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.
I was with you until you said avoid steaming cleaning or moisture, there is no way you can remove mold or any other type of biological without moisture. The best way to do this is in fact with a steamer using a commercial disinfectant and a non reactive odor remover so your home smells refreshed and not like a hospital . This is directly contradictory to your article.
Professional cleaning involves getting the dust and debris outside, so they use outdoor ventilation equipment. It is so important that homeowners make sure the professional contractor is using good equipment then, as they could otherwise spread the spores into the home and further agitate sensitive family members. In the case of mold, a cleaner will only be able to tell you it is there, followed by needing an additional mold professional to come out and test or remove the mold. Air duct cleaning industries do not require state licensing, so make sure to check for a company with references.

As one of the duct cleaners that do it right it disgusts me to hear the horror stories some of my past customers have had with the companies using scare tactics, bait and switch schemes, and just plain intimidation to make a fast buck. The Ductz franchise as a whole has gone behind other "duct cleaners" in the last year to the tune of almost three-quarters of a million dollars. All of this expense could have been avoided had the customers been able to do some background research before hiring. NADCA is a great organization and should be a minimum requirement for finding a duct cleaner. Other great questions include "How long does the service take?" (2 techs, 4-5 hours for a small house, 7-9+ hours for a two system house), "Do you clean the entire system including all trunk lines and the air handler (blower motor and evaporator coil)?", "How do you validate the job you have done?" (before and after picture reports work great). Beware of duct cleaners that say their process will solve all your air quality concerns. Duct cleaning is one of several steps to take to rid your home of unwanted dust, dirt, mold, and other allergens.
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. 
Here in Frisco, TX…just had a tech come out to clean vents. I used a 30 bucks groupon for “complete vent cleaning”. He told me I have 3 AC units and groupon covers only 1. I told him to do the unit upstairs where the kids sleep. He decided on his own to do the downstairs unit. I yelled at him why he is not doing the unit I told him to do! He said they are all connected. I will clean two for you for the price of one… Oh really?
I can’t believe I got ripped off by this Air Duct Cleaners. I called them for this $63 coupon per furnace unlimited vents then when they came after he checked it all I hear is I have molds and leak all is worth $499, $799, $899 per furnace but I told him to just clean the duct and patch the single leak per furnace worth $38 each. Still eanding $899 total. All the work he done is in less than an hour he didnt even go to each vent to clean it. All he did is to path the air leak on that entry pipe to the furnace and open the main venting system, vacuum it, and wash the floor of the vent with a solution. Overall time is about 20 mins talking with me discussing all the option which thinking they made me think I don’t really have an option and 40 mins wash and vacuum he took pictures of before and after of only one furnace. He gave me a receipt without the details on what he has done in the house just the name and price. I think we may need a strict law to punish and control all this companies who do this so other company who do good will despise them.
Having evaporator and condenser coils cleaned could cost between $100 and $400. If your coils can be accessed in-place, you'll be looking at a lower service cost. If your technician needs to remove the them first, the cost should be around $400. Having the evaporator and condenser coils cleaned can have a significant impact on the efficiency of your system. If your coils are excessively dirty, they won't be able to do their job and your system will have to work harder. Keeping up with the hygiene of these components can save you money in both the short and long-term. For example, replacing evaporator coils can cost anywhere from $650 to $1200.

Greetings from Mama Duck from Ductz of Greater Atlanta. These are some awesome comments and a few are from high quality duct cleaners that I personally know. After 19 years in this industry I agree that a government agency is not always up to date with their knowledge but won't admit it. If they were out in the field with our technicians every day they would upgrade their info. I get calls all the time where customers have been taken advantage of by "go and blow" companies. The customers don't know what they don't know but many are too lazy to do the research and are just looking for cheap. The industry has gotten a bad rap due to these con artists but the customer has to take some responsibility. I ask them why they would want to do business with a company who lies to them in print? Are they stupid or just cheap? Thankfully there are those of us in the industry who are working diligently to raise the bar on quality, protect the consumer and perform high quality work. At Ductz all our technicians are NADCA certified, trained by the best in the industry and know how to clean the entire system.

Duct cleaning has never been shown to actually prevent health problems. Neither do studies conclusively demonstrate that particle (e.g., dust) levels in homes increase because of dirty air ducts. This is because much of the dirt in air ducts adheres to duct surfaces and does not necessarily enter the living space. It is important to keep in mind that dirty air ducts are only one of many possible sources of particles that are present in homes. Pollutants that enter the home both from outdoors and indoor activities such as cooking, cleaning, smoking, or just moving around can cause greater exposure to contaminants than dirty air ducts. Moreover, there is no evidence that a light amount of household dust or other particulate matter in air ducts poses any risk to your health.
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