high. But, as long as they can get it, whatever the cost, unfortunately, is less expensive than replacing the A/C. Which will be the case eventually since it's no longer manufactured or sooner as in my case with a not so old a/c that sprang a leak, that would have been just a repair, but since it uses R-22 the whole unit has to be upgraded(replaced).  
Equipment used to clean ducts varies widely. The cheaper the equipment used the more you are just wasting money. This is why it's typically not worth doing. In some situations it may be beneficial, but only after determining and investigating the duct system. This should be done by a licensed HVAC contractor and not a duct cleaner that typically do not hold and HVAC license. (Duct cleaners aren't required to be licensed in HVAC in many areas.)

Heating, ventilation, and air conditioning (HVAC) systems have been shown to act as a collection source for a variety of contaminants that have the potential to affect health, such as mold, fungi, bacteria, and very small particles of dust. The removal of such contaminants from the HVAC system and home should be considered as one component in an overall plan to improve indoor air quality.
If you want to get some of the dust and debris out of your ventilation system, you can mix household cleaners like bleach with water, dip a cloth in the mix and then the wipe out the system. This will remove a layer of the spores, which could increase the quality of air a bit and help with the flow of air throughout the house until a pro can come out.
I turned on the AC when he was finished and immediately saw black fuzz balls the size of marbles come out of several of the registers. He said that was expected since everything was shaken up. So much for describing the service as cleaning. I paid him and sent him on his way. I cannot imagine that this type of service is worthwhile in anything but a new house. Apparently in old houses such as mine I can expect that using a whole house humidifier in the winter followed by a great AC can loosen the soot. Maybe this is to be expected for the first few weeks of summer each year. I now have lined the inside of the registers with cheesecloth to catch the fuzz. I’ll see if it stops after a couple of weeks.
You can install the greatest HVAC system ever built, but if your house is not insulated well, it's only going to end up costing you more money. Older homes may have fiberglass insulation that has broken down due to pests, moisture, or improper installation. Spray foam insulation can be damaged by careless repair or modification work or can be improperly installed. If your insulation in compromised, your attempts to save money and be comfortable will be in vain.
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.

I noticed a lot of negative feedback, though unfortunately there are many dishonest companies out there. I currently work with a company that cleans duct work and we DO NOT use any scare tactics or up sell services or equipment. Once every 10years of course there are exceptions. We clean supply, returns, air handler, housing, motor, and fan. Though be discerning when qualifying anyone to work in your home. I would ask for REAL REFERENCES to contact.
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.
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Just had my HVAC System restored and working again on a Sunday and before the 104 weather tomorrow!!!! Called Big Mountain Heating and Air and spoke to very helpful woman named Martina. She connected me to a Technician named Josh. He was at my home within a few minutes and tackled my Honey Well system's issues. He is both skilled, personable and better yet, he got my system up and going and safe. He installed a surge suppressor on the system to prevent power surges that can kick off any system, when the electric company has to reduce power, etc.  I will be using Big Mountain in the future. Truly grateful for such good service and people. Thank you!  I recommend this firm to everyone!
Just had my air ducts cleaned. They used a high pressure air hose in all the heat ducts and cold air returns. He showed me the stuff that came out, the reason for the duct cleaning was the fact that I had a problem. With rodents. There was quite a few mummified rats and mice, and he said I wouldn’t have to have them done again unless I incur another problem or have renovations done. Cost me 345.00 for a 2 storey large old home. Not a bad price as I had them done when I moved in 28 years ago and it cost me 500.00. Lots of dog hair, toys, balls and assorted goodies came out as well. Took them 2 hours. I did have sanitizer put in the ducts because of the dead rodents.
Monday the following week, no phone calls, or follow up.  I call to get an update and am told that they cannot install my system because they don't have time.  I ask what does that mean, one year? One week? Until the end of summer they say.  What does that mean I ask?  They say at the end of September.  I say thank you for wasting 1 month of my time.

EPA does not recommend that air ducts be cleaned except on an as-needed basis because of the continuing uncertainty about the benefits of duct cleaning under most circumstances. EPA does, however, recommend that if you have a fuel burning furnace, stove, or fireplace, they be inspected for proper functioning and serviced before each heating season to protect against carbon monoxide poisoning. Some research also suggests that cleaning dirty cooling coils, fans and heat exchangers can improve the efficiency of heating and cooling systems. However, little evidence exists to indicate that simply cleaning the duct system will increase your system's efficiency.
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