| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Addison Liston | 18:50.6 | 12 | Unity Christian, Orange City | 2395 | 2388 | ▲363 |
| 2 | Addison Bertrand | 18:53.2 | 11 | Bishop Heelan Catholic, Sioux City | 2273 | 2261 | ▲16 |
| 3 | Addison Doughan | 19:24.5 | 12 | Clear Lake | 2220 | 2221 | ▼-19 |
| 4 | Rachel Putze | 19:40.0 | 11 | WC-KP | 2149 | 2138 | ▲15 |
| 5 | Katie Young | 19:48.5 | 11 | Unity Christian, Orange City | 2114 | 2118 | ▼-142 |
| 6 | Hanna Johnson | 20:37.8 | 11 | Sioux City, North | 2074 | 2071 | ▲113 |
| 7 | Marcella Palmer | 20:38.0 | 11 | Sioux City, North | 2043 | 2037 | ▲290 |
| 8 | Rebekah Steinbron | 20:47.3 | 12 | Clear Lake | 2028 | 2026 | ▲33 |
| 9 | Saylor Schmitt | 21:05.9 | 10 | Clear Lake | 2003 | 1999 | ▲152 |
| 10 | Bailee Hansen | 21:06.1 | 10 | Sioux City, West | 1970 | 1966 | ▲4 |
| 11 | Karis Hulinsky | 21:17.5 | 10 | Le Mars | 1939 | 1935 | ▲131 |
| 12 | Lilly Whiteshirt | 21:18.9 | 12 | Sioux City, West | 1906 | 1874 | ▲26 |
| 13 | Kailyn Fitch | 21:27.4 | 9 | Bishop Heelan Catholic, Sioux City | 1879 | 1867 | ▲17 |
| 14 | Kylee Colby | 21:41.5 | 9 | Clear Lake | 1862 | 1856 | ▲356 |
| 15 | Jezzie Thompson | 21:47.1 | 10 | Clear Lake | 1854 | 1850 | ▲134 |
| 16 | Abby Klompien | 21:56.5 | 12 | Unity Christian, Orange City | 1846 | 1847 | ▼-23 |
| 17 | Emma Scott | 22:01.3 | 11 | Sioux City, East | 1835 | 1864 | ▼-41 |
| 18 | Elizabeth Hoogland | 22:01.5 | 12 | Unity Christian, Orange City | 1799 | 1799 | ▼-14 |
| 19 | Makenzie DeRocher | 22:07.1 | 11 | Le Mars | 1788 | 1791 | ▼-84 |
| 20 | Ella Vanderlinden | 22:12.0 | 9 | Sioux City, East | 1737 | 1621 | ▲53 |
| 21 | Khloe Eliesa | 22:13.6 | 7 | Sioux City, North | 1727 | 1724 | ▲73 |
| 22 | Sienna Kass | 22:16.5 | 12 | Le Mars | 1718 | 1722 | ▼-141 |
| 23 | Brooklyn Heesch | 22:18.1 | 11 | Clear Lake | 1698 | 1695 | ▲73 |
| 24 | Ellie Topf | 22:20.9 | 9 | Bishop Heelan Catholic, Sioux City | 1674 | 1676 | ▼-3 |
| 25 | Brooklyn DeRocher | 22:22.9 | 10 | Le Mars | 1649 | 1651 | ▼-59 |
| 26 | Jaidyn De Jong | 22:24.3 | 12 | Unity Christian, Orange City | 1636 | 1637 | ▼-55 |
| 27 | Grace Roerig | 22:25.7 | 11 | Bishop Heelan Catholic, Sioux City | 1628 | 1686 | ▼-105 |
| 28 | Kate Van Grouw | 22:42.0 | 11 | Unity Christian, Orange City | 1590 | 1587 | ▲97 |
| 29 | CJ Hannah | 22:42.8 | 12 | WC-KP | 1563 | 1528 | ▲56 |
| 30 | Abby Hall | 22:53.5 | 12 | Sioux City, North | 1555 | 1556 | ▼-28 |
| 31 | Joslyn Vogt | 23:03.6 | 11 | Sioux City, North | 1547 | 1551 | ▼-152 |
| 32 | Sarah Tilberg | 23:27.4 | 10 | Le Mars | 1536 | 1539 | ▼-74 |
| 33 | Ashlie Rehal | 23:32.7 | 10 | Bishop Heelan Catholic, Sioux City | 1523 | 1544 | ▼-30 |
| 34 | Cali Rosener | 23:33.1 | 10 | Le Mars | 1497 | 1499 | ▼-40 |
| 35 | Jayden Kluver | 23:55.5 | 10 | Le Mars | 1483 | 1479 | ▲135 |
| 36 | Megan Gardiner | 23:57.5 | 10 | Sioux City, North | 1474 | 1474 | ▲6 |
| 37 | Savannah Lohr | 24:02.9 | 9 | Bishop Heelan Catholic, Sioux City | 1461 | 1488 | ▼-39 |
| 38 | Kenna Kass | 24:14.4 | 11 | Sioux City, East | 1425 | 1471 | ▼-53 |
| 39 | Lauren Englin | 24:18.0 | 11 | Clear Lake | 1374 | 1381 | ▼-369 |
| 40 | Elena TeKrony | 24:26.2 | 10 | Unity Christian, Orange City | 1335 | 1338 | ▼-75 |
| 41 | Autumn Krajicek | 24:44.2 | 9 | WC-KP | 1300 | 1346 | ▼-73 |
| 42 | Jaide Ryan | 26:16.9 | 10 | WC-KP | 1082 | 1087 | ▼-7 |
| 43 | Lilly Cooke | 27:07.0 | 9 | WC-KP | 953 | 959 | ▼-8 |