| 1 | Jane RonaldPlace 1 · Grade 10 · Trinity School of Durham | 10 | Trinity School of Durham | 19:33.7 |
| 2 | Liesl WalukewiczPlace 2 · Grade 10 · Durham Academy | 10 | Durham Academy | 21:47.7 |
| 3 | Lila BosticPlace 3 · Grade 11 · Saint Mary's | 11 | Saint Mary's | 23:26.5 |
| 4 | Ausley HarwardPlace 4 · Grade 9 · Durham Academy | 9 | Durham Academy | 23:40.3 |
| 5 | Millie GardnerPlace 5 · Grade 9 · Trinity Academy of Raleigh | 9 | Trinity Academy of Raleigh | 23:50.8 |
| 6 | Kackie KoonPlace 6 · Grade 12 · Saint Mary's | 12 | Saint Mary's | 23:59.2 |
| 7 | Kayla CaoPlace 7 · Grade 10 · Durham Academy | 10 | Durham Academy | 24:00.1 |
| 8 | Mary NolenPlace 8 · Grade 10 · Trinity School of Durham | 10 | Trinity School of Durham | 24:01.3 |
| 9 | Elly SangerPlace 9 · Grade 11 · Durham Academy | 11 | Durham Academy | 24:03.1 |
| 10 | Sophie MillerPlace 10 · Grade 10 · Trinity School of Durham | 10 | Trinity School of Durham | 24:03.6 |
| 11 | Abby MichaelPlace 11 · Grade 8 · St. David's | 8 | St. David's | 25:14.3 |
| 12 | Emma MingPlace 12 · Grade 9 · Durham Academy | 9 | Durham Academy | 25:38.4 |
| 13 | Millie BraudePlace 13 · Grade 11 · Durham Academy | 11 | Durham Academy | 25:53.8 |
| 14 | Charlotte MarshallPlace 14 · Grade 9 · St. David's | 9 | St. David's | 26:08.1 |
| 15 | Annie EricksonPlace 15 · Grade 11 · St. David's | 11 | St. David's | 26:12.2 |
| 16 | Mikayla MitchellPlace 16 · Grade 10 · Trinity School of Durham | 10 | Trinity School of Durham | 26:12.6 |
| 17 | Madeleine SasserPlace 17 · Grade 9 · Trinity Academy of Raleigh | 9 | Trinity Academy of Raleigh | 26:18.5 |
| 18 | Emily WoodPlace 18 · Grade 9 · Durham Academy | 9 | Durham Academy | 26:20.1 |
| 19 | Ananya MettuPlace 19 · Grade 12 · Durham Academy | 12 | Durham Academy | 26:47.3 |
| 20 | Myrto MauridesPlace 20 · Grade 12 · Durham Academy | 12 | Durham Academy | 26:49.9 |
| 21 | Brooke HackmanPlace 21 · Grade 10 · Durham Academy | 10 | Durham Academy | 26:50.5 |
| 22 | Julia ZhouPlace 22 · Grade 10 · Durham Academy | 10 | Durham Academy | 26:51.6 |
| 23 | Sally SpruillPlace 23 · Grade 12 · Saint Mary's | 12 | Saint Mary's | 27:04.5 |
| 24 | Audrey PalmerPlace 24 · Grade 12 · Trinity School of Durham | 12 | Trinity School of Durham | 27:11.5 |
| 25 | Greta GerendPlace 25 · Grade 10 · Trinity School of Durham | 10 | Trinity School of Durham | 27:12.6 |
| 26 | Lucy DecosimoPlace 26 · Grade 10 · Trinity School of Durham | 10 | Trinity School of Durham | 27:15.7 |
| 27 | Carolina CressPlace 27 · Grade 8 · Trinity Academy of Raleigh | 8 | Trinity Academy of Raleigh | 27:35.0 |
| 28 | Claire MurphyPlace 28 · Grade 11 · Trinity Academy of Raleigh | 11 | Trinity Academy of Raleigh | 27:48.1 |
| 29 | Emma Rose MarshallPlace 29 · Grade 11 · St. David's | 11 | St. David's | 27:48.7 |
| 30 | Avery TogniPlace 30 · Grade 12 · Trinity School of Durham | 12 | Trinity School of Durham | 28:27.0 |
| 31 | Riley BridgesPlace 31 · Grade 9 · Saint Mary's | 9 | Saint Mary's | 28:27.9 |
| 32 | Grace DimonPlace 32 · Grade 10 · Saint Mary's | 10 | Saint Mary's | 28:34.1 |
| 33 | Reagan ChalfinPlace 33 · Grade 12 · Trinity School of Durham | 12 | Trinity School of Durham | 28:38.6 |
| 34 | Josephina ZambranoPlace 34 · Grade 10 · Saint Mary's | 10 | Saint Mary's | 28:48.3 |
| 35 | Abbie KeownPlace 35 · Grade 9 · Trinity Academy of Raleigh | 9 | Trinity Academy of Raleigh | 29:08.2 |
| 36 | Nora DecosimoPlace 36 · Grade 10 · Trinity School of Durham | 10 | Trinity School of Durham | 29:27.0 |
| 37 | Jayden PowellPlace 37 · Grade 11 · Trinity School of Durham | 11 | Trinity School of Durham | 29:57.7 |
| 38 | Sophia BartoloPlace 38 · Grade 9 · Durham Academy | 9 | Durham Academy | 30:18.1 |
| 39 | Emily ChuiPlace 39 · Grade 11 · Durham Academy | 11 | Durham Academy | 30:38.6 |
| 40 | Grace GaoPlace 40 · Grade 12 · Durham Academy | 12 | Durham Academy | 30:47.4 |
| 41 | Kacy SunPlace 41 · Grade 10 · Durham Academy | 10 | Durham Academy | 30:58.2 |
| 42 | Ej ThomasonPlace 42 · Grade - · Trinity School of Durham | - | Trinity School of Durham | 31:13.6 |
| 43 | Hao FuPlace 43 · Grade 11 · Saint Mary's | 11 | Saint Mary's | 31:24.0 |
| 44 | Jori RileyPlace 44 · Grade 9 · St. David's | 9 | St. David's | 31:48.6 |
| 45 | Clare LiuPlace 45 · Grade 10 · Durham Academy | 10 | Durham Academy | 32:25.5 |
| 46 | Adaline AmanPlace 46 · Grade 10 · Saint Mary's | 10 | Saint Mary's | 32:48.4 |
| 47 | Anna KeenePlace 47 · Grade 9 · Trinity Academy of Raleigh | 9 | Trinity Academy of Raleigh | 36:12.2 |
| 48 | Lucy BosPlace 48 · Grade 12 · Trinity Academy of Raleigh | 12 | Trinity Academy of Raleigh | 36:21.8 |
| 49 | Alexandra EastonPlace 49 · Grade 9 · Trinity School of Durham | 9 | Trinity School of Durham | 37:55.9 |
| 50 | Sunny LiPlace 50 · Grade 11 · Saint Mary's | 11 | Saint Mary's | 37:59.6 |
| 51 | Amy ChenPlace 51 · Grade 9 · Saint Mary's | 9 | Saint Mary's | 40:00.0 |
| 52 | Laura BosPlace 52 · Grade 9 · Trinity Academy of Raleigh | 9 | Trinity Academy of Raleigh | 43:58.0 |