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.)

Before you choose any duct cleaning service provider, interview as many service providers as you can. Ensure that the service provider is certified by the National Air Duct Cleaners Association or NADCA. Make sure that they hold a good standing in the Better Business Bureau and have all the necessary certifications and license. Be clear about their terms of service. Make sure they have the right equipment to do the job. It is best to go for a company that has been tried and tested successfully by any of your acquaintances or opt for a service provider that has been in the business for quite some time.
What if you move into a 20 year old house and find that the people who owned it previously NEVER replaced the filter? It was so dirty that the HVAC system did not work at all. For most people - duct cleaning is NOT a waste of time or money. You must not have allergies. I have very bad ones plus asthma. It makes it very hard for me if I don't get it done every few years. By the way - the ducts get dusty just sitting there - especially without air going through them. Dust settles on them just like it does the furniture.
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.
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. 
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.
The EPA is so far behind on useful knowledge because of the lack of funding so don't be mislead. The Hvac old timers were left at the dock so to speak and missed out on the IAQ movement. The ones that are savvy and up to date on the information do Air Duct Cleaning, even tho that will lead to a few less service calls its the right thing to do for their customer. Please take a look into a return duct that has never been cleaned, I dare anyone to say it does not need to be cleaned.
I own a small mechanical company. My main work is service and system replacements. I have never been a believer in duct cleaning. The company I worked for before had our duct man come out and do my house. I saw no difference. Preventive maintance is what I recomend. Remove fan and clean, seal fan compartment to prevent dust from being pulled in, filters I install media filters, they are 5″ thick and pleated. I have tested them to make sure static presure was not a issue. Heat exchangers and AC coils need to be cleaned. I will tell you this to do a good cleaning I usually spent 1-2 hrs, When I’m finished I would not have a problem eating my diner on the system. Good filters, clean system and properly tuned up are my recomdation to anyone. I’ve included my email feel free to contact me with any questions. winkcfd@yahoo.com
If not properly installed, maintained and operated, these components may become contaminated with particles of dust, pollen or other debris. If moisture is present, the potential for microbiological growth (e.g., mold) is increased and spores from such growth may be released into the home's living space. Some of these contaminants may cause allergic reactions or other symptoms in people if they are exposed to them. If you decide to have your heating and cooling system cleaned, it is important to make sure the service provider agrees to clean all components of the system and is qualified to do so. Failure to clean a component of a contaminated system can result in re-contamination of the entire system, thus negating any potential benefits. Methods of duct cleaning vary, although standards have been established by industry associations concerned with air duct cleaning. Typically, a service provider will use specialized tools to dislodge dirt and other debris in ducts, then vacuum them out with a high-powered vacuum cleaner.
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