| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Addison Bertrand | 20:24.8 | 11 | Bishop Heelan Catholic, Sioux City | 2250 | 2245 | ▲182 |
| 2 | Rachel Putze | 21:38.2 | 11 | WC-KP | 2127 | 2123 | ▲114 |
| 3 | Colby Carroll | 23:04.3 | 10 | Bishop Heelan Catholic, Sioux City | 2047 | 2038 | ▲538 |
| 4 | Bailee Hansen | 23:07.1 | 10 | Sioux City, West | 2001 | 1998 | ▲83 |
| 5 | Bjella Bockenstedt | 23:09.7 | 11 | Sergeant Bluff-Luton | 1945 | 1942 | ▲86 |
| 6 | Lilly Whiteshirt | 23:11.3 | 12 | Sioux City, West | 1887 | 1881 | ▲256 |
| 7 | Kailyn Fitch | 23:11.3 | 9 | Bishop Heelan Catholic, Sioux City | 1856 | 1850 | ▲350 |
| 8 | Emma Scott | 23:49.3 | 11 | Sioux City, East | 1834 | 1835 | ▼-29 |
| 9 | Grace Roerig | 24:34.9 | 11 | Bishop Heelan Catholic, Sioux City | 1792 | 1791 | ▲1 |
| 10 | Lilin Kamm | 24:40.6 | 11 | Sioux City, East | 1747 | 1744 | ▲94 |
| 11 | Khloee Weitzel | 24:56.0 | 11 | Sioux City, East | 1719 | 1720 | ▼-24 |
| 12 | Ellie Topf | 24:58.2 | 9 | Bishop Heelan Catholic, Sioux City | 1682 | 1679 | ▲179 |
| 13 | Lexi Larrabee | 25:13.3 | 10 | Sergeant Bluff-Luton | 1645 | 1642 | ▲218 |
| 14 | Ashlynn Salter | 25:22.1 | 10 | Sergeant Bluff-Luton | 1630 | 1633 | ▼-125 |
| 15 | Ashlie Rehal | 25:28.5 | 10 | Bishop Heelan Catholic, Sioux City | 1578 | 1574 | ▲121 |
| 16 | Ella Vanderlinden | 25:30.4 | 9 | Sioux City, East | 1553 | 1552 | ▲52 |
| 17 | Savannah Lohr | 25:41.2 | 9 | Bishop Heelan Catholic, Sioux City | 1527 | 1527 | ▲27 |
| 18 | Jayci Lockamy | 25:42.8 | 11 | Sioux City, East | 1509 | 1514 | ▼-222 |
| 19 | CJ Hannah | 26:00.1 | 12 | WC-KP | 1467 | 1472 | ▼-203 |
| 20 | Autumn Krajicek | 26:12.0 | 9 | WC-KP | 1418 | 1419 | ▼-81 |
| 21 | Claire Fiegel | 26:33.4 | 9 | Sergeant Bluff-Luton | 1386 | 1388 | ▼-112 |
| 22 | Kendra Berglund | 28:13.2 | 12 | Sergeant Bluff-Luton | 1328 | 1326 | ▲76 |
| 23 | Emma Saylor | 28:34.1 | 12 | Sergeant Bluff-Luton | 1297 | 1303 | ▼-226 |
| 24 | Layla Robertson | 29:21.5 | 10 | Sioux City, East | 1226 | 1231 | ▼-269 |
| 25 | Olivia Winter | 29:25.0 | 12 | Sergeant Bluff-Luton | 1167 | 1172 | ▼-328 |
| 26 | Jaide Ryan | 30:28.3 | 10 | WC-KP | 1087 | 1094 | ▼-406 |
| 27 | Lilly Cooke | 30:52.3 | 9 | WC-KP | 958 | 967 | ▼-533 |