| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Ava Lang | 22:02.5 | 12 | Hinton | 1630 | 1603 | ▲13 |
| 2 | Lilly Whiteshirt | 22:04.5 | 12 | Sioux City, West | 1620 | 1621 | ▼-1 |
| 3 | Alondra Prieto | 24:51.8 | 12 | Sioux City, West | 1374 | 1305 | ▲67 |
| 4 | Mady Prevail | 24:59.9 | 9 | Sioux City, West | 1368 | 1365 | ▲6 |
| 5 | Payton Kerns | 25:10.2 | 9 | Gehlen Catholic, LeMars | 1357 | 1367 | ▼-8 |
| 6 | Reese Regier | 26:25.4 | 10 | Hinton | 1278 | 1352 | ▼-32 |
| 7 | Keely Christoferson | 26:41.5 | 11 | Westwood, Sloan | 1262 | 1260 | ▲2 |
| 8 | Josie McFarland | 26:52.8 | 10 | Westwood, Sloan | 1249 | 1224 | ▲16 |
| 9 | Alexandria Marnell | 26:55.5 | 12 | Westwood, Sloan | 1242 | 1250 | ▼-5 |
| 10 | Isabella Utesch | 27:09.0 | 9 | Akron-Westfield | 1222 | 1227 | ▼-5 |
| 11 | Paisley Tesch | 27:17.7 | 12 | Gehlen Catholic, LeMars | 1211 | 1219 | ▼-5 |
| 12 | Jaycee Fender | 27:56.5 | 11 | Gehlen Catholic, LeMars | 1171 | 1079 | ▲43 |
| 13 | Audrey Etter | 28:22.2 | 12 | MMCRU | 1163 | 1160 | ▲7 |
| 14 | Josie Lennon | 28:27.0 | 11 | Akron-Westfield | 1150 | 1140 | ▲7 |
| 15 | Isabell Hodgson | 28:54.5 | 10 | Hinton | 1139 | 1141 | ▼-1 |
| 16 | Kayla Sypersma | 29:22.2 | 11 | Hinton | 1123 | 1095 | ▲15 |
| 17 | Danielle Tesch | 29:24.4 | 11 | Gehlen Catholic, LeMars | 1112 | 1106 | ▲3 |
| 18 | Annika Juhl | 29:43.3 | 10 | MMCRU | 1087 | 1096 | ▼-8 |
| 19 | Kenzley Christoffel | 29:55.4 | 9 | Gehlen Catholic, LeMars | 1068 | 1053 | ▲19 |
| 20 | Alyssa Anderson | 30:08.7 | 9 | Westwood, Sloan | 1054 | 1041 | ▲12 |
| 21 | Mikaela Clark | 30:15.5 | 10 | Hinton | 1044 | 1064 | ▼-11 |
| 22 | Sophie Etter | 30:49.8 | 11 | MMCRU | 1024 | 1018 | ▲5 |
| 23 | Lilly Sudbeck | 30:53.2 | 9 | Hinton | 999 | 903 | ▲40 |
| 24 | Lauryn Jorgensen | 30:55.1 | 11 | Westwood, Sloan | 982 | 935 | ▲25 |
| 25 | Khloe Gemberling | 31:15.2 | 10 | Westwood, Sloan | 943 | 900 | ▲23 |
| 26 | Kaylee Lastor | 31:32.4 | 9 | Sioux City, West | 928 | 909 | ▲19 |
| 27 | Megan Trierweiler | 32:25.4 | 10 | Hinton | 900 | 923 | ▼-12 |
| 28 | Rhyleigh Haas Serrato | 33:21.0 | 9 | Sioux City, West | 879 | 875 | ▲5 |
| 29 | Morgan Vogt | 33:59.9 | 12 | Hinton | 845 | 837 | ▲6 |
| 30 | Duyen Le | 34:42.2 | 9 | Gehlen Catholic, LeMars | 825 | 805 | ▲14 |
| 31 | Tricia Kilts | 35:07.7 | 9 | South O'Brien, Paullina | 802 | 766 | ▲28 |
| 32 | Kimber Buhman | 36:02.0 | 12 | Sioux City, West | 799 | 864 | ▼-287 |
| 33 | Angela Zermeno | 36:03.0 | 11 | Sioux City, West | 780 | 834 | ▼-265 |
| 34 | Desyree Gomez | 36:03.1 | 12 | Sioux City, West | 756 | 780 | ▼-57 |
| 35 | Ella Gonzalez | 36:10.4 | 9 | Sioux City, West | 736 | 749 | ▼-751 |
| 36 | Allison Hoefling | 39:30.2 | 11 | Hinton | 615 | 671 | ▼-28 |
| 37 | Dayrin Suarez | 44:28.8 | 11 | Sioux City, West | 471 | 477 | ▼-387 |
| 38 | Ellie Hertenstein | 46:08.0 | 10 | Hinton | 402 | 410 | ▼-4 |