They don't work. To elaborate, they fail to provide the user with information with enough clarity to allow him to form accurate mental models of what is being used,what it costs, and what is the implication in cost of applying some change.
Heck, at any given moment it's unexplainably hard to tell exactly which AWS services are you actually using, and being billed for.
The only reliable info on cost it the invoice you receive at the end of the month. Even then, the AWS guys felt the need to develop a full blown machine learning service to help customers predict what their next invoice will be.