| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | Maeve Campbell | 16 | SDDL76 | 2:11.58 | AA | 643 |
| 1 | Brooklyn Flemming | 17 | SDDL76 | 2:18.95 | — | 539 |
| 2 | Jocelyn Dirksen | 17 | SDDL76 | 2:28.31 | — | 443 |
| 1 | Eian Stetser | 15 | SDSSR | 2:32.98 | — | 333 |
| 1 | William Hale | 17 | SDSSR | 2:33.87 | — | 299 |
| 2 | Christian Ainslie | 18 | SDSSR | 2:38.02 | — | 273 |
| 1 | Carter Peters | 14 | MNHURR | 2:38.42 | — | 315 |
| 2 | Boden Cotts | 13 | SDRST | 2:38.51 | — | 361 |
| 2 | Katey Jacob | 15 | WYBSC | 2:40.66 | B | 355 |
| 1 | Allie Lunstra | 14 | WYNSST | 2:41.84 | B | 357 |
| 2 | Jonas Runge | 16 | SDDL76 | 2:41.95 | — | 262 |
| 3 | Andrew Graves | 14 | SDRST | 2:46.23 | — | 272 |
| 3 | Reese Sazama | 15 | SDRST | 2:52.21 | — | 233 |
| 2 | Shelby Smith | 13 | WYNSST | 3:03.45 | — | 261 |
| 3 | Madison Campbell | 13 | SDDL76 | 3:04.94 | — | 255 |
| 4 | Miles Kornegay | 15 | SDSSR | 3:05.44 | — | 187 |
| 3 | Valeria Benitez | 15 | WYCSST | 3:05.54 | — | 230 |
| 4 | Alivia Lawrence | 13 | WYBSC | 3:09.28 | — | 237 |
| 3 | Kenzie Pourier | 17 | WYCSST | 3:14.79 | — | 195 |
| 4 | Katrina Karell | 15 | WYSBSC | 3:17.35 | — | 191 |
| 5 | Cecilia Herrera | 13 | SDRST | 3:49.16 | — | 134 |
| 4 | Rex Ritterbush | 14 | WYCSST | 4:14.11 | — | 76 |
| 5 | Matthew Smithley | 16 | SDRST | 4:58.74 | — | 42 |