Equipment used to clean ducts varies widely. The cheaper the equipment used the more you are just wasting money. This is why it's typically not worth doing. In some situations it may be beneficial, but only after determining and investigating the duct system. This should be done by a licensed HVAC contractor and not a duct cleaner that typically do not hold and HVAC license. (Duct cleaners aren't required to be licensed in HVAC in many areas.)
I am 79 years old, bought a condo & spent a lot of money on it. this winter my first bill was 450.00. had my furnace checked out, which is on the roof. it was old rusted out & leeking oil. i talked to owner & had new unit installed. they came out to clean ducks & they were split & worn out. there is no crawl space because theres a unit above me. my real estate lady or this company will not help me fix this problem.
I had my ducts somewhat cleaned December 22, 2014. The hose of the machine the technitian used did not fit in some of my vents, therefore, he did not clean them. But I still paid $428.00 for the service. I will be calling the company on Monday, and kindly ask them to come back and clean the ducts they did not as they did not fullfill their part of the service.
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.
No one has addressed mfg homes and doesn't seem any of the comments are from people in So CA which of course does make a difference as my dust comes from the outside not from the vents. My windows are open pretty much 365 days a year. Secondly mfg homes don't have basements or attics I keep mine clean with my vacuum as they are only about 2 ft deep. I purchased my home 10 yrs ago and it is a high end home but have never had a problem. I clean my furnace filter about twice a month as I have cats and most everything in there is cat fur. I am not saying they don't ever need to be cleaned but I am questioning mfg homes, I also clean my own filters in my AC unit outside as the HVAC guy told me too he QUATITY they would sell. I use this same company every year now for my tune up and inspection which takes them about 10 minutes. Not a bad return for them and I don't mind the $79 fee. If anyone has more info than this on mfg homes please let me know!

And if you have flex duct and/or fiberglass ductboard in your home- the last thing you want is a big brush or anything abrasive running through it. Even high-pressure air can erode ductboard so I wouldn’t clean it with anything. If it becomes contaminated, get rid of it and install real ductwork. If your ductwork is accessible in the basement – the best thing to do is take it down and manually clean it if it’s full of junk. It’s not going to cost a nickel more to do that than to pay $500-1000 for a ‘duct cleaning machine” AKA big blower and vacuum – to do the job.
On the other hand, if family members are experiencing unusual or unexplained symptoms or illnesses that you think might be related to your home environment, you should discuss the situation with your doctor. EPA has published the following publications for guidance on identifying possible indoor air quality problems and ways to prevent or fix them.
There are many interesting comments from several informed individuals. The question that has not been answered is how do duct systems get dusty and dirty? As a RESNET Home Energy Rater, I perform pressure tests on homes and duct systems, and the one common thread is . . . most air delivery sytems have large amounts of air leakage. The solution is to seal the duct system, and pay particular attention to the return duct system and ductwork near the air handler (the 'blower'). As others have said, a captive (sealed) duct system with proper filter maintenance should be more then adequate for most occupants. For those who have allergy, asthma, or other breathing problems, a filter with a higher MERV rating (number should be listed on the package) or a HEPA filter are good choices. These filters will capture smaller particulates and should improve the indoor air quality. Again, make certain that the entire duct system is sealed, preferably with mastic, second choice UL-181 foil tape - never use cloth duct (also known as duck) tape.
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.