| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Alex Amaro | 18:57.8 | 10 | Bishop Heelan Catholic, Sioux City | 2199 | 2192 | ▲366 |
| 2 | Maciah Shultz | 19:07.9 | 12 | Sioux City, East | 2095 | 2090 | ▲182 |
| 3 | Daniel Delarosa | 19:12.6 | 11 | Sergeant Bluff-Luton | 2033 | 2032 | ▲33 |
| 4 | Andres Gonzalez | 19:30.3 | 12 | Bishop Heelan Catholic, Sioux City | 1959 | 1955 | ▲178 |
| 5 | Kaden Koepke | 19:37.5 | 11 | Sioux City, East | 1913 | 1908 | ▲153 |
| 6 | Andrew Lincoln | 19:43.2 | 10 | Sergeant Bluff-Luton | 1868 | 1862 | ▲223 |
| 7 | Ayden Larrabee | 19:46.8 | 11 | Sergeant Bluff-Luton | 1840 | 1839 | ▲36 |
| 8 | David McCormick | 19:47.2 | 9 | Sergeant Bluff-Luton | 1805 | 1800 | ▲300 |
| 9 | Dylan Chwirka | 19:54.5 | 10 | Sioux City, East | 1779 | 1776 | ▲92 |
| 10 | Emmet Johnson | 19:54.8 | 10 | Sioux City, East | 1741 | 1735 | ▲283 |
| 11 | Boston Baker | 20:19.0 | 11 | WC-KP | 1717 | 1713 | ▲110 |
| 12 | Ben Walsh | 20:30.9 | 11 | Sergeant Bluff-Luton | 1693 | 1692 | ▲7 |
| 13 | Devin Metcalf | 20:35.2 | 11 | WC-KP | 1670 | 1674 | ▼-112 |
| 14 | Danny Cleveland | 20:36.2 | 11 | Sioux City, East | 1637 | 1637 | ▲3 |
| 15 | JoJo Small | 20:51.7 | 12 | Sioux City, West | 1621 | 1627 | ▼-331 |
| 16 | Troy Dekkers | 20:52.9 | 11 | West Sioux, Hawarden | 1579 | 1577 | ▲79 |
| 17 | Xavier Guerrero | 20:54.2 | 10 | Bishop Heelan Catholic, Sioux City | 1553 | 1551 | ▲55 |
| 18 | Luke Walsh | 20:57.2 | 9 | Sergeant Bluff-Luton | 1533 | 1532 | ▲32 |
| 19 | Covan Fetterman | 21:02.3 | 10 | Bishop Heelan Catholic, Sioux City | 1503 | 1498 | ▲198 |
| 20 | Collin Vanhouten | 21:15.3 | 11 | WC-KP | 1489 | 1489 | ▼-11 |
| 21 | Ethan Barber | 21:27.9 | 11 | Bishop Heelan Catholic, Sioux City | 1470 | 1473 | ▼-98 |
| 22 | David Cook | 21:36.6 | 9 | Sioux City, East | 1443 | 1444 | ▼-56 |
| 23 | Brody McCormick | 21:44.0 | 9 | Sergeant Bluff-Luton | 1424 | 1425 | ▼-75 |
| 24 | Henry Fisher | 22:05.0 | 10 | Sioux City, West | 1402 | 1405 | ▼-85 |
| 25 | Tony Sanchez | 22:31.8 | 11 | Bishop Heelan Catholic, Sioux City | 1361 | 1357 | ▲107 |
| 26 | Tommy Pattee | 22:31.8 | 11 | Bishop Heelan Catholic, Sioux City | 1345 | 1347 | ▼-153 |
| 27 | Drake Susie | 23:08.5 | 10 | WC-KP | 1310 | 1309 | ▲35 |
| 28 | Brecken Doran | 23:58.7 | 9 | Sioux City, West | 1289 | 1293 | ▼-207 |
| 29 | Ethan Jessen | 24:20.5 | 10 | WC-KP | 1258 | 1261 | ▼-84 |
| 30 | Anthony Hansen | 24:39.8 | 11 | West Sioux, Hawarden | 1216 | 1219 | ▼-70 |
| 31 | Kaedyn Willis | 24:55.0 | 11 | WC-KP | 1182 | 1188 | ▼-263 |
| 32 | Owen Hansen | 25:08.1 | 9 | West Sioux, Hawarden | 1131 | 1137 | ▼-363 |
| 33 | Joseph Wilson | 25:41.0 | 11 | Sioux City, West | 1067 | 1070 | ▼-66 |
| 34 | Alex Crow | 26:38.3 | 11 | WC-KP | 1000 | 1006 | ▼-263 |
| 35 | Ramon Segura | 28:31.0 | 12 | West Sioux, Hawarden | 860 | 871 | ▼-629 |