| Name | Team | Time | Score | FINA | |||
|---|---|---|---|---|---|---|---|
| 1 | Emma Layton |
 Dynamo Swim Club
|
17:11.27 | 20.00 | 723 | ||
| 2 | Paige Kelly |
 Wildcat Aquatics
|
17:31.36 | 17.00 | 682 | PB | |
| 3 | Abby Grottle |
Dynamo Swim Club
|
17:36.69 | 16.00 | 672 | PB | |
| 4 | Savannah Mitchell |
Dynamo Swim Club
|
17:40.10 | 15.00 | 665 | ||
| 5 | Abby Kriegler |
 Asheville Swim Club
|
17:40.83 | 14.00 | 664 | ||
| 6 | Hitona Miyabayashi |
Triton Swimming
|
17:53.80 | 13.00 | 640 | ||
| 7 | Uma Knaven |
 North Carolina Aquatic Club
|
17:58.36 | 12.00 | 632 | ||
| 8 | Jaylyn Forrest |
North Carolina Aquatic Club
|
18:05.36 | 11.00 | 620 | ||
| 9 | Madeleine Bauer |
Asheville Swim Club
|
18:21.24 | 9.00 | 594 | ||
| – | Hannah Kloetzer |
North Carolina Aquatic Club
|
18:44.86 | – | 557 | ||
| – | Brianna Mazzei |
Palmetto Aquatics
|
18:46.65 | – | 554 | ||