| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Ava Lang | 22:02.5 | 12 | Hinton | 2017 | 1999 | ▲10 |
| 2 | Lilly Whiteshirt | 22:04.5 | 12 | Sioux City, West | 1960 | 1974 | ▼-17 |
| 3 | Alondra Prieto | 24:51.8 | 12 | Sioux City, West | 1677 | 1567 | ▲94 |
| 4 | Mady Prevail | 24:59.9 | 9 | Sioux City, West | 1645 | 1630 | ▲28 |
| 5 | Payton Kerns | 25:10.2 | 9 | Gehlen Catholic, LeMars | 1616 | 1632 | ▼-15 |
| 6 | Reese Regier | 26:25.4 | 10 | Hinton | 1573 | 1622 | ▼-24 |
| 7 | Keely Christoferson | 26:41.5 | 11 | Westwood, Sloan | 1512 | 1493 | ▲13 |
| 8 | Josie McFarland | 26:52.8 | 10 | Westwood, Sloan | 1483 | 1455 | ▲16 |
| 9 | Alexandria Marnell | 26:55.5 | 12 | Westwood, Sloan | 1469 | 1479 | ▼-7 |
| 10 | Isabella Utesch | 27:09.0 | 9 | Akron-Westfield | 1447 | 1460 | ▼-12 |
| 11 | Paisley Tesch | 27:17.7 | 12 | Gehlen Catholic, LeMars | 1426 | 1441 | ▼-10 |
| 12 | Jaycee Fender | 27:56.5 | 11 | Gehlen Catholic, LeMars | 1390 | 1271 | ▲53 |
| 13 | Audrey Etter | 28:22.2 | 12 | MMCRU | 1378 | 1374 | ▲9 |
| 14 | Josie Lennon | 28:27.0 | 11 | Akron-Westfield | 1357 | 1348 | ▲7 |
| 15 | Isabell Hodgson | 28:54.5 | 10 | Hinton | 1342 | 1354 | ▼-7 |
| 16 | Kayla Sypersma | 29:22.2 | 11 | Hinton | 1317 | 1290 | ▲16 |
| 17 | Danielle Tesch | 29:24.4 | 11 | Gehlen Catholic, LeMars | 1303 | 1305 | ▼-1 |
| 18 | Annika Juhl | 29:43.3 | 10 | MMCRU | 1287 | 1299 | ▼-10 |
| 19 | Kenzley Christoffel | 29:55.4 | 9 | Gehlen Catholic, LeMars | 1263 | 1251 | ▲23 |
| 20 | Alyssa Anderson | 30:08.7 | 9 | Westwood, Sloan | 1245 | 1231 | ▲12 |
| 21 | Mikaela Clark | 30:15.5 | 10 | Hinton | 1233 | 1256 | ▼-16 |
| 22 | Sophie Etter | 30:49.8 | 11 | MMCRU | 1207 | 1204 | ▲3 |
| 23 | Lilly Sudbeck | 30:53.2 | 9 | Hinton | 1171 | 1062 | ▲40 |
| 24 | Lauryn Jorgensen | 30:55.1 | 11 | Westwood, Sloan | 1146 | 1100 | ▲25 |
| 25 | Khloe Gemberling | 31:15.2 | 10 | Westwood, Sloan | 1117 | 1066 | ▲26 |
| 26 | Kaylee Lastor | 31:32.4 | 9 | Sioux City, West | 1099 | 1087 | ▲12 |
| 27 | Megan Trierweiler | 32:25.4 | 10 | Hinton | 1082 | 1098 | ▼-8 |
| 28 | Rhyleigh Haas Serrato | 33:21.0 | 9 | Sioux City, West | 1056 | 1055 | ▲1 |
| 29 | Morgan Vogt | 33:59.9 | 12 | Hinton | 1031 | 1017 | ▲12 |
| 30 | Duyen Le | 34:42.2 | 9 | Gehlen Catholic, LeMars | 1005 | 972 | ▲24 |
| 31 | Tricia Kilts | 35:07.7 | 9 | South O'Brien, Paullina | 978 | 935 | ▲32 |
| 32 | Kimber Buhman | 36:02.0 | 12 | Sioux City, West | 974 | 1044 | ▼-319 |
| 33 | Angela Zermeno | 36:03.0 | 11 | Sioux City, West | 950 | 1008 | ▼-292 |
| 34 | Desyree Gomez | 36:03.1 | 12 | Sioux City, West | 918 | 946 | ▼-67 |
| 35 | Ella Gonzalez | 36:10.4 | 9 | Sioux City, West | 888 | 899 | ▼-601 |
| 36 | Allison Hoefling | 39:30.2 | 11 | Hinton | 855 | 865 | ▼-6 |
| 37 | Dayrin Suarez | 44:28.8 | 11 | Sioux City, West | 786 | 791 | ▼-236 |
| 38 | Ellie Hertenstein | 46:08.0 | 10 | Hinton | 596 | 597 | 0 |