| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Isabelle Hardin | 19:20.5 | 11 | Maquoketa | 2389 | 2385 | ▲4 |
| 2 | Lucy Murphy | 20:03.2 | 11 | Wahlert, Dubuque | 2284 | 2256 | ▲32 |
| 3 | Hallie Kelchen | 20:17.9 | 11 | Cascade, Western Dubuque | 2249 | 2248 | ▲2 |
| 4 | Leah Koehler | 20:25.0 | 12 | Monticello | 2215 | 2230 | ▼-16 |
| 5 | Olivia Volkmann | 20:47.0 | 10 | Decorah | 2169 | 2170 | ▼-1 |
| 6 | Peyton Ries | 20:54.5 | 10 | Monticello | 2117 | 2089 | ▲24 |
| 7 | Miriam Downing | 21:04.0 | 9 | Waukon | 2087 | 2075 | ▲10 |
| 8 | Madelyn Reiter | 21:10.5 | 12 | Beckman Catholic, Dyersville | 2068 | 2094 | ▼-26 |
| 9 | Reegan Benzing | 21:29.7 | 10 | Waukon | 2025 | 1991 | ▲35 |
| 10 | Ella Rohner | 21:31.0 | 10 | Wahlert, Dubuque | 2002 | 1932 | ▲66 |
| 11 | Willa Berning | 21:34.5 | 10 | Wahlert, Dubuque | 1989 | 1971 | ▲21 |
| 12 | Maya Bormann | 21:51.9 | 10 | Wahlert, Dubuque | 1977 | 1979 | ▼-2 |
| 13 | Delany Homan | 21:56.0 | 10 | Camanche | 1961 | 1951 | ▲12 |
| 14 | Brinlee Courtney | 21:59.2 | 10 | Decorah | 1951 | 1958 | ▼-14 |
| 15 | Riley Christopher | 22:03.5 | 9 | Decorah | 1939 | 1946 | ▼-10 |
| 16 | Raelyn Newhouse | 22:05.2 | 9 | Decorah | 1926 | 1928 | ▼-1 |
| 17 | Kasey McIlrath | 22:18.5 | 12 | Epworth, Western Dubuque | 1915 | 1910 | ▲4 |
| 18 | Natalie Hackman | 22:22.7 | 9 | Maquoketa | 1902 | 1865 | ▲46 |
| 19 | Emma O'Neill | 22:26.2 | 11 | Waukon | 1897 | 1904 | ▼-7 |
| 20 | Jenny Claussen | 22:29.2 | 12 | Central DeWitt | 1884 | 1875 | ▲8 |
| 21 | Yvlie Lensker | 22:30.2 | 9 | Marquette Catholic, Bellevue | 1872 | 1822 | ▲28 |
| 22 | Riley Buttz | 22:30.9 | 9 | Maquoketa | 1863 | 1830 | ▲32 |
| 23 | Ava Capron | 22:38.5 | 12 | Monticello | 1855 | 1835 | ▲25 |
| 24 | Elle Wilkins | 22:39.2 | 11 | Waukon | 1851 | 1892 | ▼-30 |
| 25 | Deborah Hougen | 22:48.4 | 11 | Decorah | 1840 | 1850 | ▼-10 |
| 26 | Katie McKenna | 22:55.2 | 12 | Epworth, Western Dubuque | 1832 | 1832 | ▼-1 |
| 27 | Gretchyn Fairlie | 22:55.7 | 12 | Camanche | 1825 | 1841 | ▼-19 |
| 28 | Carley Conrad | 23:01.7 | 9 | Cascade, Western Dubuque | 1815 | 1808 | ▲12 |
| 29 | Adelyn Topping | 23:04.2 | 9 | Cascade, Western Dubuque | 1809 | 1818 | ▼-13 |
| 30 | Emma Dean | 23:08.7 | 10 | Wahlert, Dubuque | 1798 | 1759 | ▲34 |
| 31 | Kaitlyn Thole | 23:09.7 | 12 | Epworth, Western Dubuque | 1793 | 1796 | ▼-4 |
| 32 | Claire Johnson | 23:17.0 | 10 | Waukon | 1784 | 1765 | ▲16 |
| 33 | Leah Garcia-Prats | 23:20.5 | 9 | Decorah | 1770 | 1764 | ▲17 |
| 34 | Amelia Wadsworth | 23:20.7 | 12 | Decorah | 1767 | 1792 | ▼-56 |
| 35 | Ella SPRANK | 23:27.5 | 10 | Epworth, Western Dubuque | 1756 | 1737 | ▲18 |
| 36 | Jaelyn Johanningmeier | 23:31.7 | 10 | Waukon | 1750 | 1742 | ▲7 |
| 37 | Lilly Graham | 23:36.7 | 12 | Wahlert, Dubuque | 1744 | 1751 | ▼-11 |
| 38 | Kylie Sieverding | 23:37.2 | 11 | Wahlert, Dubuque | 1738 | 1747 | ▼-12 |
| 39 | Bella Meyers | 23:37.5 | 12 | Epworth, Western Dubuque | 1728 | 1697 | ▲43 |
| 40 | Lilly Tuthill | 23:46.5 | 11 | Wahlert, Dubuque | 1719 | 1734 | ▼-21 |
| 41 | Kaitlin Kunde | 23:49.9 | 12 | Monticello | 1711 | 1716 | ▼-5 |
