| 1 | Eliza DekkerPlace 1 · Durham Academy | — | Durham Academy | 18:40.00 | 1 |
| 2 | Tristan Van OrdPlace 2 · Chapel Hill | — | Chapel Hill | 19:29.00 | 2 |
| 3 | Rebekah GreengrassPlace 3 · Panther Creek | — | Panther Creek | 20:04.00 | 3 |
| 4 | Camille GossettPlace 4 · Chapel Hill | — | Chapel Hill | 20:26.00 | 4 |
| 5 | Alexa YoungPlace 5 · Chapel Hill | — | Chapel Hill | 20:40.00 | 5 |
| 6 | Emily WilliamsPlace 6 · Chapel Hill | — | Chapel Hill | 20:48.00 | 6 |
| 7 | Jordan BlackPlace 7 · Cresset Christian | — | Cresset Christian | 21:03.00 | — |
| 8 | Veronica WalkerPlace 8 · Northern | — | Northern | 21:26.00 | — |
| 9 | Shuyu CaoPlace 9 · Chapel Hill | — | Chapel Hill | 21:29.00 | 7 |
| 10 | Rosie KerwinPlace 10 · Chapel Hill | — | Chapel Hill | 21:34.00 | 8 |
| 11 | Bronwyn FademPlace 11 · Ncssm | — | Ncssm | 21:48.00 | 9 |
| 12 | Brenda CardosoPlace 12 · Panther Creek | — | Panther Creek | 21:49.00 | 10 |
| 13 | Kathleen CannonPlace 13 · Chapel Hill | — | Chapel Hill | 22:03.00 | 11 |
| 14 | Cassie LindquistPlace 14 · Ncssm | — | Ncssm | 22:18.00 | 12 |
| 15 | Courteney CashPlace 15 · Panther Creek | — | Panther Creek | 22:32.00 | 13 |
| 16 | Franny ValourPlace 16 · Cedar Ridge | — | Cedar Ridge | 22:43.00 | 14 |
| 17 | Erin McGibbonPlace 17 · Chapel Hill | — | Chapel Hill | 22:49.00 | — |
| 18 | Ruth WarrinerPlace 18 · Panther Creek | — | Panther Creek | 22:51.00 | 15 |
| 19 | Sam FrendutoPlace 19 · Cedar Ridge | — | Cedar Ridge | 22:51.00 | 16 |
| 20 | Erin MyersPlace 20 · Panther Creek | — | Panther Creek | 22:56.00 | 17 |
| 21 | Johanna ThoressenPlace 21 · Chapel Hill | — | Chapel Hill | 23:05.00 | — |
| 22 | Gabby GerlachPlace 22 · Cedar Ridge | — | Cedar Ridge | 23:09.00 | 18 |
| 23 | Caris HillPlace 23 · Cedar Ridge | — | Cedar Ridge | 23:09.00 | 19 |
| 24 | Morgan MannPlace 24 · Chapel Hill | — | Chapel Hill | 23:13.00 | — |
| 25 | Allie ParkerPlace 25 · Chapel Hill | — | Chapel Hill | 23:19.00 | — |
| 26 | Eryn ClarkPlace 26 · Jordan | — | Jordan | 23:24.00 | 20 |
| 27 | Adele BernardPlace 27 · Ncssm | — | Ncssm | 23:28.00 | 21 |
| 28 | Sophia RowlandPlace 28 · Ncssm | — | Ncssm | 23:29.00 | 22 |
| 29 | Nicole GardinierPlace 29 · Chapel Hill | — | Chapel Hill | 23:33.00 | — |
| 30 | Anne KelleyPlace 30 · Ncssm | — | Ncssm | 23:40.00 | 23 |
| 31 | Natalie PlonkPlace 31 · Durham Academy | — | Durham Academy | 23:41.00 | 24 |
| 32 | Anna BaynesPlace 32 · Chapel Hill | — | Chapel Hill | 23:42.00 | — |
| 33 | McKenna ReedPlace 33 · Durham Academy | — | Durham Academy | 23:43.00 | 25 |
| 34 | Laura HeinenPlace 34 · Panther Creek | — | Panther Creek | 23:44.00 | 26 |
| 35 | Kayla MitchellPlace 35 · Riverside | — | Riverside | 23:49.00 | 27 |
| 36 | Emma BogardPlace 36 · Riverside | — | Riverside | 23:51.00 | 28 |
| 37 | Jessica HennenPlace 37 · Chapel Hill | — | Chapel Hill | 23:54.00 | — |
| 38 | Gwen LloydPlace 38 · Durham Academy | — | Durham Academy | 23:56.00 | 29 |
| 39 | Anne MazzaPlace 39 · Panther Creek | — | Panther Creek | 23:57.00 | 30 |
| 40 | Annie VenablePlace 40 · Ncssm | — | Ncssm | 24:01.00 | 31 |
| 41 | Landis WipperPlace 41 · Chapel Hill | — | Chapel Hill | 24:11.00 | — |
| 42 | Ellie KingPlace 42 · Panther Creek | — | Panther Creek | 24:22.00 | — |
| 43 | Cassidy RingPlace 43 · Ncssm | — | Ncssm | 24:25.00 | 32 |
| 44 | Rachel BakerPlace 44 · Northern | — | Northern | 24:27.00 | — |
| 45 | Ashley AmodeiPlace 45 · Chapel Hill | — | Chapel Hill | 24:28.00 | — |
