| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Addison Bertrand | 20:24.8 | 11 | Bishop Heelan Catholic, Sioux City | 2248 | 2245 | ▲186 |
| 2 | Rachel Putze | 21:38.2 | 11 | WC-KP | 2122 | 2119 | ▲126 |
| 3 | Colby Carroll | 23:04.3 | 10 | Bishop Heelan Catholic, Sioux City | 2043 | 2037 | ▲537 |
| 4 | Bailee Hansen | 23:07.1 | 10 | Sioux City, West | 1997 | 1995 | ▲87 |
| 5 | Bjella Bockenstedt | 23:09.7 | 11 | Sergeant Bluff-Luton | 1941 | 1939 | ▲88 |
| 6 | Lilly Whiteshirt | 23:11.3 | 12 | Sioux City, West | 1883 | 1879 | ▲263 |
| 7 | Kailyn Fitch | 23:11.3 | 9 | Bishop Heelan Catholic, Sioux City | 1852 | 1848 | ▲348 |
| 8 | Emma Scott | 23:49.3 | 11 | Sioux City, East | 1829 | 1830 | ▼-21 |
| 9 | Grace Roerig | 24:34.9 | 11 | Bishop Heelan Catholic, Sioux City | 1788 | 1787 | ▲5 |
| 10 | Lilin Kamm | 24:40.6 | 11 | Sioux City, East | 1744 | 1742 | ▲95 |
| 11 | Khloee Weitzel | 24:56.0 | 11 | Sioux City, East | 1716 | 1717 | ▼-31 |
| 12 | Ellie Topf | 24:58.2 | 9 | Bishop Heelan Catholic, Sioux City | 1678 | 1676 | ▲176 |
| 13 | Lexi Larrabee | 25:13.3 | 10 | Sergeant Bluff-Luton | 1641 | 1639 | ▲225 |
| 14 | Ashlynn Salter | 25:22.1 | 10 | Sergeant Bluff-Luton | 1626 | 1629 | ▼-137 |
| 15 | Ashlie Rehal | 25:28.5 | 10 | Bishop Heelan Catholic, Sioux City | 1574 | 1572 | ▲125 |
| 16 | Ella Vanderlinden | 25:30.4 | 9 | Sioux City, East | 1549 | 1548 | ▲48 |
| 17 | Savannah Lohr | 25:41.2 | 9 | Bishop Heelan Catholic, Sioux City | 1523 | 1523 | ▲23 |
| 18 | Jayci Lockamy | 25:42.8 | 11 | Sioux City, East | 1504 | 1507 | ▼-225 |
| 19 | CJ Hannah | 26:00.1 | 12 | WC-KP | 1462 | 1465 | ▼-209 |
| 20 | Autumn Krajicek | 26:12.0 | 9 | WC-KP | 1414 | 1415 | ▼-85 |
| 21 | Claire Fiegel | 26:33.4 | 9 | Sergeant Bluff-Luton | 1382 | 1383 | ▼-117 |
| 22 | Kendra Berglund | 28:13.2 | 12 | Sergeant Bluff-Luton | 1323 | 1322 | ▲82 |
| 23 | Emma Saylor | 28:34.1 | 12 | Sergeant Bluff-Luton | 1292 | 1296 | ▼-222 |
| 24 | Layla Robertson | 29:21.5 | 10 | Sioux City, East | 1223 | 1226 | ▼-274 |
| 25 | Olivia Winter | 29:25.0 | 12 | Sergeant Bluff-Luton | 1163 | 1167 | ▼-333 |
| 26 | Jaide Ryan | 30:28.3 | 10 | WC-KP | 1084 | 1088 | ▼-412 |
| 27 | Lilly Cooke | 30:52.3 | 9 | WC-KP | 955 | 961 | ▼-539 |