| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Angela Gonzalez | 18:07.0 | 11 | Bishop Heelan Catholic, Sioux City | 2101 | 2091 | ▲14 |
| 2 | Ashleigh Jochum | 18:17.8 | 11 | Bishop Heelan Catholic, Sioux City | 1960 | 1923 | ▲54 |
| 3 | Claire Rasmuson | 19:02.6 | 9 | Clear Lake | 1930 | 1923 | ▲423 |
| 4 | Lauren Good | 19:12.3 | 9 | Clear Lake | 1910 | 1903 | ▲403 |
| 5 | Emma Caro | 19:19.1 | 10 | Bishop Heelan Catholic, Sioux City | 1889 | 1912 | ▼-33 |
| 6 | Ava Harms | 19:31.2 | 9 | Clear Lake | 1816 | 1810 | ▲310 |
| 7 | Jocelyn Orchard | 19:43.2 | 9 | Clear Lake | 1797 | 1792 | ▲292 |
| 8 | Katelyn Cook | 19:48.8 | 11 | Sioux City, North | 1771 | 1766 | ▲196 |
| 9 | Allison Barber | 19:51.5 | 12 | Bishop Heelan Catholic, Sioux City | 1736 | 1743 | ▼-11 |
| 10 | Natalie Brady | 20:12.8 | 9 | Clear Lake | 1680 | 1677 | ▲177 |
| 11 | Peyton Howell | 20:16.4 | 12 | Le Mars | 1656 | 1651 | ▲193 |
| 12 | Jackie Garcia | 20:22.0 | 10 | Sioux City, North | 1632 | 1627 | ▲252 |
| 13 | Madison Leisure | 20:24.7 | 12 | Clear Lake | 1614 | 1610 | ▲129 |
| 14 | Tessa Kellen | 20:33.7 | 12 | Le Mars | 1591 | 1587 | ▲191 |
| 15 | Kennedy LeDuc | 20:42.8 | 9 | Clear Lake | 1579 | 1578 | ▲78 |
| 16 | Arcenia Burrack | 20:44.1 | 11 | Sioux City, North | 1560 | 1557 | ▲79 |
| 17 | Shaila Beige | 20:55.9 | 12 | Bishop Heelan Catholic, Sioux City | 1544 | 1544 | ▲44 |
| 18 | Madeline McLaughlin | 20:58.0 | 10 | Clear Lake | 1529 | 1529 | ▲29 |
| 19 | Felicity Young | 21:03.5 | 12 | Bishop Heelan Catholic, Sioux City | 1504 | 1523 | ▼-28 |
| 20 | Ann Ortmann | 21:32.2 | 9 | Bishop Heelan Catholic, Sioux City | 1438 | 1439 | ▼-61 |
| 21 | Afton Morran | 21:51.4 | 11 | Bishop Heelan Catholic, Sioux City | 1422 | 1482 | ▼-136 |
| 22 | Lilly Henn | 22:22.4 | 9 | Sioux City, North | 1302 | 1305 | ▼-195 |
| 23 | Elise Uhl | 22:26.3 | 9 | Bishop Heelan Catholic, Sioux City | 1268 | 1272 | ▼-228 |
| 24 | Elise Johnson | 22:55.8 | 11 | Sioux City, North | 1191 | 1187 | ▲175 |
| 25 | Anna Kozora | 22:56.5 | 11 | WC-KP | 1170 | 1176 | ▼-324 |
| 26 | Camila Gonzalez Popoca | 24:34.1 | 9 | Le Mars | 1121 | 1127 | ▼-373 |
| 27 | Lily Lilliberg | 24:43.7 | 12 | Clear Lake | 1064 | 1071 | ▼-429 |
| 28 | Cadence Arnold | 24:48.0 | 11 | Sioux City, North | 981 | 985 | ▼-130 |
| 29 | Addyson Geddes | 25:37.1 | 9 | Le Mars | 921 | 931 | ▼-569 |
| 30 | Brianna Lux | 27:12.8 | 12 | WC-KP | 824 | 835 | ▼-14 |