A rate-and-term refinance changes the rate, the term, or both without touching the balance. It is the standard move when the goal is simply better terms on the same debt.
A cash-out refinance raises the balance and hands you the difference. Owe $200,000 on a $450,000 home, refinance for $280,000, and roughly $80,000 arrives in cash while the debt grows by the same amount. Expect a rate 0.125 to 0.25 percent above a comparable rate-and-term deal, and a cap near 80 percent of the home's value. The money is cheap next to credit cards or personal loans, which is exactly why it deserves care: a cash-out converts unsecured debt into debt backed by your house. The
CFPB's consumer answers cover the risks in more detail.