| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Angela Gonzalez | 18:07.0 | 11 | Bishop Heelan Catholic, Sioux City | 2094 | 2088 | ▲10 |
| 2 | Ashleigh Jochum | 18:17.8 | 11 | Bishop Heelan Catholic, Sioux City | 1951 | 1922 | ▲55 |
| 3 | Claire Rasmuson | 19:02.6 | 9 | Clear Lake | 1925 | 1920 | ▲420 |
| 4 | Lauren Good | 19:12.3 | 9 | Clear Lake | 1908 | 1904 | ▲404 |
| 5 | Emma Caro | 19:19.1 | 10 | Bishop Heelan Catholic, Sioux City | 1890 | 1909 | ▼-36 |
| 6 | Ava Harms | 19:31.2 | 9 | Clear Lake | 1814 | 1811 | ▲311 |
| 7 | Jocelyn Orchard | 19:43.2 | 9 | Clear Lake | 1797 | 1794 | ▲294 |
| 8 | Katelyn Cook | 19:48.8 | 11 | Sioux City, North | 1774 | 1771 | ▲208 |
| 9 | Allison Barber | 19:51.5 | 12 | Bishop Heelan Catholic, Sioux City | 1738 | 1744 | ▼-10 |
| 10 | Natalie Brady | 20:12.8 | 9 | Clear Lake | 1679 | 1677 | ▲177 |
| 11 | Peyton Howell | 20:16.4 | 12 | Le Mars | 1657 | 1654 | ▲198 |
| 12 | Jackie Garcia | 20:22.0 | 10 | Sioux City, North | 1635 | 1631 | ▲283 |
| 13 | Madison Leisure | 20:24.7 | 12 | Clear Lake | 1619 | 1616 | ▲145 |
| 14 | Tessa Kellen | 20:33.7 | 12 | Le Mars | 1600 | 1597 | ▲200 |
| 15 | Kennedy LeDuc | 20:42.8 | 9 | Clear Lake | 1589 | 1588 | ▲88 |
| 16 | Arcenia Burrack | 20:44.1 | 11 | Sioux City, North | 1573 | 1571 | ▲93 |
| 17 | Shaila Beige | 20:55.9 | 12 | Bishop Heelan Catholic, Sioux City | 1560 | 1559 | ▲59 |
| 18 | Madeline McLaughlin | 20:58.0 | 10 | Clear Lake | 1547 | 1546 | ▲46 |
| 19 | Felicity Young | 21:03.5 | 12 | Bishop Heelan Catholic, Sioux City | 1520 | 1532 | ▼-21 |
| 20 | Ann Ortmann | 21:32.2 | 9 | Bishop Heelan Catholic, Sioux City | 1455 | 1455 | ▼-45 |
| 21 | Afton Morran | 21:51.4 | 11 | Bishop Heelan Catholic, Sioux City | 1441 | 1481 | ▼-136 |
| 22 | Lilly Henn | 22:22.4 | 9 | Sioux City, North | 1301 | 1303 | ▼-197 |
| 23 | Elise Uhl | 22:26.3 | 9 | Bishop Heelan Catholic, Sioux City | 1266 | 1269 | ▼-231 |
| 24 | Elise Johnson | 22:55.8 | 11 | Sioux City, North | 1189 | 1186 | ▲185 |
| 25 | Anna Kozora | 22:56.5 | 11 | WC-KP | 1168 | 1172 | ▼-328 |
| 26 | Camila Gonzalez Popoca | 24:34.1 | 9 | Le Mars | 1118 | 1122 | ▼-378 |
| 27 | Lily Lilliberg | 24:43.7 | 12 | Clear Lake | 1060 | 1065 | ▼-435 |
| 28 | Cadence Arnold | 24:48.0 | 11 | Sioux City, North | 973 | 975 | ▼-145 |
| 29 | Addyson Geddes | 25:37.1 | 9 | Le Mars | 911 | 918 | ▼-582 |
| 30 | Brianna Lux | 27:12.8 | 12 | WC-KP | 819 | 826 | ▼-11 |