| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Natnael Kifle | 16:22.3 | 12 | Sioux City, North | 2444 | 2441 | ▲5 |
| 2 | Connor Schultz | 17:45.0 | 11 | Sioux City, North | 2297 | 2266 | ▲47 |
| 3 | Trace Obbink | 17:59.7 | 12 | Le Mars | 2262 | 2291 | ▼-29 |
| 4 | Steven Kling | 18:40.2 | 12 | Sioux City, North | 2149 | 2137 | ▲14 |
| 5 | Even Tesfaselassie | 19:05.9 | 9 | Sioux City, North | 2090 | 2034 | ▲89 |
| 6 | Daniel Delarosa | 19:17.8 | 10 | Sergeant Bluff-Luton | 2069 | 2062 | ▲10 |
| 7 | Braulio Gonzalez | 19:22.9 | 11 | Sergeant Bluff-Luton | 2035 | 2012 | ▲35 |
| 8 | Andres Gonzalez | 19:23.6 | 11 | Bishop Heelan Catholic, Sioux City | 2007 | 1951 | ▲162 |
| 9 | JoJo Small | 19:23.8 | 11 | Sioux City, West | 1988 | 1941 | ▲75 |
| 10 | Maciah Shultz | 19:24.0 | 11 | Sioux City, East | 1977 | 1979 | ▼-3 |
| 11 | Aaron Lee | 19:25.0 | 11 | Le Mars | 1965 | 2006 | ▼-39 |
| 12 | Asher Morley | 19:25.6 | 11 | Sioux City, East | 1940 | 1934 | ▲8 |
| 13 | Ben Hames | 19:45.0 | 10 | Sioux City, North | 1909 | 1887 | ▲33 |
| 14 | Alejandro Vargas | 19:48.5 | 11 | Sergeant Bluff-Luton | 1898 | 1893 | ▲10 |
| 15 | Kristoffer Zellner | 19:59.3 | 9 | Sioux City, East | 1877 | 1898 | ▼-32 |
| 16 | Ayden Larrabee | 20:04.5 | 10 | Sergeant Bluff-Luton | 1849 | 1839 | ▲20 |
| 17 | AbduBekar Kumbi | 20:08.4 | 12 | Sioux City, North | 1845 | 1905 | ▼-154 |
| 18 | Michael Murra | 20:10.2 | 12 | Le Mars | 1818 | 1818 | 0 |
| 19 | Alex Amaro | 20:13.2 | 9 | Bishop Heelan Catholic, Sioux City | 1798 | 1807 | ▼-14 |
| 20 | Sammy Duerloo | 20:19.2 | 12 | Siouxland Christian | 1787 | 1786 | 0 |
| 21 | Luke Campbell | 20:32.2 | 12 | Sioux City, East | 1752 | 1798 | ▼-70 |
| 22 | Dylan Chwirka | 20:37.6 | 9 | Sioux City, East | 1739 | 1737 | ▲3 |
| 23 | Kaden Koepke | 20:38.1 | 10 | Sioux City, East | 1732 | 1755 | ▼-37 |
| 24 | Ben Walsh | 20:42.5 | 10 | Bishop Heelan Catholic, Sioux City | 1719 | 1705 | ▲21 |
| 25 | Kasey McGregor | 20:46.9 | 11 | Sergeant Bluff-Luton | 1716 | 1778 | ▼-117 |
| 26 | Michael Wieseler | 20:49.2 | 12 | Sergeant Bluff-Luton | 1707 | 1753 | ▼-142 |
| 27 | Ethan Buffington | 20:51.6 | 9 | Lawton-Bronson | 1690 | 1666 | ▲27 |
| 28 | Anthony Villatoro-Sutton | 21:12.9 | 12 | Bishop Heelan Catholic, Sioux City | 1637 | 1635 | ▲4 |
| 29 | Elias Flanery | 21:29.0 | 12 | Bishop Heelan Catholic, Sioux City | 1622 | 1632 | ▼-18 |
| 30 | Ryker Callender | 21:45.0 | 12 | Sioux City, West | 1575 | 1578 | ▼-6 |
| 31 | Tanner Iverson | 21:47.9 | 9 | Le Mars | 1570 | 1599 | ▼-46 |
| 32 | Hunter Buono | 22:13.0 | 9 | Lawton-Bronson | 1523 | 1506 | ▲14 |
| 33 | Christian Hsu | 22:26.7 | 11 | Siouxland Christian | 1514 | 1482 | ▲28 |
| 34 | Lucas Patelski | 22:29.6 | 9 | Lawton-Bronson | 1511 | 1557 | ▼-25 |
| 35 | Eric Munoz | 22:36.5 | 12 | Sioux City, West | 1503 | 1515 | ▼-26 |
| 36 | Erik Koehler | 22:53.6 | 9 | Siouxland Christian | 1488 | 1486 | ▲1 |
| 37 | Jony Sanchez | 22:54.0 | 9 | Le Mars | 1482 | 1498 | ▼-16 |
| 38 | Henry Fisher | 22:56.5 | 9 | Sioux City, West | 1476 | 1497 | ▼-34 |
| 39 | Seth Vander Sluis | 23:12.0 | 12 | Le Mars | 1444 | 1462 | ▼-33 |
| 40 | Simon Zamyatin | 23:15.5 | 9 | Lawton-Bronson | 1420 | 1410 | ▲6 |
| 41 | Austin Larsen | 23:28.8 | 11 | Bishop Heelan Catholic, Sioux City | 1409 | 1461 | ▼-108 |
| 42 | Joshua Brady | 23:40.5 | 9 | Lawton-Bronson | 1385 | 1414 | ▼-18 |
| 43 | Robby Doenhoefer | 23:59.9 | 11 | Lawton-Bronson | 1341 | 1361 | ▼-26 |
| 44 | Connor McKewon | 24:33.9 | 12 | Sioux City, West | 1277 | 1231 | ▲79 |