I am NADCA Certified Air Systems Cleaning Specialist. Over the year I have learned on simple answer to this questions: there air duct cleaners and there are pretenders. There will be no benefit at all if you use on the very cheap pretender because they will not really clean anything. On the other hand if you call a qualified air duct cleaner with a NADCA Certification you will, like 99% of my customers, report improvement with your respiratory problems, you will see less dust and the job will pay for itself with energy savings and repair prevention.
While you consider having your air ducts cleaned, it is a good idea to take a look at your dryer vent. If your dryer vent is clogged, you could be losing energy efficiency. Worse yet, you could be increasing the risk of a house fire. Having your dryer vent professionally cared for costs about $130 on average, and could save you a bit of money and a lot of headaches in the future. For more information on the benefits and cost of having your dryer vent cleaned, take a look at our comprehensive cost guide.
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.
Duct cleaning is a band aid, like washing you hands is. Under your description, why wash your hands more than once? If it gets cleaned once, it shouldn't get dirty again. Well that is, unless they touch something dirty. Keeping your hands completely clean is virtually impossible. Same as keeping dust out of your home. You clean your ducts and over a 3-5 year span they get dirty again. Also, duct cleaners are not licensed but should be certified by NADCA(National Air Duct Cleaning Association).
In addition, the black dust was found in most of the heat registers. He could rub it off on his fingers but did nothing but spray compressed air on it which didn’t make it disappear since it wasn’t loose. Also, in the register in the basement he described the black dust as being oily. The reality of that situation is that I had the AC on until the morning of the service and minutes after he snaked the hoses in my back door it started raining. The basement register had condensation from the humidity all over it. It was not oily but wet. He asked for an old towel and wiped it out. Never saw anything so black – because I never had to clean soot. That is what I have in my ducts. Soot from years of the old coal furnace.
I paid $49 for a groupon. When the guy came today, he did an inspection first and said the ductwork first needed to be treated for mold; $348 for a spray that would last 8 months or $680 for an UV light purifier that would last 2 years. Also, the furnace needed to be cleaned for another $260. When I told him to just clean the ductwork, he said I would owe an additional $305 because the groupon was only good for 1 return and I had 2. I sent him packing with no services performed. Thankfully I am only out of $49! I will complain to groupon.

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.

As a homeowner and an owner of rental property I can tell you that the air ducts sometimes need to be cleaned. If you have had pets or anyone smoking in your home (even a visitor) for any length of time, having the ducts cleaned is really good idea. I had a tenant who did not smoke, but got married to a smoker more than year after moving in. When I realized someone was smoking I had them move out, but the smell was awful. I had the ducts cleaned and sanitized (it was a bit extra). The ducts were shiny like new afterwards. I left the windows open for a few days and we cleaned the place super clean and then replaced the carpets. The duct cleaning was worth every penny because the house looked, smelled, and felt new afterward. I plan to have my own house ducts cleaned again this year as we have two cats. We had them cleaned about 12 years ago and they found building materials in the ducts! If you move into a house that has never had them cleaned, it is good to do it. If you have allergies, clean the ducts to see if it helps. You never know what is in your ducts if you have never had them cleaned.
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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