There is a lot of good, general information in the article. As with anything, the homeowner should do their due diligence in getting enough information to make an educated decision. Should duct-work be cleaned? YES! Does it need to be cleaned annually or even every second or third year? Not necessarily. It all depends on a bunch of variables. You're right that a well designed and balanced system will deliver the right amount of air flow, but sometimes conditions outside the home/business, make it a necessity to get the ducts cleaned. As for mold? NO filter is going to address a mold issue. If you have mold, you have a moisture issue that needs to be addressed. Also, in my 38 years of experience in the HVAC and sheet metal industries, washable filters are one of the reasons ducts need to be cleaned. They are no where near efficient in cleaning/filtering the air to the level that they should.
Unfortunately, manufacturers and contractors don’t publish this information…it’s a secret. Why? Who knows…but we have access to a full contractor pricing database of 1,000’s of different units in our online HVAC installation cost calculator, so let’s choose one for our example calculation. We’ll go with Carrier equipment, since our readers always bother us about them (despite us telling them that they are overpriced):

Many homes have a forced-air HVAC system. Both the heating and the central air conditioning units share a ductwork system where they either push in or pull out warm or cooled air. There are also heating and cooling systems that don’t require ductwork — such as ductless mini-splits — but work on the same principles of heat exchange. The national average to hire an HVAC specialist is $2,920-$3,670, with costs varying depending on the work you need done and the equipment you are installing.
Had duct cleaned (apartment) however, dust is still settling throughout the apartment. Contractor said no other cleaning necessary until two (2) years. Is there a time period before dust no longer settles prior to that time? Should the vendor had worn a mask? He did not cover his face the vents and dust was blown throughout the apartment (had family help with the cleanup). I had to leave when they left because I have asthma and I couldn’t breathe without coughing. Please help!
Did you know that cleaning your ducts and vents can help airflow and increase energy efficiency? According to the Environmental Protection Agency (EPA), keeping your air ducts and vents clear can increase energy efficiency and indoor air quality. While the cost to clean ducts and vents might sound high, the benefits to homeowners–especially those sensitive to allergens–is worth considering.
I was with you until you said avoid steaming cleaning or moisture, there is no way you can remove mold or any other type of biological without moisture. The best way to do this is in fact with a steamer using a commercial disinfectant and a non reactive odor remover so your home smells refreshed and not like a hospital . This is directly contradictory to your article.
But Tim, doesn’t this mean that a less-than-honest air conditioning company can just charge what he wants and say that it’s a difficult job? No. You see, dishonest contractors, typically, aren’t the brightest people (I figure if you’re still reading this, you’re warming up to me so I’m taking off the training-wheels). They aren’t smart enough to take difficulty into account, and will probably get confused if you ask them about it. They will tell you things like, “that’s how much the unit costs,” or “California has a new law that magically adds $5,000 to the price.”  Trust me, follow your gut, and you’ll be able to tell who the honest contractors are...or just use one of our ASM-approved contractors.
SEER is useful for comparing one model to another much in the same way that a car's calculate MPG is useful. It's not an accurate prediction of exactly how efficient the system is, but it can tell you which one is more efficient. Also, since SEER is based on a "cooling season", what region you live in will determine how long or short your cooling season is.
I am NADCA Certified Air Systems Cleaning Specialist. Over the years I have learned on simple answer to this questions: there air duct cleaners and there are pretenders. There will be no benefit at all if you use on the very cheap pretender because they will not really clean anything. On the other hand if you call a qualified air duct cleaner with a NADCA Certification you will, like 99% of my customers, report improvement with your respiratory problems, you will see less dust and the job will pay for itself with energy savings and repair prevention.

I to had an odd layer of white'ish dust building up especially during seasonal periods when the HVAC ran a a lot. I carefully swept up the fine dust into a small pile and had it analyzed. Turns out it was very fine fiberglass powder dust. It turns out it is the insulation form the attic! (My attic has blown in insulation). Turns out if you (I) had small gaps around my HVAC registers in the ceiling whee the airs blows into the room. What occurred in my case was that the exiting air at that seam creates a vacuum effect at the grate vent cover and draws and then blows fine insulation dust from the attic into the house. Removing each register grate and sealing each tin outlet gap with calking between the dry wall ceiling and tin fixed the issue. A couple were so bad with bowed gaps I had to screw down the bowed tin to the attaching stud better. Checking the very same glass top desk that catches and shows any dust accumulation now shows only very small amounts of normal house dust build up over several weeks. A big, big improvement. You might have a look by simply removing a couple vent covers yourself.
"OTHER THAN A SMALL SCHEDULING HICK-UP THEIR SERVICE WAS EXCELLENT. JOSH THE TECHNICIAN THAT PREFORMED THE DIAGNOSTICS AND REPAIR WAS EXTREMLEY PROFESIONAL AND FRIENDLY â ¦ HE WAS ABLE TO FIND THE PROBLEM WHICH WAS VERY DIFFICULT TO FIND AND FIX THE PROBLEM. I WISH THAT ALL HOME SERVICE PEOPLE WERE AS GOOD AS HE WAS. I WOULD HIRE AGAIN...JOB WELL DONE !!!"
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