As one of the duct cleaners that do it right it disgusts me to hear the horror stories some of my past customers have had with the companies using scare tactics, bait and switch schemes, and just plain intimidation to make a fast buck. The Ductz franchise as a whole has gone behind other "duct cleaners" in the last year to the tune of almost three-quarters of a million dollars. All of this expense could have been avoided had the customers been able to do some background research before hiring. NADCA is a great organization and should be a minimum requirement for finding a duct cleaner. Other great questions include "How long does the service take?" (2 techs, 4-5 hours for a small house, 7-9+ hours for a two system house), "Do you clean the entire system including all trunk lines and the air handler (blower motor and evaporator coil)?", "How do you validate the job you have done?" (before and after picture reports work great). Beware of duct cleaners that say their process will solve all your air quality concerns. Duct cleaning is one of several steps to take to rid your home of unwanted dust, dirt, mold, and other allergens.
Is duct cleaning worth it? There is not a yes or no answer that suits everyone. On an Air Force base, the system was not air tight and there was leakage around the filters. The system got dirty. A professional company was called out. The Duct was big enough that a technician could go inside the metal duct and clean it. There was a new Air Handler installed and things were sealed up better. in this case it was worth it.
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.