| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Leo Wheelock | 19:58.6 | 9 | Sioux City, North | 1835 | 1804 | ▲23 |
| 2 | Gabriel Lyman | 20:23.5 | 9 | Sioux City, North | 1773 | 1768 | ▲11 |
| 3 | Luke Walsh | 20:24.4 | 9 | Sergeant Bluff-Luton | 1759 | 1719 | ▲89 |
| 4 | Winston Palmer | 20:38.0 | 10 | Sioux City, North | 1716 | 1666 | ▲34 |
| 5 | Tate Behrens | 20:41.2 | 9 | Sioux City, North | 1705 | 1670 | ▲29 |
| 6 | Aden Yusef | 20:55.1 | 9 | Sioux City, North | 1609 | 1610 | ▼-2 |
| 7 | Ayden McRoberts | 20:57.4 | 12 | Sergeant Bluff-Luton | 1598 | 1570 | ▲63 |
| 8 | Evan Lorenzen | 21:11.7 | 11 | Sioux City, North | 1575 | 1533 | ▲35 |
| 9 | Logan Bonnes | 21:17.1 | 9 | Sioux City, North | 1566 | 1527 | ▲37 |
| 10 | Miguel Sanchez Gomez | 21:22.5 | 11 | Sioux City, North | 1560 | 1543 | ▲18 |
| 11 | Keyton Jensen | 21:25.2 | 11 | Sergeant Bluff-Luton | 1551 | 1493 | ▲97 |
| 12 | Kyler Tendal | 21:34.5 | 10 | Sergeant Bluff-Luton | 1527 | 1526 | ▲3 |
| 13 | Austin Larsen | 21:34.6 | 12 | Bishop Heelan Catholic, Sioux City | 1519 | 1481 | ▲37 |
| 14 | Grayson Ingenthron | 21:37.8 | 9 | Sioux City, East | 1509 | 1517 | ▼-22 |
| 15 | Essey Reda | 21:38.1 | 11 | Sioux City, North | 1505 | 1508 | ▼-89 |