| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Hanna Johnson | 21:30.9 | 10 | Sioux City, North | 2302 | 2301 | ▲2 |
| 2 | Scarlett Walsh | 21:54.7 | 12 | Bishop Heelan Catholic, Sioux City | 2118 | 2090 | ▲57 |
| 3 | Brooklyn Stanley | 22:30.8 | 12 | Bishop Heelan Catholic, Sioux City | 2078 | 2080 | ▼-4 |
| 4 | Makenzie DeRocher | 22:37.6 | 10 | Le Mars | 2017 | 1981 | ▲41 |
| 5 | Emma Scott | 22:39.3 | 10 | Sioux City, East | 1984 | 1945 | ▲60 |
| 6 | Addison Bertrand | 22:43.9 | 10 | Bishop Heelan Catholic, Sioux City | 1975 | 1995 | ▼-42 |
| 7 | Bailee Hansen | 23:46.6 | 9 | Sioux City, West | 1925 | 1922 | ▲5 |
| 8 | Kendal Hamerlinck | 23:47.0 | 12 | Le Mars | 1900 | 1865 | ▲34 |
| 9 | Naomi Kieffer | 24:00.7 | 11 | Bishop Heelan Catholic, Sioux City | 1886 | 1873 | ▲29 |
| 10 | Karis Hulinsky | 24:11.2 | 9 | Le Mars | 1867 | 1839 | ▲26 |
| 11 | Bjella Bockenstedt | 24:11.9 | 10 | Sergeant Bluff-Luton | 1856 | 1863 | ▼-11 |
| 12 | Khloee Weitzel | 24:15.9 | 10 | Sioux City, East | 1831 | 1768 | ▲107 |
| 13 | Jordyn Wilson | 24:23.0 | 10 | Sioux City, East | 1827 | 1846 | ▼-30 |
| 14 | Joslyn Vogt | 24:34.2 | 10 | Sioux City, North | 1805 | 1803 | ▲4 |
| 15 | Kaylee Olson | 24:36.7 | 12 | Sioux City, North | 1786 | 1772 | ▲21 |
| 16 | Marcella Palmer | 25:04.2 | 10 | Sioux City, North | 1751 | 1712 | ▲87 |
| 17 | Brooklyn DeRocher | 25:22.5 | 9 | Le Mars | 1735 | 1682 | ▲61 |
| 18 | Khloe Eliesa | 25:26.6 | 6 | Sioux City, North | 1723 | 1699 | ▲39 |
| 19 | Ashleigh Jochum | 25:30.8 | 10 | Bishop Heelan Catholic, Sioux City | 1719 | 1754 | ▼-98 |
| 20 | Emma Saylor | 25:45.4 | 11 | Sergeant Bluff-Luton | 1681 | 1671 | ▲13 |
| 21 | Clarie Gann | 26:04.2 | 9 | Sioux City, North | 1660 | 1631 | ▲40 |
| 22 | Sienna Kass | 26:05.8 | 11 | Le Mars | 1658 | 1814 | ▼-93 |
| 23 | Lilin Kamm | 26:06.1 | 10 | Sioux City, East | 1646 | 1664 | ▼-28 |
| 24 | Cheyenne Ameen | 26:06.6 | 11 | Lawton-Bronson | 1634 | 1627 | ▲5 |
| 25 | Taylor Prosser | 26:06.8 | 12 | Sergeant Bluff-Luton | 1628 | 1646 | ▼-27 |
| 26 | Sarah Tilberg | 26:13.1 | 9 | Le Mars | 1612 | 1636 | ▼-27 |
| 27 | Addison Smith | 26:25.4 | 11 | Lawton-Bronson | 1603 | 1623 | ▼-14 |
| 28 | Lela Haveman | 26:36.9 | 11 | Lawton-Bronson | 1589 | 1569 | ▲22 |
| 29 | Ashlynn Salter | 26:39.0 | 9 | Sergeant Bluff-Luton | 1585 | 1594 | ▼-49 |
| 30 | Kamryn Tooley | 26:47.3 | 12 | Sergeant Bluff-Luton | 1575 | 1570 | ▲5 |
| 31 | Natalie McKenna | 26:53.2 | 9 | Lawton-Bronson | 1568 | 1582 | ▼-10 |
| 32 | Alondra Prieto | 27:28.4 | 11 | Sioux City, West | 1550 | 1553 | ▼-5 |
| 33 | Abby Andersen | 27:54.7 | 10 | Sergeant Bluff-Luton | 1538 | 1484 | ▲101 |
| 34 | Kimber Buhman | 28:18.9 | 11 | Sioux City, West | 1494 | 1463 | ▲75 |
| 35 | Sydney Brouwer | 28:59.5 | 12 | Lawton-Bronson | 1457 | 1449 | ▲6 |
| 36 | Taya Eisenga | 28:59.8 | 10 | Siouxland Christian | 1443 | 1421 | ▲22 |
| 37 | Kaylee Mesz | 29:08.4 | 9 | Lawton-Bronson | 1420 | 1489 | ▼-64 |
| 38 | Esther Reynolds | 31:36.0 | 9 | Siouxland Christian | 1258 | 1266 | ▼-8 |
| 39 | Jade Fonseca | 32:37.5 | 12 | Sioux City, West | 1207 | 1204 | ▲5 |
| 40 | Susely Martinez | 34:59.3 | 10 | Sioux City, West | 1073 | 1114 | ▼-66 |