My last local quote for 2012 from a local dealer : by the roll spot plus $4, smaller quantities spot plus $8 (in airtites). I wanted ten - the best he would do was spot plus $6 . I passed and bought gold instead.
Coins can be had below spot: http://www.apmex.com/Product/13023/1_Face_Value_35_Silver_War_Nickels.aspx It is a matter of form. You are paying for refining costs, minting costs, etc. If you are willing to give all that up, then you can get silver below spot.
All the shops in my area are $4-$5 over spot for ASE's. It's just supply and demand on the physical market. Spot price reflects paper markets. Also, nothing wrong with dealers taking a cut to cover their costs. If you want to bypass that then do P2P transactions. They typicaly benefit both sides.