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 recently did some remodeling and figured I’d get the air ducts cleaned in our 12 year old home. After obtaining 4 estimates between $572 and a whopping $3,075 for 25 vents and 2 air handlers, I knew I was in for a ride. I read through this blog and decided to use a $79 inspection camera I just found online (Home Depot) to take a look at all my ducts by removing the ceiling grilles first and then try to get into the ducts from the other end. From what I have just learned here, I believe that will take care of my “concerns”.
I read your article with interest and think it is a good start. One service that is always talked about is fogging ductwork for sanitizing. Many companies offer this service for disinfecting or adding a clean smell to the ductwork. Before any chemical or disinfectant is used, please read the MSDS (Material Safety Data Sheet). You might be surprise on what you are putting into the air stream. This is a high profit service and should be explored thoroughly before purchasing,

In most modern homes with up-to-date heating and air conditioning systems, filters are changed regularly through the year, so you may not even need to hire a professional. However, keep your eyes open for the accumulation of dust, dirt, dander and mold. If you see it despite regularly changing your filters it could be an indication you need a high-pressure cleaning.

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.
Did not realize cost had gone up so much for this service. Two years ago I had furnace and ducts cleaned at my old house and it was under $400. Now the cost is $700 for this house. I will keep looking for someone to offer a lower price, check them out, and have it done. Or will find the paperwork to see who did it before. I liked this article and did learn some things. Thanks.

You should be aware that although a substance may look like mold, a positive determination of whether it is mold or not can be made only by an expert and may require laboratory analysis for final confirmation. For about $50, some microbiology laboratories can tell you whether a sample sent to them on a clear strip of sticky household tape is mold or simply a substance that resembles it.
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