| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Hillary Trainor | 18:30.7 | 12 | Sumner-Fredericksburg | 2460 | 2459 | ▲1 |
| 2 | Kadence Huck | 19:25.2 | 11 | Nashua-Plainfield | 2361 | 2367 | ▲68 |
| 3 | Amilia Condon | 19:32.2 | 11 | Union, LaPorte City | 2421 | 2407 | ▲197 |
| 4 | Abbi Waskow | 20:01.7 | 9 | Dunkerton | 2258 | 2225 | ▲88 |
| 5 | Izzy Houts | 20:22.7 | 12 | Dike-New Hartford | 2070 | 2058 | ▲12 |
| 6 | Anna Mulert | 21:09.0 | 11 | Denver | 1602 | 1638 | ▼-280 |
| 7 | Hailey Homan | 21:09.2 | 11 | Denver | 1862 | 1840 | ▲25 |
| 8 | Abby Kemp | 21:28.7 | 11 | BCLUW, Conrad | 1974 | 1956 | ▲12 |
| 9 | Ari Valverde | 21:34.5 | 10 | Denver | 1949 | 1723 | ▲61 |
| 10 | Rylee Shonka | 21:37.5 | 11 | Sumner-Fredericksburg | 1940 | 1936 | ▼-171 |
| 11 | Reeve Ristau | 21:47.9 | 11 | Denver | 1932 | 1972 | ▲77 |
| 12 | Madison Hellman | 21:49.2 | 12 | Columbus Catholic, Waterloo | 1912 | 1906 | ▲6 |
| 13 | Aubrey Decker | 21:52.0 | 12 | Denver | 1898 | 1880 | ▲21 |
| 14 | Kalia Stover | 21:54.2 | 11 | BCLUW, Conrad | 1888 | 1883 | ▲3 |
| 15 | Sophie Boemler | 21:55.2 | 12 | Sumner-Fredericksburg | 1876 | 1867 | ▲8 |