| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Addison Liston | 18:50.6 | 12 | Unity Christian, Orange City | 2376 | 2371 | ▲370 |
| 2 | Addison Bertrand | 18:53.2 | 11 | Bishop Heelan Catholic, Sioux City | 2262 | 2256 | ▲11 |
| 3 | Addison Doughan | 19:24.5 | 12 | Clear Lake | 2206 | 2206 | ▲29 |
| 4 | Rachel Putze | 19:40.0 | 11 | WC-KP | 2139 | 2131 | ▲12 |
| 5 | Katie Young | 19:48.5 | 11 | Unity Christian, Orange City | 2101 | 2103 | ▼-140 |
| 6 | Hanna Johnson | 20:37.8 | 11 | Sioux City, North | 2063 | 2061 | ▲119 |
| 7 | Marcella Palmer | 20:38.0 | 11 | Sioux City, North | 2034 | 2030 | ▲283 |
| 8 | Rebekah Steinbron | 20:47.3 | 12 | Clear Lake | 2019 | 2018 | ▲28 |
| 9 | Saylor Schmitt | 21:05.9 | 10 | Clear Lake | 1996 | 1993 | ▲155 |
| 10 | Bailee Hansen | 21:06.1 | 10 | Sioux City, West | 1962 | 1959 | ▲3 |
| 11 | Karis Hulinsky | 21:17.5 | 10 | Le Mars | 1933 | 1931 | ▲137 |
| 12 | Lilly Whiteshirt | 21:18.9 | 12 | Sioux City, West | 1899 | 1874 | ▲27 |
| 13 | Kailyn Fitch | 21:27.4 | 9 | Bishop Heelan Catholic, Sioux City | 1873 | 1863 | ▲15 |
| 14 | Kylee Colby | 21:41.5 | 9 | Clear Lake | 1858 | 1854 | ▲354 |
| 15 | Jezzie Thompson | 21:47.1 | 10 | Clear Lake | 1850 | 1848 | ▲146 |
| 16 | Abby Klompien | 21:56.5 | 12 | Unity Christian, Orange City | 1844 | 1844 | ▼-11 |
| 17 | Emma Scott | 22:01.3 | 11 | Sioux City, East | 1835 | 1857 | ▼-48 |
| 18 | Elizabeth Hoogland | 22:01.5 | 12 | Unity Christian, Orange City | 1796 | 1796 | ▼-6 |
| 19 | Makenzie DeRocher | 22:07.1 | 11 | Le Mars | 1786 | 1788 | ▼-64 |
| 20 | Ella Vanderlinden | 22:12.0 | 9 | Sioux City, East | 1730 | 1620 | ▲57 |
| 21 | Khloe Eliesa | 22:13.6 | 7 | Sioux City, North | 1721 | 1719 | ▲71 |
| 22 | Sienna Kass | 22:16.5 | 12 | Le Mars | 1712 | 1714 | ▼-144 |
| 23 | Brooklyn Heesch | 22:18.1 | 11 | Clear Lake | 1693 | 1691 | ▲75 |
| 24 | Ellie Topf | 22:20.9 | 9 | Bishop Heelan Catholic, Sioux City | 1668 | 1671 | ▼-5 |
| 25 | Brooklyn DeRocher | 22:22.9 | 10 | Le Mars | 1640 | 1641 | ▼-75 |
| 26 | Jaidyn De Jong | 22:24.3 | 12 | Unity Christian, Orange City | 1628 | 1629 | ▼-87 |
| 27 | Grace Roerig | 22:25.7 | 11 | Bishop Heelan Catholic, Sioux City | 1621 | 1663 | ▼-124 |
| 28 | Kate Van Grouw | 22:42.0 | 11 | Unity Christian, Orange City | 1582 | 1580 | ▲92 |
| 29 | CJ Hannah | 22:42.8 | 12 | WC-KP | 1555 | 1526 | ▲61 |
| 30 | Abby Hall | 22:53.5 | 12 | Sioux City, North | 1548 | 1549 | ▼-28 |
| 31 | Joslyn Vogt | 23:03.6 | 11 | Sioux City, North | 1542 | 1544 | ▼-144 |
| 32 | Sarah Tilberg | 23:27.4 | 10 | Le Mars | 1533 | 1535 | ▼-70 |
| 33 | Ashlie Rehal | 23:32.7 | 10 | Bishop Heelan Catholic, Sioux City | 1522 | 1540 | ▼-32 |
| 34 | Cali Rosener | 23:33.1 | 10 | Le Mars | 1497 | 1498 | ▼-33 |
| 35 | Jayden Kluver | 23:55.5 | 10 | Le Mars | 1485 | 1483 | ▲140 |
| 36 | Megan Gardiner | 23:57.5 | 10 | Sioux City, North | 1478 | 1478 | ▲9 |
| 37 | Savannah Lohr | 24:02.9 | 9 | Bishop Heelan Catholic, Sioux City | 1467 | 1487 | ▼-36 |
| 38 | Kenna Kass | 24:14.4 | 11 | Sioux City, East | 1433 | 1469 | ▼-48 |
| 39 | Lauren Englin | 24:18.0 | 11 | Clear Lake | 1382 | 1386 | ▼-363 |
| 40 | Elena TeKrony | 24:26.2 | 10 | Unity Christian, Orange City | 1350 | 1352 | ▼-60 |
| 41 | Autumn Krajicek | 24:44.2 | 9 | WC-KP | 1319 | 1351 | ▼-64 |
| 42 | Jaide Ryan | 26:16.9 | 10 | WC-KP | 1078 | 1082 | ▼-6 |
| 43 | Lilly Cooke | 27:07.0 | 9 | WC-KP | 951 | 955 | ▼-6 |