| ------- Lap 1 ------- | ------- Lap 2 ------- | Total | Total | |||||||
| Place | Name | 2nd Leg Name | Bib No | Div | Rnk | Time | Rnk | Time | Time | Pace |
| 1 | Robin Kutner | Mary Kate Supplitt | 3 | 4 | 3 | 19:50.1 | 4 | 19:37.1 | 39:27.2 | 6:22/M |
| 2 | Daniela Fernandez | Simon Gertler | 2 | 3 | 21 | 24:39.6 | 5 | 19:57.2 | 44:36.9 | 7:12/M |
| 3 | Fiona McCusker | Anna Kurtz | 65 | 5 | 9 | 21:54.9 | 21 | 24:27.9 | 46:22.8 | 7:29/M |
| 4 | Meagan Rossi | Jennifer Buonocore | 68 | 4 | 19 | 23:56.5 | 27 | 26:52.5 | 50:49.0 | 8:12/M |
| 5 | Susan Moser | Jeanine Holmlund | 19 | 6 | 27 | 27:42.4 | 17 | 23:10.1 | 50:52.5 | 8:12/M |
| 6 | Mary Meyer | Amanda Enos | 18 | 5 | 25 | 26:45.0 | 25 | 26:34.6 | 53:19.7 | 8:36/M |
| 7 | Mandana Mofidi | Karen Andrews | 71 | 5 | 28 | 27:51.2 | 34 | 33:32.4 | 1:01:23.6 | 9:54/M |
| 8 | Beatrice Hatch | Paige Young | 22 | 1 | 29 | 27:58.1 | 37 | 34:09.4 | 1:02:07.6 | 10:01/M |
| 9 | Mary Sage | Rachel Vinkey | 26 | 6 | 39 | 32:44.1 | 30 | 30:16.1 | 1:03:00.3 | 10:10/M |
| 10 | Diana Leon | Sarah Edwards | 59 | 5 | 33 | 28:59.1 | 49 | 42:29.8 | 1:11:28.9 | 11:32/M |
| 11 | Inika Modi-Parekh | Khloe Hurst-Neulight | 50 | 1 | 42 | 34:40.1 | 40 | 36:48.7 | 1:11:28.9 | 11:32/M |
| 12 | Emma Estrada | Isabella Estrada | 47 | 1 | 50 | 39:13.5 | 36 | 33:55.3 | 1:13:08.9 | 11:48/M |
| 13 | Liyah Khaoone | Meuy Khaoone | 38 | 3 | 37 | 32:25.5 | 48 | 40:55.8 | 1:13:21.3 | 11:50/M |
| 14 | Kimberly Pelayo | Nancy Jasmine Pelayo | 29 | 1 | 49 | 38:31.0 | 39 | 35:40.2 | 1:14:11.2 | 11:58/M |
| 15 | Heidy Pablo | Elizabeth Pena | 36 | 1 | 53 | 39:51.8 | 43 | 37:21.3 | 1:17:13.1 | 12:27/M |
| 16 | Peilin He | Songyi He | 34 | 1 | 43 | 35:58.7 | 50 | 42:48.1 | 1:18:46.9 | 12:42/M |
| 17 | Liliana Benitez-Hernandez | Sophia Alis | 58 | 1 | 38 | 32:39.8 | 53 | 49:20.8 | 1:22:00.6 | 13:14/M |
| 18 | Naiyah Davis | Anastasiya Hurst-Neulight | 52 | 1 | 55 | 1:38:20.0 | 1:38:20.0 | 15:52/M | ||