| 46 | Mattis CollierPlace 46 · Durham Academy | — | Durham Academy | 24:30.00 | 33 |
| 47 | Abby ThurmanPlace 47 · Ncssm | — | Ncssm | 24:31.00 | — |
| 48 | Emma MarandPlace 48 · Panther Creek | — | Panther Creek | 24:35.00 | — |
| 49 | Delaney HerndonPlace 49 · Durham Academy | — | Durham Academy | 24:42.00 | 34 |
| 50 | Alexa GaffaneyPlace 50 · Panther Creek | — | Panther Creek | 24:43.00 | — |
| 51 | Anita SimhaPlace 51 · Ncssm | — | Ncssm | 25:01.00 | — |
| 52 | Julianne KennedyPlace 52 · Cedar Ridge | — | Cedar Ridge | 25:01.00 | 35 |
| 53 | Julia HainesPlace 53 · Chapel Hill | — | Chapel Hill | 25:06.00 | — |
| 54 | Sarah PoolePlace 54 · Riverside | — | Riverside | 25:23.00 | 36 |
| 55 | Asia AndersonPlace 55 · Jordan | — | Jordan | 25:24.00 | 37 |
| 56 | Morgan KingPlace 56 · Panther Creek | — | Panther Creek | 25:30.00 | — |
| 57 | Meagan SaundersPlace 57 · Jordan | — | Jordan | 25:42.00 | 38 |
| 58 | Natsuyo HuneycuttPlace 58 · Cedar Ridge | — | Cedar Ridge | 25:47.00 | 39 |
| 59 | Brooke JohnsonPlace 59 · Chapel Hill | — | Chapel Hill | 25:48.00 | — |
| 60 | Amanda JowellPlace 60 · Durham Academy | — | Durham Academy | 25:52.00 | 40 |
| 61 | Allison RivesPlace 61 · Chapel Hill | — | Chapel Hill | 25:54.00 | — |
| 62 | Lindsay OrlowskiPlace 62 · Ncssm | — | Ncssm | 25:58.00 | — |
| 63 | Erin KerrPlace 63 · Panther Creek | — | Panther Creek | 26:20.00 | — |
| 64 | Casey BotlloPlace 64 · Ncssm | — | Ncssm | 26:21.00 | — |
| 65 | Sarah LernerPlace 65 · Durham Academy | — | Durham Academy | 26:26.00 | — |
| 66 | Alexa SavelliPlace 66 · Chapel Hill | — | Chapel Hill | 26:49.00 | — |
| 67 | Christy TuckerPlace 67 · Ncssm | — | Ncssm | 26:59.00 | — |
| 68 | Allison VoPlace 68 · Ncssm | — | Ncssm | 27:00.00 | — |
| 69 | Reghan HormanPlace 69 · Ncssm | — | Ncssm | 27:01.00 | — |
| 70 | Taylor GrissomPlace 70 · Jordan | — | Jordan | 27:01.00 | 41 |
| 71 | Lauren SobnoskyPlace 71 · Cedar Ridge | — | Cedar Ridge | 27:06.00 | 42 |
| 72 | Stewart KingdonPlace 72 · Riverside | — | Riverside | 27:13.00 | 43 |
| 73 | Maddy GaffaneyPlace 73 · Panther Creek | — | Panther Creek | 27:17.00 | — |
| 74 | Allison LeePlace 74 · Jordan | — | Jordan | 27:25.00 | 44 |
| 75 | Claire MurchisonPlace 75 · Durham Academy | — | Durham Academy | 27:25.00 | — |
| 76 | Carly KempskiPlace 76 · Northern | — | Northern | 27:29.00 | — |
| 77 | Carolyn DrewryPlace 77 · Durham Academy | — | Durham Academy | 27:31.00 | — |
| 78 | Libby AndersonPlace 78 · Panther Creek | — | Panther Creek | 27:51.00 | — |
| 79 | Hannah GodfreyPlace 79 · Panther Creek | — | Panther Creek | 28:13.00 | — |
| 80 | Carol MarandPlace 80 · Panther Creek | — | Panther Creek | 28:33.00 | — |
| 81 | Nora GhanemPlace 81 · Durham Academy | — | Durham Academy | 28:38.00 | — |
| 82 | Wilder HerronPlace 82 · Cedar Ridge | — | Cedar Ridge | 28:42.00 | — |
| 83 | Madeline PillarPlace 83 · Panther Creek | — | Panther Creek | 28:42.00 | — |
| 84 | Sarah GodfreyPlace 84 · Panther Creek | — | Panther Creek | 29:00.00 | — |
| 85 | Ashley JowellPlace 85 · Durham Academy | — | Durham Academy | 29:29.00 | — |
| 86 | Danielle LuffmanPlace 86 · Riverside | — | Riverside | 29:51.00 | 45 |
| 87 | Arlee HiskeyPlace 87 · Cedar Ridge | — | Cedar Ridge | 29:56.00 | — |
| 88 | Joanna WilliamsPlace 88 · Panther Creek | — | Panther Creek | 31:22.00 | — |
| 89 | Katie HiskeyPlace 89 · Cedar Ridge | — | Cedar Ridge | 31:53.00 | — |
| 90 | Katie TuriPlace 90 · Riverside | — | Riverside | 35:31.00 | 46 |