Pretty clean, I’ve never cleaned the actual ice making part before, but it’s never looked like it needed it. It’s also fairly sealed up

The collection bucket I’ve cleaned every few months and nothing gross has ever appeared. The dispenser nozzle on the outside gets wiped down regularly

Also you don’t need to be rich to have a fridge with an ice dispenser, they’ve been on basic models since like the 90s and you can find a used working one on FB/CL all the time even for free