| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Natnael Kifle | 16:22.3 | 12 | Sioux City, North | 2439 | 2438 | ▲4 |
| 2 | Connor Schultz | 17:45.0 | 11 | Sioux City, North | 2290 | 2267 | ▲55 |
| 3 | Trace Obbink | 17:59.7 | 12 | Le Mars | 2258 | 2281 | ▼-32 |
| 4 | Steven Kling | 18:40.2 | 12 | Sioux City, North | 2138 | 2131 | ▲14 |
| 5 | Even Tesfaselassie | 19:05.9 | 9 | Sioux City, North | 2079 | 2045 | ▲100 |
| 6 | Daniel Delarosa | 19:17.8 | 10 | Sergeant Bluff-Luton | 2059 | 2054 | ▲10 |
| 7 | Braulio Gonzalez | 19:22.9 | 11 | Sergeant Bluff-Luton | 2027 | 2010 | ▲40 |
| 8 | Andres Gonzalez | 19:23.6 | 11 | Bishop Heelan Catholic, Sioux City | 2000 | 1967 | ▲180 |
| 9 | JoJo Small | 19:23.8 | 11 | Sioux City, West | 1981 | 1951 | ▲79 |
| 10 | Maciah Shultz | 19:24.0 | 11 | Sioux City, East | 1972 | 1974 | ▼-7 |
| 11 | Aaron Lee | 19:25.0 | 11 | Le Mars | 1959 | 1994 | ▼-45 |
| 12 | Asher Morley | 19:25.6 | 11 | Sioux City, East | 1934 | 1931 | ▲7 |
| 13 | Ben Hames | 19:45.0 | 10 | Sioux City, North | 1904 | 1889 | ▲32 |
| 14 | Alejandro Vargas | 19:48.5 | 11 | Sergeant Bluff-Luton | 1894 | 1892 | ▲5 |
| 15 | Kristoffer Zellner | 19:59.3 | 9 | Sioux City, East | 1873 | 1891 | ▼-40 |
| 16 | Ayden Larrabee | 20:04.5 | 10 | Sergeant Bluff-Luton | 1846 | 1837 | ▲27 |
| 17 | AbduBekar Kumbi | 20:08.4 | 12 | Sioux City, North | 1842 | 1877 | ▼-170 |
| 18 | Michael Murra | 20:10.2 | 12 | Le Mars | 1817 | 1818 | ▼-3 |
| 19 | Alex Amaro | 20:13.2 | 9 | Bishop Heelan Catholic, Sioux City | 1797 | 1805 | ▼-18 |
| 20 | Sammy Duerloo | 20:19.2 | 12 | Siouxland Christian | 1786 | 1787 | ▼-2 |
| 21 | Luke Campbell | 20:32.2 | 12 | Sioux City, East | 1752 | 1782 | ▼-88 |
| 22 | Dylan Chwirka | 20:37.6 | 9 | Sioux City, East | 1738 | 1737 | ▲2 |
| 23 | Kaden Koepke | 20:38.1 | 10 | Sioux City, East | 1731 | 1750 | ▼-46 |
| 24 | Ben Walsh | 20:42.5 | 10 | Bishop Heelan Catholic, Sioux City | 1718 | 1708 | ▲24 |
| 25 | Kasey McGregor | 20:46.9 | 11 | Sergeant Bluff-Luton | 1715 | 1753 | ▼-125 |
| 26 | Michael Wieseler | 20:49.2 | 12 | Sergeant Bluff-Luton | 1706 | 1733 | ▼-153 |
| 27 | Ethan Buffington | 20:51.6 | 9 | Lawton-Bronson | 1688 | 1665 | ▲41 |
| 28 | Anthony Villatoro-Sutton | 21:12.9 | 12 | Bishop Heelan Catholic, Sioux City | 1637 | 1637 | 0 |
| 29 | Elias Flanery | 21:29.0 | 12 | Bishop Heelan Catholic, Sioux City | 1622 | 1628 | ▼-15 |
| 30 | Ryker Callender | 21:45.0 | 12 | Sioux City, West | 1575 | 1578 | ▼-6 |
| 31 | Tanner Iverson | 21:47.9 | 9 | Le Mars | 1571 | 1595 | ▼-61 |
| 32 | Hunter Buono | 22:13.0 | 9 | Lawton-Bronson | 1523 | 1506 | ▲18 |
| 33 | Christian Hsu | 22:26.7 | 11 | Siouxland Christian | 1514 | 1488 | ▲33 |
| 34 | Lucas Patelski | 22:29.6 | 9 | Lawton-Bronson | 1512 | 1550 | ▼-28 |
| 35 | Eric Munoz | 22:36.5 | 12 | Sioux City, West | 1503 | 1513 | ▼-29 |
| 36 | Erik Koehler | 22:53.6 | 9 | Siouxland Christian | 1489 | 1489 | ▼-1 |
| 37 | Jony Sanchez | 22:54.0 | 9 | Le Mars | 1483 | 1498 | ▼-20 |
| 38 | Henry Fisher | 22:56.5 | 9 | Sioux City, West | 1477 | 1493 | ▼-41 |
| 39 | Seth Vander Sluis | 23:12.0 | 12 | Le Mars | 1447 | 1464 | ▼-45 |
| 40 | Simon Zamyatin | 23:15.5 | 9 | Lawton-Bronson | 1423 | 1414 | ▲7 |
| 41 | Austin Larsen | 23:28.8 | 11 | Bishop Heelan Catholic, Sioux City | 1413 | 1443 | ▼-126 |
| 42 | Joshua Brady | 23:40.5 | 9 | Lawton-Bronson | 1390 | 1414 | ▼-19 |
| 43 | Robby Doenhoefer | 23:59.9 | 11 | Lawton-Bronson | 1347 | 1363 | ▼-33 |
| 44 | Connor McKewon | 24:33.9 | 12 | Sioux City, West | 1284 | 1252 | ▲99 |