A study done by U.S. Environmental Protection Agency researchers measured dust levels and HVAC system efficiency in test homes during a one-week period during the cooling season and found duct cleaning did not significantly improve dust levels or system performance. Based on that report and other independent research, the EPA’s official advisory on duct cleaning concludes:


I received a call from the customer service representative that told me that the package I received was for a "Air Duct Cleaning with deodorizing treatment" and it was not a "Air Duct DEEP Cleaning with deodorizing treatment" and that is where the additional $250 was coming from. They then told me that if I wanted, they could come back out a week later and explain it to me professionally and also blamed Groupon for the posting to be misleading. The rep bragged about their ratings on review sites.
I guess I should present my credentials first, I am a 30 year veteran of the heating and cooling industry. I started at the bottom and have participated in every area of the trade. Installer, service, maint. Ownership, rep, territory manager and so on. A forced air duct system is a large vacume. Like your vacume it has an air intake (return air) and an exhaust (supply registers). A filter just like a vacume (located next to furnace or air handler). Now I want you to visualize something. Put your head inside your vacume cleaner and breath. Get the picture? This is what your duct work looks like. Do you clean your vacume when it’s dirty? If it’s full and the filter is dirty you lose performance and it starts poluting the air you breathe. It’s common sense. I recommend hiring a duct cleaning outfit that you have researched to be honest, background checked, drug tested, insured, and highly recommended by your piers in the area. The service is a necessity, but like everything, it should be done by a qualified company.
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.
The fact is if they are dirty why not clean them. As for the Dr’s comment about if it is not disrupted it is fine. As a pet owner sometimes un disrupted pet hair will sit in the corner of a room or under a counter un disrupted but I still clean it when I notice it. Just because you cant see it doesn’t mean you should leave it there to collect more and more. The people that don’t want there air ducts clean either simply cant afford it but would like it done. OR! the crowd that are to cheap.. You should Clean all portions of your house.
A study done by U.S. Environmental Protection Agency researchers measured dust levels and HVAC system efficiency in test homes during a one-week period during the cooling season and found duct cleaning did not significantly improve dust levels or system performance. Based on that report and other independent research, the EPA’s official advisory on duct cleaning concludes:
You may consider having your air ducts cleaned simply because it seems logical that air ducts will get dirty over time and should be occasionally cleaned. Provided that the cleaning is done properly, no evidence suggests that such cleaning would be detrimental. EPA does not recommend that the air ducts be cleaned routinely, but only as needed. EPA does, however, recommend that if you have a fuel burning furnace, stove or fireplace, they be inspected for proper functioning and serviced before each heating season to protect against carbon monoxide poisoning.
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