| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Hanna Johnson | 13:53.2 | 10 | Sioux City, North | 2348 | 2339 | ▲839 |
| 2 | Rachel Putze | 14:16.6 | 10 | WC-KP | 2211 | 2203 | ▲703 |
| 3 | Brooklyn Stanley | 14:23.3 | 12 | Bishop Heelan Catholic, Sioux City | 2129 | 2122 | ▲622 |
| 4 | Maddie Demke | 14:35.8 | 12 | Bishop Heelan Catholic, Sioux City | 2071 | 2064 | ▲564 |
| 5 | Scarlett Walsh | 14:40.0 | 12 | Bishop Heelan Catholic, Sioux City | 2025 | 2019 | ▲519 |
| 6 | Addison Bertrand | 14:55.0 | 10 | Bishop Heelan Catholic, Sioux City | 1987 | 1981 | ▲481 |
| 7 | Reese Bleeker | 14:56.2 | 10 | Bishop Heelan Catholic, Sioux City | 1954 | 1949 | ▲449 |
| 8 | Grace Roerig | 14:57.2 | 10 | Bishop Heelan Catholic, Sioux City | 1925 | 1920 | ▲420 |
| 9 | Emma Scott | 15:13.3 | 10 | Sioux City, East | 1899 | 1895 | ▲395 |
| 10 | Jordyn Wilson | 15:32.0 | 10 | Sioux City, East | 1855 | 1851 | ▲351 |
| 11 | Bjella Bockenstedt | 15:33.9 | 10 | Sergeant Bluff-Luton | 1835 | 1831 | ▲331 |
| 12 | Bailee Hansen | 15:35.3 | 9 | Sioux City, West | 1816 | 1813 | ▲313 |
| 13 | Naomi Kieffer | 15:43.1 | 11 | Bishop Heelan Catholic, Sioux City | 1799 | 1796 | ▲296 |
| 14 | Joslyn Vogt | 15:51.6 | 10 | Sioux City, North | 1783 | 1779 | ▲279 |
| 15 | Lexi Larrabee | 15:54.0 | 9 | Sergeant Bluff-Luton | 1767 | 1764 | ▲264 |
| 16 | Jayci Lockamy | 16:05.5 | 10 | Sioux City, East | 1752 | 1749 | ▲249 |
| 17 | Ella Focht | 16:23.3 | 12 | Sergeant Bluff-Luton | 1738 | 1735 | ▲235 |
| 18 | Taylor Prosser | 16:29.6 | 12 | Sergeant Bluff-Luton | 1724 | 1721 | ▲221 |
| 19 | Addisyn Cameron | 16:30.9 | 9 | WC-KP | 1711 | 1708 | ▲208 |
| 20 | Kaylee Olson | 16:33.1 | 12 | Sioux City, North | 1698 | 1696 | ▲196 |
| 21 | Emma Hogan | 16:41.5 | 11 | Sioux City, East | 1685 | 1683 | ▲183 |
| 22 | Khloee Weitzel | 16:45.3 | 10 | Sioux City, East | 1673 | 1671 | ▲171 |
| 23 | Emma Saylor | 16:50.5 | 11 | Sergeant Bluff-Luton | 1661 | 1660 | ▲160 |
| 24 | Abby Hall | 17:00.6 | 11 | Sioux City, North | 1650 | 1648 | ▲148 |
| 25 | Lilly Whiteshirt | 17:07.6 | 11 | Sioux City, West | 1617 | 1615 | ▲115 |
| 26 | Lilin Kamm | 17:26.7 | 10 | Sioux City, East | 1596 | 1594 | ▲94 |
| 27 | CJ Hannah | 17:41.7 | 11 | WC-KP | 1575 | 1574 | ▲74 |
| 28 | Alondra Prieto | 17:46.9 | 11 | Sioux City, West | 1565 | 1564 | ▲64 |
| 29 | Maria Gutierrez | 17:55.7 | 10 | Sioux City, North | 1545 | 1544 | ▲44 |
| 30 | Victoria Lopez | 17:56.5 | 9 | Sioux City, East | 1535 | 1534 | ▲34 |
| 31 | Kamryn Tooley | 17:59.3 | 12 | Sergeant Bluff-Luton | 1515 | 1515 | ▲15 |
| 32 | Elizabeth Barto | 18:02.1 | 12 | Sergeant Bluff-Luton | 1495 | 1495 | ▼-5 |
| 33 | Callie Brodersen | 18:18.4 | 12 | Sioux City, North | 1475 | 1476 | ▼-24 |
| 34 | Lilly Wilford | 20:48.7 | 11 | Sioux City, North | 1302 | 1304 | ▼-196 |
| 35 | Brianna Lux | 21:01.4 | 11 | WC-KP | 1289 | 1292 | ▼-208 |
| 36 | Jade Fonseca | 22:06.3 | 12 | Sioux City, West | 1201 | 1204 | ▼-296 |
| 37 | Dayrin Suarez | 23:24.5 | 10 | Sioux City, West | 1101 | 1105 | ▼-395 |