| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Addison Bertrand | 20:16.6 | 11 | Bishop Heelan Catholic, Sioux City | 2308 | 2307 | ▲1 |
| 2 | Marcella Palmer | 21:49.4 | 11 | Sioux City, North | 2172 | 2172 | ▲1 |
| 3 | Bailee Hansen | 22:14.4 | 10 | Sioux City, West | 2022 | 1996 | ▲64 |
| 4 | Lilly Whiteshirt | 22:24.4 | 12 | Sioux City, West | 1991 | 1983 | ▲21 |
| 5 | Kailyn Fitch | 22:34.6 | 9 | Bishop Heelan Catholic, Sioux City | 1960 | 1939 | ▲59 |
| 6 | Hanna Johnson | 23:03.6 | 11 | Sioux City, North | 1948 | 1956 | ▼-14 |
| 7 | Colby Carroll | 23:08.0 | 10 | Bishop Heelan Catholic, Sioux City | 1926 | 1934 | ▼-14 |
| 8 | Bjella Bockenstedt | 23:15.6 | 11 | Sergeant Bluff-Luton | 1903 | 1905 | ▼-5 |
| 9 | Ellie Topf | 23:19.1 | 9 | Bishop Heelan Catholic, Sioux City | 1874 | 1829 | ▲69 |
| 10 | Grace Roerig | 23:21.8 | 11 | Bishop Heelan Catholic, Sioux City | 1858 | 1836 | ▲31 |
| 11 | Kaylee Mesz | 23:29.4 | 10 | Lawton-Bronson | 1835 | 1767 | ▲59 |
| 12 | Angela Gonzalez | 23:32.7 | 11 | Bishop Heelan Catholic, Sioux City | 1829 | 1838 | ▼-15 |
| 13 | Khloe Eliesa | 23:38.6 | 7 | Sioux City, North | 1813 | 1822 | ▼-12 |
| 14 | Karis Hulinsky | 23:40.9 | 10 | Le Mars | 1804 | 1852 | ▼-65 |
| 15 | Emma Scott | 23:44.2 | 11 | Sioux City, East | 1784 | 1782 | ▲4 |
| 16 | Makenzie DeRocher | 23:51.2 | 11 | Le Mars | 1773 | 1780 | ▼-10 |
| 17 | Brooklyn DeRocher | 23:55.1 | 10 | Le Mars | 1759 | 1759 | ▲1 |
| 18 | Ashleigh Jochum | 24:23.7 | 11 | Bishop Heelan Catholic, Sioux City | 1749 | 1754 | ▼-10 |
| 19 | Cheyenne Ameen | 24:26.8 | 12 | Lawton-Bronson | 1738 | 1753 | ▼-19 |
| 20 | Joslyn Vogt | 24:31.0 | 11 | Sioux City, North | 1725 | 1739 | ▼-20 |
| 21 | Ella Vanderlinden | 24:49.0 | 9 | Sioux City, East | 1706 | 1681 | ▲95 |
| 22 | Abby Hall | 24:55.4 | 12 | Sioux City, North | 1697 | 1681 | ▲19 |
| 23 | Addison Smith | 25:00.9 | 12 | Lawton-Bronson | 1678 | 1688 | ▼-10 |
| 24 | Sarah Tilberg | 25:05.1 | 10 | Le Mars | 1661 | 1647 | ▲20 |
| 25 | Ashlie Rehal | 25:12.7 | 10 | Bishop Heelan Catholic, Sioux City | 1649 | 1626 | ▲36 |
| 26 | Lilin Kamm | 25:33.1 | 11 | Sioux City, East | 1633 | 1639 | ▼-37 |
| 27 | Natalie McKenna | 25:35.0 | 10 | Lawton-Bronson | 1620 | 1620 | ▼-1 |
| 28 | Ashlynn Salter | 25:37.9 | 10 | Sergeant Bluff-Luton | 1612 | 1618 | ▼-45 |
| 29 | Jayci Lockamy | 25:38.6 | 11 | Sioux City, East | 1600 | 1602 | ▼-3 |
| 30 | Katelyn Cook | 25:44.9 | 11 | Sioux City, North | 1584 | 1555 | ▲82 |
| 31 | Khloee Weitzel | 25:48.4 | 11 | Sioux City, East | 1583 | 1608 | ▼-126 |
| 32 | Cali Rosener | 25:49.9 | 10 | Le Mars | 1569 | 1570 | ▼-2 |
| 33 | Lela Haveman | 26:03.2 | 12 | Lawton-Bronson | 1557 | 1556 | ▲1 |
| 34 | Sienna Kass | 26:06.6 | 12 | Le Mars | 1550 | 1588 | ▼-67 |
| 35 | Aubree O'Brien | 26:16.7 | 9 | Lawton-Bronson | 1530 | 1516 | ▲17 |
| 36 | Tessa Kellen | 26:18.2 | 12 | Le Mars | 1518 | 1507 | ▲20 |
| 37 | Alondra Prieto | 26:52.9 | 12 | Sioux City, West | 1475 | 1470 | ▲13 |
| 38 | Claire Fiegel | 26:57.4 | 9 | Sergeant Bluff-Luton | 1470 | 1490 | ▼-63 |
| 39 | Delaney Robinson | 28:05.4 | 12 | Sergeant Bluff-Luton | 1418 | 1411 | ▲16 |
| 40 | Sarah Stevens | 28:17.1 | 9 | Sergeant Bluff-Luton | 1400 | 1416 | ▼-33 |
| 41 | Peyton Howell | 28:27.1 | 12 | Le Mars | 1389 | 1409 | ▼-27 |
| 42 | Kendra Berglund | 28:49.7 | 12 | Sergeant Bluff-Luton | 1377 | 1391 | ▼-71 |
| 43 | Rhyleigh Haas Serrato | 31:41.0 | 9 | Sioux City, West | 1031 | 1039 | ▼-23 |