| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Ava Lang | 22:02.5 | 12 | Hinton | 2001 | 1986 | ▲10 |
| 2 | Lilly Whiteshirt | 22:04.5 | 12 | Sioux City, West | 1953 | 1965 | ▼-18 |
| 3 | Alondra Prieto | 24:51.8 | 12 | Sioux City, West | 1658 | 1595 | ▲125 |
| 4 | Mady Prevail | 24:59.9 | 9 | Sioux City, West | 1633 | 1624 | ▲24 |
| 5 | Payton Kerns | 25:10.2 | 9 | Gehlen Catholic, LeMars | 1604 | 1613 | ▼-12 |
| 6 | Reese Regier | 26:25.4 | 10 | Hinton | 1564 | 1608 | ▼-26 |
| 7 | Keely Christoferson | 26:41.5 | 11 | Westwood, Sloan | 1503 | 1493 | ▲10 |
| 8 | Josie McFarland | 26:52.8 | 10 | Westwood, Sloan | 1476 | 1454 | ▲18 |
| 9 | Alexandria Marnell | 26:55.5 | 12 | Westwood, Sloan | 1464 | 1473 | ▼-9 |
| 10 | Isabella Utesch | 27:09.0 | 9 | Akron-Westfield | 1442 | 1447 | ▼-5 |
| 11 | Paisley Tesch | 27:17.7 | 12 | Gehlen Catholic, LeMars | 1425 | 1439 | ▼-13 |
| 12 | Jaycee Fender | 27:56.5 | 11 | Gehlen Catholic, LeMars | 1388 | 1266 | ▲59 |
| 13 | Audrey Etter | 28:22.2 | 12 | MMCRU | 1379 | 1383 | ▼-14 |
| 14 | Josie Lennon | 28:27.0 | 11 | Akron-Westfield | 1351 | 1339 | ▲11 |
| 15 | Isabell Hodgson | 28:54.5 | 10 | Hinton | 1337 | 1347 | ▼-8 |
| 16 | Kayla Sypersma | 29:22.2 | 11 | Hinton | 1310 | 1288 | ▲16 |
| 17 | Danielle Tesch | 29:24.4 | 11 | Gehlen Catholic, LeMars | 1297 | 1297 | 0 |
| 18 | Annika Juhl | 29:43.3 | 10 | MMCRU | 1280 | 1284 | ▼-5 |
| 19 | Kenzley Christoffel | 29:55.4 | 9 | Gehlen Catholic, LeMars | 1259 | 1254 | ▲15 |
| 20 | Alyssa Anderson | 30:08.7 | 9 | Westwood, Sloan | 1239 | 1223 | ▲20 |
| 21 | Mikaela Clark | 30:15.5 | 10 | Hinton | 1230 | 1253 | ▼-21 |
| 22 | Sophie Etter | 30:49.8 | 11 | MMCRU | 1203 | 1204 | 0 |
| 23 | Lilly Sudbeck | 30:53.2 | 9 | Hinton | 1165 | 1067 | ▲43 |
| 24 | Lauryn Jorgensen | 30:55.1 | 11 | Westwood, Sloan | 1136 | 1097 | ▲27 |
| 25 | Khloe Gemberling | 31:15.2 | 10 | Westwood, Sloan | 1105 | 1063 | ▲28 |
| 26 | Kaylee Lastor | 31:32.4 | 9 | Sioux City, West | 1087 | 1080 | ▲10 |
| 27 | Megan Trierweiler | 32:25.4 | 10 | Hinton | 1072 | 1091 | ▼-12 |
| 28 | Rhyleigh Haas Serrato | 33:21.0 | 9 | Sioux City, West | 1046 | 1043 | ▲4 |
| 29 | Morgan Vogt | 33:59.9 | 12 | Hinton | 1023 | 1010 | ▲15 |
| 30 | Duyen Le | 34:42.2 | 9 | Gehlen Catholic, LeMars | 998 | 975 | ▲21 |
| 31 | Tricia Kilts | 35:07.7 | 9 | South O'Brien, Paullina | 973 | 942 | ▲33 |
| 32 | Kimber Buhman | 36:02.0 | 12 | Sioux City, West | 969 | 1010 | ▼-353 |
| 33 | Angela Zermeno | 36:03.0 | 11 | Sioux City, West | 948 | 985 | ▼-320 |
| 34 | Desyree Gomez | 36:03.1 | 12 | Sioux City, West | 919 | 937 | ▼-71 |
| 35 | Ella Gonzalez | 36:10.4 | 9 | Sioux City, West | 892 | 898 | ▼-602 |
| 36 | Allison Hoefling | 39:30.2 | 11 | Hinton | 858 | 863 | ▼-4 |
| 37 | Dayrin Suarez | 44:28.8 | 11 | Sioux City, West | 793 | 795 | ▼-234 |
| 38 | Ellie Hertenstein | 46:08.0 | 10 | Hinton | 597 | 597 | ▼-1 |