| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Connor Schultz | 18:00.2 | 12 | Sioux City, North | 2284 | 2282 | ▲2 |
| 2 | Ben Hames | 18:36.3 | 11 | Sioux City, North | 2168 | 2161 | ▲11 |
| 3 | Evan Swaggerty Morgan | 18:44.8 | 11 | Sioux City, North | 2112 | 2104 | ▲11 |
| 4 | Aaron Lee | 18:47.3 | 12 | Le Mars | 2069 | 2052 | ▲25 |
| 5 | Kaden Koepke | 19:00.3 | 11 | Sioux City, East | 2030 | 1979 | ▲141 |
| 6 | Alex Amaro | 19:03.3 | 10 | Bishop Heelan Catholic, Sioux City | 2020 | 2031 | ▼-15 |
| 7 | Andres Gonzalez | 19:03.9 | 12 | Bishop Heelan Catholic, Sioux City | 1983 | 1974 | ▲10 |
| 8 | Josue Gutierrez | 19:11.6 | 9 | Sioux City, North | 1952 | 1932 | ▲30 |
| 9 | Gavin Haroldson | 19:11.9 | 12 | Sioux City, North | 1929 | 1911 | ▲26 |
| 10 | Maciah Shultz | 19:23.6 | 12 | Sioux City, East | 1922 | 1947 | ▼-101 |
| 11 | Breighton Carlson | 19:24.9 | 10 | Lawton-Bronson | 1897 | 1900 | ▼-4 |
| 12 | Layne Munson | 19:31.5 | 10 | Sioux City, North | 1867 | 1837 | ▲80 |
| 13 | Daniel Delarosa | 19:44.9 | 11 | Sergeant Bluff-Luton | 1866 | 1893 | ▼-98 |
| 14 | Ayden Larrabee | 19:57.7 | 11 | Sergeant Bluff-Luton | 1844 | 1846 | ▼-4 |
| 15 | Danny Cleveland | 20:01.0 | 11 | Sioux City, East | 1808 | 1780 | ▲90 |
| 16 | David McCormick | 20:04.7 | 9 | Sergeant Bluff-Luton | 1803 | 1812 | ▼-21 |
| 17 | Xavier Guerrero | 20:18.7 | 10 | Bishop Heelan Catholic, Sioux City | 1783 | 1725 | ▲126 |
| 18 | Lane Bieler | 20:23.0 | 12 | Lawton-Bronson | 1777 | 1783 | ▼-6 |
| 19 | Jony Sanchez | 20:27.4 | 10 | Le Mars | 1742 | 1739 | ▲4 |
| 20 | Ethan Buffington | 20:28.8 | 10 | Lawton-Bronson | 1733 | 1740 | ▼-9 |
| 21 | Ben Walsh | 20:37.4 | 11 | Sergeant Bluff-Luton | 1722 | 1731 | ▼-19 |
| 22 | Hunter Buono | 20:43.7 | 10 | Lawton-Bronson | 1690 | 1705 | ▼-13 |
| 23 | JoJo Small | 20:45.0 | 12 | Sioux City, West | 1681 | 1692 | ▼-54 |
| 24 | Hudson TerWee | 20:47.5 | 9 | Sergeant Bluff-Luton | 1673 | 1698 | ▼-71 |
| 25 | Lucas Patelski | 20:48.4 | 10 | Lawton-Bronson | 1653 | 1563 | ▲84 |
| 26 | Ethan Barber | 20:49.4 | 11 | Bishop Heelan Catholic, Sioux City | 1644 | 1602 | ▲70 |
| 27 | Emmet Johnson | 20:52.4 | 10 | Sioux City, East | 1640 | 1644 | ▼-22 |
| 28 | Cal Geise | 20:52.9 | 9 | Bishop Heelan Catholic, Sioux City | 1634 | 1720 | ▼-162 |
| 29 | David Cook | 20:53.5 | 9 | Sioux City, East | 1616 | 1595 | ▲57 |
| 30 | Zachary Adams | 20:54.7 | 10 | Lawton-Bronson | 1613 | 1640 | ▼-26 |
| 31 | Baylen Kueffer | 21:00.6 | 10 | Sergeant Bluff-Luton | 1587 | 1620 | ▼-86 |
| 32 | Jimmy Smith | 21:06.5 | 10 | Sioux City, West | 1575 | 1564 | ▲28 |
| 33 | Hunter Mullally | 21:29.4 | 11 | Le Mars | 1539 | 1539 | ▲1 |
| 34 | Tony Sanchez | 21:30.7 | 11 | Bishop Heelan Catholic, Sioux City | 1531 | 1514 | ▲28 |
| 35 | Matthew Jorstad | 21:32.2 | 9 | Bishop Heelan Catholic, Sioux City | 1525 | 1514 | ▲15 |
| 36 | Tanner Iverson | 21:36.7 | 10 | Le Mars | 1511 | 1572 | ▼-97 |
| 37 | Covan Fetterman | 21:44.2 | 10 | Bishop Heelan Catholic, Sioux City | 1492 | 1517 | ▼-39 |
| 38 | Jett Schmid | 22:02.5 | 12 | Le Mars | 1468 | 1466 | ▲6 |
| 39 | Seth Moss | 22:06.7 | 10 | Le Mars | 1462 | 1456 | ▲10 |
| 40 | Brayden Rohlfsen | 22:09.8 | 10 | Le Mars | 1455 | 1434 | ▲32 |
| 41 | Isaac Beller | 22:18.7 | 9 | Le Mars | 1437 | 1399 | ▲65 |
| 42 | Noah Dandurand | 22:39.2 | 12 | Sioux City, East | 1395 | 1411 | ▼-39 |
| 43 | Brecken Doran | 22:42.2 | 9 | Sioux City, West | 1388 | 1399 | ▼-34 |
| 44 | Scott Moore | 22:49.7 | 9 | Sioux City, West | 1365 | 1384 | ▼-59 |
| 45 | Robby Doenhoefer | 23:23.4 | 12 | Lawton-Bronson | 1308 | 1340 | ▼-60 |
| 46 | Antelmo Limon | 23:49.4 | 9 | Sioux City, West | 1243 | 1246 | ▼-8 |
| 47 | Gabriel Enszer | 25:17.7 | 12 | Sioux City, West | 1088 | 1090 | ▼-94 |