Some of the research I have done suggests to have your ducts cleaned when you first purchase a new home to remove drywall dust. Maintain your system well and you shouldn't have to do it again until you want to sell. Those are the two times cleaning was suggested. So for peace of mind maybe it is a good idea to do it even if you buy a used home and then maybe every 5-10 years.
If your non metal ductwork is that dirty you should just have it replaced AND sealed. Also most duct systems are not very well designed. Look for proper sizing and do not go cheap with one or two intakes (return grills) You need them through-out the house. Here in Austin the duct cleaners are carpet cleaners and chimney swifts. (this is who the duct cleaning equipment mfgs call on when the hvac people do not get on board. They DO clean other types of ductwork and we (the hvac guys) have to fix them. I am not aware of any of these non hvac guys cleaning and servicing the actual equipment. Here in Texas it is against the law for them to do so. Treat the entire house as a system, not just the ductwork and /or hvac equipment. Home performance really does work to increase comfort and air quality while reducing operating costs.
Here in Atlanta we get 6 to 10 $49 coupons in the mail weekly…I have always consider them a complete scam….just had my master bathroom& bedroom and guest bath completely remodeled down to the studs…Had my 3 returns nearest the area sealed to prevent sheet rock dust to spread…it worked and I personally cleaned all 7 returns when a 5 HP , new Rigid shop Vac($99 from HD)…took one hour and I found little evidence that “I need my ducts cleaned” Had quotes from $400 to $600…I use the best air filters for my air handler and change it every 2 to 3 months…..any dust is trapped in it and I believe the Air Duct folks are all cons….

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A thorough visual inspection is the best way to verify the cleanliness of your heating and cooling system. Some service providers use remote photography to document conditions inside ducts. All portions of the system should be visibly clean; you should not be able to detect any debris with the naked eye. Show the Post-Cleaning Consumer Checklist to the service provider before the work begins. After completing the job, ask the service provider to show you each component of your system to verify that the job was performed satisfactorily.
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.

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.

Your cleaning service should involve all aspects of your duct work to maximize energy efficiency and air quality. This includes attending to the heat exchanger, blower, drain pan, plenum and coils as well. In the process, your service provider may find that you're facing larger issues than debris and build-up. The professional may recommend having your furnace repaired if they notice, for example, damage to your heat exchanger or blower motor. Generally, a furnace repair costs between $130 and $500. They may also find that an A/C coil needs to be replaced rather than cleaned and would then recommend A/C repair.
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.
We are a hvac company that provide air duct cleaning service are minimum charge $400 to do a proper air duct cleaning with 2 techs avg 3-6 hours that includes sanitizing. I get phone calls all day about the $99 your not going to get much of a cleaning for that price it for them to get there foot in the door and up sell that the only way for them to stay in business. Just from my 15 years of duct cleaning experience.
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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