| 42 | Emersen Verhagen | 23:51.2 | 10 | Monticello | 1701 | 1774 | ▼-51 |
| 43 | Claire Storhoff | 24:04.4 | 10 | Decorah | 1680 | 1684 | ▼-5 |
| 44 | Natalie Goodner | 24:11.5 | 12 | Decorah | 1657 | 1666 | ▼-9 |
| 45 | Paige Koetz | 24:13.5 | 12 | Epworth, Western Dubuque | 1650 | 1636 | ▲14 |
| 46 | Katherine Stadtmueller | 24:15.7 | 10 | Monticello | 1646 | 1654 | ▼-7 |
| 47 | Lilly Supple | 24:17.7 | 11 | Cascade, Western Dubuque | 1640 | 1648 | ▼-10 |
| 48 | Autumn Domeyer | 24:23.7 | 10 | Beckman Catholic, Dyersville | 1635 | 1655 | ▼-18 |
| 49 | Bryiah Stewart | 24:26.4 | 10 | Waukon | 1625 | 1682 | ▼-48 |
| 50 | Leah Schemmel | 24:27.4 | 11 | Monticello | 1616 | 1611 | ▲4 |
| 51 | Peyton Dasilva | 24:38.4 | 9 | Epworth, Western Dubuque | 1607 | 1631 | ▼-23 |
| 52 | Natalie Stevens | 24:39.0 | 11 | Decorah | 1602 | 1664 | ▼-67 |
| 53 | Landre Ruggeberg | 24:42.0 | 11 | Central DeWitt | 1584 | 1588 | ▼-3 |
| 54 | Katherine Brunsman | 24:43.4 | 12 | Epworth, Western Dubuque | 1576 | 1552 | ▲32 |
| 55 | Lorelei Smith | 24:43.7 | 10 | Epworth, Western Dubuque | 1571 | 1553 | ▲18 |
| 56 | Allison Drone | 24:47.5 | 10 | Epworth, Western Dubuque | 1566 | 1557 | ▲9 |
| 57 | Toni Ebensberger | 24:56.2 | 9 | Camanche | 1551 | 1556 | ▼-10 |
| 58 | Miya Pitz | 25:04.4 | 9 | Beckman Catholic, Dyersville | 1531 | 1590 | ▼-58 |
| 59 | Shelby McDermott | 25:16.7 | 11 | Cascade, Western Dubuque | 1523 | 1505 | ▲17 |
| 60 | Hailey Fielding | 25:21.0 | 10 | Central DeWitt | 1512 | 1488 | ▲21 |
| 61 | Vivienne Rahe | 25:32.2 | 9 | Beckman Catholic, Dyersville | 1490 | 1552 | ▼-55 |
| 62 | Kinley Birt | 25:43.7 | 11 | Central DeWitt | 1479 | 1506 | ▼-17 |
| 63 | Kalyn Hackman | 25:47.4 | 12 | Maquoketa | 1472 | 1468 | ▲2 |
| 64 | Ana Cortes | 25:48.7 | 12 | Beckman Catholic, Dyersville | 1462 | 1463 | ▼-2 |
| 65 | Lillian Womer | 25:49.0 | 9 | Beckman Catholic, Dyersville | 1456 | 1456 | ▲1 |
| 66 | Kalyn Skrivseth | 25:59.0 | 12 | Marquette Catholic, Bellevue | 1443 | 1527 | ▼-39 |
| 67 | Charlotte Ihns | 26:04.5 | 9 | Maquoketa | 1435 | 1434 | 0 |
| 68 | Jessica Deaver | 26:20.0 | 11 | Marquette Catholic, Bellevue | 1426 | 1447 | ▼-14 |
| 69 | Adalyn Leistikow | 26:32.2 | 9 | Central DeWitt | 1410 | 1479 | ▼-37 |
| 70 | Annie Trumm | 27:05.0 | 11 | Cascade, Western Dubuque | 1376 | 1425 | ▼-63 |
| 71 | Rylie Dunne | 27:05.9 | 12 | Central DeWitt | 1368 | 1382 | ▼-9 |
| 72 | Hailee Peters | 27:58.0 | 10 | Central DeWitt | 1283 | 1386 | ▼-43 |
| 73 | Sarah Boyle | 28:11.5 | 9 | Cascade, Western Dubuque | 1257 | 1293 | ▼-55 |
| 74 | Carlie McPherson | 28:12.9 | 9 | Central DeWitt | 1231 | 1187 | ▲41 |
| 75 | Thelma Henricksen | 28:51.5 | 10 | Camanche | 1190 | 1245 | ▼-76 |
| 76 | Andrea Schneider | 28:51.5 | 10 | Beckman Catholic, Dyersville | 1180 | 1224 | ▼-61 |
| 77 | Aven Leslie | 29:26.5 | 9 | Prince of Peace Catholic, Clinton | 1130 | 1073 | ▲42 |
| 78 | Catalina McGrane | 31:03.2 | 10 | Beckman Catholic, Dyersville | 1008 | 1027 | ▼-20 |
| 79 | Sadie Johnson | 32:24.4 | 10 | Camanche | 879 | 943 | ▼-84 |