| 1 | Grace RosePlace 1 · Grade 12 · Middlesboro | 12 | Middlesboro | 21:44.81 |
| 2 | Olivia RudderPlace 2 · Grade 12 · North Laurel | 12 | North Laurel | 22:07.03 |
| 3 | Peyton LunsfordPlace 3 · Grade 8 · Harlan County | 8 | Harlan County | 22:08.62 |
| 4 | Lauren CrouchPlace 4 · Grade 7 · North Laurel | 7 | North Laurel | 22:18.28 |
| 5 | Mallory JamesPlace 5 · Grade 11 · Middlesboro | 11 | Middlesboro | 22:25.97 |
| 6 | Abby MabePlace 6 · Grade 10 · Lynn Camp | 10 | Lynn Camp | 22:36.84 |
| 7 | Kennedy SizemorePlace 7 · Grade 12 · North Laurel | 12 | North Laurel | 22:47.72 |
| 8 | Meg AndersonPlace 8 · Grade 12 · North Laurel | 12 | North Laurel | 22:57.25 |
| 9 | Caroline BucklePlace 9 · Grade 10 · Leslie County | 10 | Leslie County | 23:50.38 |
| 10 | Kylie HallPlace 10 · Grade 9 · Pikeville | 9 | Pikeville | 24:15.06 |
| 11 | Rowe TrinityPlace 11 · Grade 9 · Pikeville | 9 | Pikeville | 24:15.50 |
| 12 | Katelyn DelkPlace 12 · Grade 12 · Middlesboro | 12 | Middlesboro | 24:30.62 |
| 13 | Kennadi LarewPlace 13 · Grade 10 · Middlesboro | 10 | Middlesboro | 24:54.59 |
| 14 | Riley VickersPlace 14 · Grade 7 · North Laurel | 7 | North Laurel | 24:57.43 |
| 15 | Kaylee O'NeillPlace 15 · Grade 7 · Pike County Central | 7 | Pike County Central | 25:12.00 |
| 16 | Ella AllenPlace 16 · Grade 10 · Pikeville | 10 | Pikeville | 25:20.78 |
| 17 | Riley KeyPlace 17 · Grade 11 · Harlan County | 11 | Harlan County | 25:26.62 |
| 18 | Summer FarleyPlace 18 · Grade 11 · Harlan County | 11 | Harlan County | 25:40.72 |
| 19 | Leah TaulbeePlace 19 · Grade 11 · Harlan County | 11 | Harlan County | 26:03.18 |
| 20 | Hannah FleetPlace 20 · Grade 7 · Middlesboro | 7 | Middlesboro | 26:43.75 |
| 21 | Laren PartinPlace 21 · Grade 7 · Lynn Camp | 7 | Lynn Camp | 27:07.38 |
| 22 | Cadence FergesonPlace 22 · Grade 10 · Harlan County | 10 | Harlan County | 27:11.75 |
| 23 | Khloe AdamsPlace 23 · Grade 7 · Pike County Central | 7 | Pike County Central | 27:12.68 |
| 24 | Mia PacePlace 24 · Grade 10 · Harlan | 10 | Harlan | 27:25.59 |
| 25 | Arabella PenningtonPlace 25 · Grade 7 · Lynn Camp | 7 | Lynn Camp | 27:33.84 |
| 26 | Olivia KellyPlace 26 · Grade 9 · Harlan County | 9 | Harlan County | 27:48.06 |
| 27 | Ella MortonPlace 27 · Grade 12 · Harlan | 12 | Harlan | 27:56.22 |
| 28 | Kirsten KeithPlace 28 · Grade 12 · Middlesboro | 12 | Middlesboro | 28:00.62 |
| 29 | Sara Kate HowardPlace 29 · Grade 9 · Pikeville | 9 | Pikeville | 28:02.81 |
| 30 | Catori BunchPlace 30 · Grade 10 · Lynn Camp | 10 | Lynn Camp | 29:54.09 |
| 31 | Alissa CrumplerPlace 31 · Grade 10 · Lynn Camp | 10 | Lynn Camp | 30:02.53 |
| 32 | Rachel WrightPlace 32 · Grade 11 · Pikeville | 11 | Pikeville | 31:32.12 |
| 33 | Kamryn KeithPlace 33 · Grade 10 · Middlesboro | 10 | Middlesboro | 32:49.41 |
| 34 | Lainey GarrettPlace 34 · Grade 10 · Harlan County | 10 | Harlan County | 33:24.72 |
| 35 | Hailey CouchPlace 35 · Grade 10 · Harlan | 10 | Harlan | 33:51.53 |
| 35 | Haylee CouchPlace 35 · Grade 10 · Harlan | 10 | Harlan | 33:51.53 |
| 36 | Kenzie SlonePlace 36 · Grade 8 · Pike County Central | 8 | Pike County Central | 34:08.94 |
| 37 | Tiffany CopleyPlace 37 · Grade 11 · Pikeville | 11 | Pikeville | 35:56.22 |
| 38 | Bella BlevinsPlace 38 · Grade 10 · Lynn Camp | 10 | Lynn Camp | 37:13.84 |
| 39 | Abby VitatoePlace 39 · Grade 12 · Harlan County | 12 | Harlan County | 40:10.97 |
