| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Hanna Johnson | 21:30.9 | 10 | Sioux City, North | 2295 | 2295 | ▲2 |
| 2 | Scarlett Walsh | 21:54.7 | 12 | Bishop Heelan Catholic, Sioux City | 2105 | 2087 | ▲58 |
| 3 | Brooklyn Stanley | 22:30.8 | 12 | Bishop Heelan Catholic, Sioux City | 2068 | 2069 | ▼-6 |
| 4 | Makenzie DeRocher | 22:37.6 | 10 | Le Mars | 2004 | 1977 | ▲47 |
| 5 | Emma Scott | 22:39.3 | 10 | Sioux City, East | 1973 | 1948 | ▲68 |
| 6 | Addison Bertrand | 22:43.9 | 10 | Bishop Heelan Catholic, Sioux City | 1966 | 1982 | ▼-52 |
| 7 | Bailee Hansen | 23:46.6 | 9 | Sioux City, West | 1919 | 1919 | ▲1 |
| 8 | Kendal Hamerlinck | 23:47.0 | 12 | Le Mars | 1894 | 1867 | ▲38 |
| 9 | Naomi Kieffer | 24:00.7 | 11 | Bishop Heelan Catholic, Sioux City | 1881 | 1874 | ▲25 |
| 10 | Karis Hulinsky | 24:11.2 | 9 | Le Mars | 1862 | 1840 | ▲32 |
| 11 | Bjella Bockenstedt | 24:11.9 | 10 | Sergeant Bluff-Luton | 1852 | 1857 | ▼-11 |
| 12 | Khloee Weitzel | 24:15.9 | 10 | Sioux City, East | 1828 | 1792 | ▲133 |
| 13 | Jordyn Wilson | 24:23.0 | 10 | Sioux City, East | 1824 | 1839 | ▼-36 |
| 14 | Joslyn Vogt | 24:34.2 | 10 | Sioux City, North | 1803 | 1801 | ▲3 |
| 15 | Kaylee Olson | 24:36.7 | 12 | Sioux City, North | 1784 | 1774 | ▲24 |
| 16 | Marcella Palmer | 25:04.2 | 10 | Sioux City, North | 1749 | 1724 | ▲90 |
| 17 | Brooklyn DeRocher | 25:22.5 | 9 | Le Mars | 1732 | 1694 | ▲62 |
| 18 | Khloe Eliesa | 25:26.6 | 6 | Sioux City, North | 1720 | 1704 | ▲39 |
| 19 | Ashleigh Jochum | 25:30.8 | 10 | Bishop Heelan Catholic, Sioux City | 1717 | 1739 | ▼-111 |
| 20 | Emma Saylor | 25:45.4 | 11 | Sergeant Bluff-Luton | 1679 | 1671 | ▲17 |
| 21 | Clarie Gann | 26:04.2 | 9 | Sioux City, North | 1660 | 1639 | ▲45 |
| 22 | Sienna Kass | 26:05.8 | 11 | Le Mars | 1659 | 1748 | ▼-157 |
| 23 | Lilin Kamm | 26:06.1 | 10 | Sioux City, East | 1647 | 1661 | ▼-33 |
| 24 | Cheyenne Ameen | 26:06.6 | 11 | Lawton-Bronson | 1635 | 1624 | ▲10 |
| 25 | Taylor Prosser | 26:06.8 | 12 | Sergeant Bluff-Luton | 1629 | 1641 | ▼-26 |
| 26 | Sarah Tilberg | 26:13.1 | 9 | Le Mars | 1615 | 1635 | ▼-33 |
| 27 | Addison Smith | 26:25.4 | 11 | Lawton-Bronson | 1606 | 1622 | ▼-17 |
| 28 | Lela Haveman | 26:36.9 | 11 | Lawton-Bronson | 1593 | 1580 | ▲21 |
| 29 | Ashlynn Salter | 26:39.0 | 9 | Sergeant Bluff-Luton | 1589 | 1598 | ▼-67 |
| 30 | Kamryn Tooley | 26:47.3 | 12 | Sergeant Bluff-Luton | 1578 | 1574 | ▲8 |
| 31 | Natalie McKenna | 26:53.2 | 9 | Lawton-Bronson | 1572 | 1583 | ▼-9 |
| 32 | Alondra Prieto | 27:28.4 | 11 | Sioux City, West | 1555 | 1557 | ▼-4 |
| 33 | Abby Andersen | 27:54.7 | 10 | Sergeant Bluff-Luton | 1543 | 1508 | ▲110 |
| 34 | Kimber Buhman | 28:18.9 | 11 | Sioux City, West | 1499 | 1476 | ▲89 |
| 35 | Sydney Brouwer | 28:59.5 | 12 | Lawton-Bronson | 1459 | 1447 | ▲13 |
| 36 | Taya Eisenga | 28:59.8 | 10 | Siouxland Christian | 1445 | 1424 | ▲31 |
| 37 | Kaylee Mesz | 29:08.4 | 9 | Lawton-Bronson | 1422 | 1481 | ▼-84 |
| 38 | Esther Reynolds | 31:36.0 | 9 | Siouxland Christian | 1260 | 1264 | ▼-4 |
| 39 | Jade Fonseca | 32:37.5 | 12 | Sioux City, West | 1209 | 1207 | ▲4 |
| 40 | Susely Martinez | 34:59.3 | 10 | Sioux City, West | 1075 | 1103 | ▼-78 |