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.
If the one noticeable spot is where the wall [or ceiling or floor] is white.......first.....take a pair of needle nose pliers and bend each louver of the register to a straight outward position [as they all come brand new with a slant to each side]....so the register is shooting all supply air straight outward. If its a round register [in ceiling].....no help there. You also should always burn soy or beeswax candles.

The final cost of this service is best determined after a professional inspection. Many air duct cleaning companies build their prices based on individual services, while others offer package pricing which includes such components as the air conditioning and furnace. The following estimates can give you an idea of prices to expect for various services.
I just had my blower module replaced because my AC coil was frozen over. The underside of my coils had a thick mat of dust because I had never had it cleaned. I cleaned it myself by using a soft brush attachement on a shop vac. The inside of the blower appears to have a white/green growth, and I am sure the ductwork of my 30 year old house can’t be in good condition.

Air duct cleaning service providers may tell you that they need to apply chemical biocide to the inside of your ducts as a means to kill bacteria (germs) and fungi (mold) and prevent future biological growth. They may also propose the application of a "sealant" to prevent dust and dirt particles from being released into the air or to seal air leaks. You should fully understand the pros and cons of permitting application of chemical biocides or sealants. While the targeted use of chemical biocides and sealants may be appropriate under specific circumstances, research has not demonstrated their effectiveness in duct cleaning or their potential adverse health effects. No chemical biocides are currently registered by EPA for use in internally-insulated air duct systems (see Should chemical biocides be applied to the inside of air ducts?).

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