| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Alex Amaro | 18:57.8 | 10 | Bishop Heelan Catholic, Sioux City | 2197 | 2193 | ▲372 |
| 2 | Maciah Shultz | 19:07.9 | 12 | Sioux City, East | 2091 | 2088 | ▲191 |
| 3 | Daniel Delarosa | 19:12.6 | 11 | Sergeant Bluff-Luton | 2028 | 2027 | ▲43 |
| 4 | Andres Gonzalez | 19:30.3 | 12 | Bishop Heelan Catholic, Sioux City | 1954 | 1951 | ▲194 |
| 5 | Kaden Koepke | 19:37.5 | 11 | Sioux City, East | 1908 | 1905 | ▲157 |
| 6 | Andrew Lincoln | 19:43.2 | 10 | Sergeant Bluff-Luton | 1862 | 1859 | ▲226 |
| 7 | Ayden Larrabee | 19:46.8 | 11 | Sergeant Bluff-Luton | 1834 | 1833 | ▲44 |
| 8 | David McCormick | 19:47.2 | 9 | Sergeant Bluff-Luton | 1799 | 1796 | ▲296 |
| 9 | Dylan Chwirka | 19:54.5 | 10 | Sioux City, East | 1772 | 1770 | ▲106 |
| 10 | Emmet Johnson | 19:54.8 | 10 | Sioux City, East | 1736 | 1732 | ▲284 |
| 11 | Boston Baker | 20:19.0 | 11 | WC-KP | 1712 | 1710 | ▲104 |
| 12 | Ben Walsh | 20:30.9 | 11 | Sergeant Bluff-Luton | 1688 | 1688 | ▲9 |
| 13 | Devin Metcalf | 20:35.2 | 11 | WC-KP | 1666 | 1668 | ▼-111 |
| 14 | Danny Cleveland | 20:36.2 | 11 | Sioux City, East | 1632 | 1632 | ▲11 |
| 15 | JoJo Small | 20:51.7 | 12 | Sioux City, West | 1617 | 1621 | ▼-343 |
| 16 | Troy Dekkers | 20:52.9 | 11 | West Sioux, Hawarden | 1574 | 1573 | ▲94 |
| 17 | Xavier Guerrero | 20:54.2 | 10 | Bishop Heelan Catholic, Sioux City | 1550 | 1549 | ▲52 |
| 18 | Luke Walsh | 20:57.2 | 9 | Sergeant Bluff-Luton | 1529 | 1529 | ▲29 |
| 19 | Covan Fetterman | 21:02.3 | 10 | Bishop Heelan Catholic, Sioux City | 1500 | 1497 | ▲194 |
| 20 | Collin Vanhouten | 21:15.3 | 11 | WC-KP | 1485 | 1485 | ▼-15 |
| 21 | Ethan Barber | 21:27.9 | 11 | Bishop Heelan Catholic, Sioux City | 1467 | 1469 | ▼-106 |
| 22 | David Cook | 21:36.6 | 9 | Sioux City, East | 1440 | 1440 | ▼-60 |
| 23 | Brody McCormick | 21:44.0 | 9 | Sergeant Bluff-Luton | 1420 | 1421 | ▼-79 |
| 24 | Henry Fisher | 22:05.0 | 10 | Sioux City, West | 1398 | 1400 | ▼-86 |
| 25 | Tony Sanchez | 22:31.8 | 11 | Bishop Heelan Catholic, Sioux City | 1358 | 1356 | ▲104 |
| 26 | Tommy Pattee | 22:31.8 | 11 | Bishop Heelan Catholic, Sioux City | 1342 | 1343 | ▼-157 |
| 27 | Drake Susie | 23:08.5 | 10 | WC-KP | 1307 | 1307 | ▲33 |
| 28 | Brecken Doran | 23:58.7 | 9 | Sioux City, West | 1286 | 1289 | ▼-211 |
| 29 | Ethan Jessen | 24:20.5 | 10 | WC-KP | 1254 | 1256 | ▼-81 |
| 30 | Anthony Hansen | 24:39.8 | 11 | West Sioux, Hawarden | 1213 | 1215 | ▼-75 |
| 31 | Kaedyn Willis | 24:55.0 | 11 | WC-KP | 1179 | 1183 | ▼-274 |
| 32 | Owen Hansen | 25:08.1 | 9 | West Sioux, Hawarden | 1128 | 1132 | ▼-368 |
| 33 | Joseph Wilson | 25:41.0 | 11 | Sioux City, West | 1063 | 1065 | ▼-67 |
| 34 | Alex Crow | 26:38.3 | 11 | WC-KP | 996 | 1000 | ▼-268 |
| 35 | Ramon Segura | 28:31.0 | 12 | West Sioux, Hawarden | 858 | 865 | ▼-635 |