You may be familiar with air ducts that are constructed of sheet metal. However, many modern residential air duct systems are constructed of fiber glass duct board or sheet metal ducts that are lined on the inside with fiber glass duct liner. Since the early 1970's, a significant increase in the use of flexible duct, which generally is internally lined with plastic or some other type of material, has occurred.
If there is stuff in the ducts, the fact that it’s laying there and not being blown into the rooms is proof positive that it is hurting no-one. The 5-6 exceptions you cite in this article I’ll buy, but only with the caveat that at least some of those could have been avoided by proper protection (during remodeling for example) – and if asbestos/lead/whatever winds up in your ducts- the remodeling contractor should be the one paying to remove it.
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?
The jury is out on whether or not cleaning your air ducts and vents has a significant enough impact to be necessary. A proven connection between immaculate duct systems and air quality in the home has not been made. However, if your vents display any of the signs listed above, cleaning would certainly be in your best interest. Allowing mold, debris and bacteria to fester could create bigger problems down the line. If having your system disinfected is within your budget, you may prefer to take care of these issues rather than ignore them.
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.
Despite Bergendahl's experience, Vinick says NADCA's certification standards have improved the situation. "A lot of [service companies] weren't going about it the correct way," he says. “We have an anti-fraud task force, and we’ve gone after some fraudulent duct cleaners with the help of state attorneys general.” He suggests that in addition to NADCA membership, homeowners make sure their cleaners are an established business, have appropriate insurance and are registered to do business in their state and locality.
Venice warns homeowners to beware of air duct cleaning scams, especially the sort where unscrupulous cleaners offer a $49 special deal but start piling on extra fees. “It’s a bait and switch scam where they say they’ll offer unlimited cleaning, but then they throw around terms you might not understand, such as extra fees for a ‘main duct line,’” he says. “And many times, these cleaners end up walking out the door with twice the amount of money a reputable duct cleaner would charge. They’ve gotten very sophisticated at upselling.”

I did the $49.00 Groupon they just left. Basiclly all they did was stick a shop vac type hose into the vent supply and one return. I also had the dryer done. the person in charge pointed to the main return inside my humidifier and said it needed cleaning. I explained that I was in facility maintaince and would deal with it myself. After that they finished the vac and didn’t try any other sales pitch. I should have read the reviews before I bought this wast of money and time.
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. 
Duct cleaning generally refers to the cleaning of various heating and cooling system components of forced air systems, including the supply and return air ducts and registers, grilles and diffusers, heat exchangers heating and cooling coils, condensate drain pans (drip pans), fan motor and fan housing, and the air handling unit housing (See diagram).
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