| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Natnael Kifle | 10:37.2 | 12 | Sioux City, North | 2391 | 2381 | ▲881 |
| 2 | Connor Schultz | 11:42.8 | 11 | Sioux City, North | 2254 | 2245 | ▲745 |
| 3 | AbduBekar Kumbi | 11:58.8 | 12 | Sioux City, North | 2173 | 2165 | ▲665 |
| 4 | Steven Kling | 12:14.3 | 12 | Sioux City, North | 2115 | 2108 | ▲608 |
| 5 | Daniel Delarosa | 12:19.7 | 10 | Sergeant Bluff-Luton | 2069 | 2063 | ▲563 |
| 6 | Braulio Gonzalez | 12:20.0 | 11 | Sergeant Bluff-Luton | 2032 | 2026 | ▲526 |
| 7 | Maciah Shultz | 12:22.9 | 11 | Sioux City, East | 1999 | 1994 | ▲494 |
| 8 | Kasey McGregor | 12:28.0 | 11 | Sergeant Bluff-Luton | 1971 | 1966 | ▲466 |
| 9 | Asher Morley | 12:28.7 | 11 | Sioux City, East | 1946 | 1941 | ▲441 |
| 10 | Michael Wieseler | 12:34.2 | 12 | Sergeant Bluff-Luton | 1923 | 1919 | ▲419 |
| 11 | Even Tesfaselassie | 12:35.3 | 9 | Sioux City, North | 1903 | 1898 | ▲398 |
| 12 | Ayden Larrabee | 12:40.0 | 10 | Sergeant Bluff-Luton | 1884 | 1879 | ▲379 |
| 13 | Luke Campbell | 12:46.0 | 12 | Sioux City, East | 1866 | 1862 | ▲362 |
| 14 | Kristoffer Zellner | 12:48.6 | 9 | Sioux City, East | 1849 | 1845 | ▲345 |
| 15 | Matthew Hawkinson | 12:59.9 | 12 | Sioux City, North | 1833 | 1829 | ▲329 |
| 16 | Alex Amaro | 13:06.9 | 9 | Bishop Heelan Catholic, Sioux City | 1790 | 1787 | ▲287 |
| 17 | Devin Metcalf | 13:13.3 | 10 | WC-KP | 1765 | 1762 | ▲262 |
| 18 | Elias Flanery | 13:16.3 | 12 | Bishop Heelan Catholic, Sioux City | 1730 | 1728 | ▲228 |
| 19 | Andres Gonzalez | 13:20.8 | 11 | Bishop Heelan Catholic, Sioux City | 1709 | 1706 | ▲206 |
| 20 | Owen Konopasek | 13:27.3 | 11 | Sergeant Bluff-Luton | 1688 | 1686 | ▲186 |
| 21 | Ben Walsh | 13:42.8 | 10 | Bishop Heelan Catholic, Sioux City | 1669 | 1667 | ▲167 |
| 22 | David Gehling | 13:52.0 | 12 | Sergeant Bluff-Luton | 1650 | 1648 | ▲148 |
| 23 | Kaden Koepke | 13:57.5 | 10 | Sioux City, East | 1632 | 1631 | ▲131 |
| 24 | Dylan Chwirka | 14:01.1 | 9 | Sioux City, East | 1614 | 1613 | ▲113 |
| 25 | Adam Embrock | 14:10.0 | 12 | Sioux City, North | 1597 | 1596 | ▲96 |
| 26 | Troy Dekkers | 14:24.9 | 10 | West Sioux, Hawarden | 1581 | 1580 | ▲80 |
| 27 | Anthony Villatoro-Sutton | 14:27.4 | 12 | Bishop Heelan Catholic, Sioux City | 1572 | 1572 | ▲72 |
| 28 | Ryker Callender | 14:30.7 | 12 | Sioux City, West | 1564 | 1563 | ▲63 |
| 29 | Rigoberto Ramos | 14:38.0 | 9 | Sioux City, East | 1532 | 1532 | ▲32 |
| 30 | Henry Fisher | 14:43.2 | 9 | Sioux City, West | 1500 | 1500 | 0 |
| 31 | Ethan Jessen | 14:49.7 | 9 | WC-KP | 1492 | 1492 | ▼-8 |
| 32 | Eric Munoz | 14:56.2 | 12 | Sioux City, West | 1460 | 1461 | ▼-39 |
| 33 | Sebastian Flores | 14:58.8 | 12 | Bishop Heelan Catholic, Sioux City | 1444 | 1445 | ▼-55 |
| 34 | Boston Baker | 15:55.4 | 10 | WC-KP | 1281 | 1283 | ▼-217 |
| 35 | Anthony Hansen | 15:59.8 | 10 | West Sioux, Hawarden | 1259 | 1261 | ▼-239 |
| 36 | Alex Crow | 16:06.9 | 10 | WC-KP | 1247 | 1250 | ▼-250 |
| 37 | Joseph Wilson | 16:33.6 | 10 | Sioux City, West | 1235 | 1238 | ▼-262 |
| 38 | Connor McKewon | 16:46.8 | 12 | Sioux City, West | 1196 | 1199 | ▼-301 |
| 39 | Gabriel Enszer | 16:47.1 | 11 | Sioux City, West | 1182 | 1185 | ▼-315 |
| 40 | Drake Susie | 16:50.1 | 9 | WC-KP | 1151 | 1155 | ▼-345 |
| 41 | Morgan Thonstad | 17:11.4 | 12 | West Sioux, Hawarden | 1077 | 1081 | ▼-419 |
| 42 | Kaedyn Willis | 17:14.4 | 10 | WC-KP | 1054 | 1059 | ▼-441 |
| 43 | Noah O'Mara | 17:44.0 | 12 | WC-KP | 1001 | 1006 | ▼-494 |