| 1 |  Kara Mobly Lauren Rantala | 30-39 | 04:04 30-39 | |
| 2 | Lauren Sinclair Mikayla Short | 30-39 | 04:07 30-39 | |
| 3 | Ashley Huhn Katie Knight | 30-39 | 04:08 30-39 | |
| 4 | Jessica Bloom Lisa Hayes | 30-39 | 04:12 30-39 | |
| 5 | Nicole Salge Sara Carlesimo | 30-39 | 04:16 30-39 | |
| 5 | Bryleigh Hansen Heather Hudson | 30-39 | 04:16 30-39 | |
| 7 | Jessica Almodovar Sara Sullivan | 30-39 | 04:17 30-39 | |
| 8 | Andrea Kafka Christine Gralher | 40-49 | 04:31 40-49 | |
| 9 | Lizet Rendon Nancy Delavega | 30-39 | 04:36 30-39 | |
| 10 | Cristina Wilkinson Desiree Puig | 40-49 | 04:37 40-49 | |
| 11 | Lixii Sun Priscilla Rojas | 30-39 | 04:44 30-39 | |
| 12 | Kim Perdian Tina Dale | 50-59 | 05:00 50-59 | |
| 13 | Corrine Carnation Sasha Bensimon | 16-29 | 05:02 16-29 | |
| 14 | Adriana Duque Kirsten Gladstone | 30-39 | 05:07 30-39 | |
| 15 | Mariela Fuentes Milena Milani | 30-39 | 05:11 30-39 | |
| 16 |  Anthuannette Ortiz Karennie Malave | 40-49 | 05:12 40-49 | |
| 17 | Carla Duenas Cristina Arribas | 30-39 | 05:16 30-39 | |
| 18 | Emily Carvallo Phoebe Vatis | 16-29 | 05:22 16-29 | |
