| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Alexis Hergenreter | 20:13.7 | 10 | North Polk, Alleman | 2367 | 2367 | ▲1 |
| 2 | Demi Beaubien | 20:56.2 | 11 | Iowa Falls - Alden/AGWSR | 2179 | 2135 | ▲25 |
| 3 | Elizabeth Erickson | 21:08.0 | 10 | Colo-NESCO | 2147 | 2142 | ▲5 |
| 4 | Sarah Feddersen | 21:18.0 | 12 | Gilbert | 2120 | 2125 | ▼-4 |
| 5 | Dalaney Eldridge | 21:54.7 | 9 | West Marshall, State Center | 2092 | 2088 | ▲4 |
| 6 | Kaitlyn Dear | 22:02.7 | 11 | Gilbert | 2066 | 2031 | ▲28 |
| 7 | Lila Milani | 22:06.7 | 10 | PCM | 2050 | 2033 | ▲17 |
| 8 | Piper Smith | 22:07.4 | 11 | Iowa Falls - Alden/AGWSR | 2031 | 2007 | ▲16 |
| 9 | Darby Deraad | 22:10.2 | 9 | PCM | 2014 | 1971 | ▲56 |
| 10 | Claire Truesdell | 22:12.2 | 12 | Roland-Story, Story City | 2007 | 2017 | ▼-9 |
| 11 | Addie Thompson | 22:12.7 | 11 | West Marshall, State Center | 1992 | 2000 | ▼-7 |
| 12 | Sophia Bleich | 22:12.9 | 12 | Gilbert | 1973 | 1918 | ▲45 |
| 13 | Abby Kemp | 22:22.0 | 12 | BCLUW, Conrad | 1964 | 1952 | ▲11 |
| 14 | Abby Patel | 22:26.5 | 12 | Gilbert | 1958 | 2001 | ▼-32 |
| 15 | Alexa Betting | 22:28.7 | 11 | Nevada | 1937 | 1891 | ▲37 |