| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | Steven Wyatt | 17 | NCSAC | 4:31.92 | A | 590 |
| 1 | Alexandra Tysinger | 18 | NCUN-0 | 4:52.15 | — | 597 |
| 2 | Taia Schneider | 17 | NCSAC | 4:55.58 | A | 584 |
| 3 | Kellan Goss | 16 | NCBAD | 5:05.73 | A | 529 |
| 2 | Rodney Hawkins III | 16 | NCRACY | 5:07.14 | BB | 420 |
| 3 | Joshua McBride | 15 | NCRACY | 5:09.99 | BB | 424 |
| 4 | Makenzie Hollingsworth | 15 | NCSAC | 5:15.99 | BB | 495 |
| 4 | Barrett Roberts | 15 | NCBAD | 5:17.79 | B | 394 |
| 5 | William Albright | 16 | NCGG | 5:24.48 | B | 356 |
| 5 | Madison Rice | 16 | NCGG | 5:27.96 | BB | 428 |
| 6 | Zoey Waters | 17 | NCRACY | 5:28.55 | BB | 425 |
| 6 | Charles Hutton | 15 | NCBAD | 5:33.12 | B | 342 |
| 7 | Atharva Rathi | 14 | NCBAD | 5:34.30 | B | 373 |
| 7 | Karigan Greene | 14 | NCSAC | 5:38.42 | B | 415 |
| 8 | James McSwain | 15 | NCSAC | 5:40.04 | — | 321 |
| 8 | Eva Kinney | 15 | NCSAC | 5:41.25 | B | 393 |
| 9 | Jay Collins | 16 | NCGG | 5:44.98 | — | 296 |
| 10 | Nixon Sipe | 14 | NCGG | 5:46.27 | — | 336 |
| 9 | Megyn Evans | 15 | NCSAC | 5:49.32 | B | 366 |
| 10 | Campbell Kolbash | 15 | NCGG | 5:58.27 | B | 339 |
| 11 | Amelia Toothman | 16 | NCGG | 6:03.07 | — | 316 |
| 12 | Charlotte Hawkins | 13 | NCRACY | 6:09.73 | — | 326 |
| 11 | Cavin McDougal | 14 | NCRACY | 6:14.31 | — | 266 |
| 12 | Dhruv Rathi | 13 | NCBAD | 6:21.51 | — | 279 |
| 13 | Yuyue Zhu | 15 | NCGG | 6:27.30 | — | 269 |
| 14 | LeeAnne McDowell | 17 | NCSAC | 6:28.91 | — | 256 |
| 13 | Caleb McBride | 15 | NCRACY | 6:39.09 | — | 199 |