Just had my air ducts cleaned. They used a high pressure air hose in all the heat ducts and cold air returns. He showed me the stuff that came out, the reason for the duct cleaning was the fact that I had a problem. With rodents. There was quite a few mummified rats and mice, and he said I wouldn’t have to have them done again unless I incur another problem or have renovations done. Cost me 345.00 for a 2 storey large old home. Not a bad price as I had them done when I moved in 28 years ago and it cost me 500.00. Lots of dog hair, toys, balls and assorted goodies came out as well. Took them 2 hours. I did have sanitizer put in the ducts because of the dead rodents.
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.