| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Elizabeth Asklof | 21:04.0 | 10 | Iowa City, City High | 1866 | 1872 | ▲71 |
| 2 | Brooklyn Riley-Poma | 21:12.5 | 9 | Iowa City, City High | 2028 | 1994 | ▲252 |
| 3 | Katiya Ellermeier | 21:26.7 | 10 | Iowa City, City High | 1669 | 1616 | ▼-67 |
| 4 | Braeley Wullweber | 21:32.5 | 10 | Dubuque, Senior | 1864 | 1930 | ▲170 |
| 5 | Stella Weber | 21:35.4 | 10 | Dubuque, Senior | 2019 | 2024 | ▲286 |
| 6 | Isabel Wenzel | 21:39.4 | 9 | Cedar Falls | 1642 | 1600 | ▼-31 |
| 7 | Alexa Wenzel | 21:40.4 | 9 | Cedar Falls | 1827 | 1824 | ▲208 |
| 8 | Eva Stevenson | 21:49.4 | 10 | Dubuque, Hempstead | 1683 | 1694 | ▲36 |
| 9 | Alma Bhandary-Narayanan | 21:56.0 | 10 | Iowa City, City High | 1891 | 1857 | ▲126 |
| 10 | Maria Hart | 21:59.9 | 10 | Dubuque, Hempstead | 1724 | 1745 | ▲159 |
| 11 | Addi Schultes | 22:12.7 | 10 | Iowa City, City High | 1653 | 1711 | ▼-25 |
| 12 | Halia Christensen | 22:19.5 | 10 | Dubuque, Senior | 1648 | 1657 | ▼-12 |
| 13 | Audrey Holdener | 22:22.0 | 9 | Dubuque, Senior | 1638 | 1639 | 0 |
| 14 | Marie Darst | 22:31.5 | 10 | Cedar Falls | 1560 | 1562 | ▼-57 |
| 15 | Gracie Driscoll | 22:36.5 | 9 | Dubuque, Hempstead | 1876 | 1858 | ▲206 |
| 16 | Nadia Spragg | 22:39.7 | 9 | Iowa City, City High | 1620 | 1640 | ▼-16 |
| 17 | Anna Brodahl | 22:42.5 | 10 | Cedar Falls | 1420 | 1435 | ▼-177 |
| 18 | Millie Eikamp | 22:45.7 | 9 | Dubuque, Senior | 1872 | 1849 | ▲125 |
| 19 | Addison Klein | 22:46.2 | 9 | Iowa City, City High | 1667 | 1643 | ▼-34 |
| 20 | Maggie VerDught | 22:50.0 | 9 | Cedar Falls | 1730 | 1749 | ▲158 |
| 21 | Evelyn Schmitz | 22:57.0 | 9 | Cedar Falls | 1580 | 1557 | ▲23 |
| 22 | Katie Blough | 22:58.0 | 9 | Cedar Falls | 1986 | 1971 | ▲422 |
| 23 | Willa Berning | 23:02.2 | 9 | Wahlert, Dubuque | 1958 | 1950 | ▲391 |
| 24 | Grace Hesselman | 23:09.5 | 10 | Dubuque, Senior | 1505 | 1501 | ▼-19 |
| 25 | Mallory Unsen | 23:09.5 | 9 | Wahlert, Dubuque | 1637 | 1642 | ▲35 |
| 26 | Claire King | 23:16.7 | 10 | Wahlert, Dubuque | 1549 | 1571 | ▼-33 |
| 27 | Willow Schultz | 23:25.7 | 9 | Iowa City, City High | 1659 | 1671 | ▲68 |
| 28 | Avery Rogers | 23:41.2 | 9 | Cedar Falls | 1591 | 1589 | ▲62 |
| 29 | Chloe Sprague | 24:06.7 | 9 | Dubuque, Senior | 1457 | 1470 | ▲49 |
| 30 | Reese Michael | 24:13.0 | 10 | Cedar Falls | 1471 | 1425 | ▲43 |
| 31 | Mrunal Bagal | 24:17.4 | 10 | Cedar Falls | 1467 | 1426 | ▲42 |
| 32 | Claire Warby | 24:19.4 | 9 | Cedar Falls | 1475 | 1484 | ▲60 |
| 33 | Maddie Lucas | 24:20.5 | 9 | Epworth, Western Dubuque | 1455 | 1474 | ▼-22 |
| 34 | Martha Willard | 24:28.2 | 9 | Iowa City, City High | 1801 | 1823 | ▲268 |
| 35 | Addison Walls | 24:40.5 | 10 | Central DeWitt | 1423 | 1474 | ▼-50 |
| 36 | Ellie Cushman | 24:40.5 | 9 | Wahlert, Dubuque | 1416 | 1396 | ▲56 |
| 37 | Cadia Switzer | 24:42.4 | 9 | Cedar Falls | 1492 | 1457 | ▲70 |
| 38 | Ella Digmann | 25:05.5 | 9 | Epworth, Western Dubuque | 1413 | 1411 | ▲121 |
| 39 | Robin Harbin | 25:06.2 | 10 | Dubuque, Hempstead | 1382 | 1386 | ▼-3 |
| 40 | Hailey Fielding | 25:08.0 | 9 | Central DeWitt | 1537 | 1506 | ▲125 |
| 41 | Hailee Peters | 25:11.2 | 9 | Central DeWitt | 1441 | 1429 | ▲25 |
| 42 | Piper Birkenholtz | 25:11.5 | 10 | Dubuque, Hempstead | 1366 | 1319 | ▲64 |
| 43 | Jo Mootz | 25:13.5 | 9 | Dubuque, Hempstead | 1361 | 1370 | ▼-9 |
| 44 | Sofia Puls | 25:54.0 | 9 | Cedar Falls | 1341 | 1350 | ▼-11 |
| 45 | Kambry Jaeger | 25:54.5 | 9 | Cedar Falls | 1308 | 1325 | ▼-15 |
| 46 | Olivia Hodgson | 26:07.2 | 9 | Epworth, Western Dubuque | 1347 | 1336 | 0 |
| 47 | Delila Knepper-Ludovissy | 26:16.0 | 9 | Epworth, Western Dubuque | 1285 | 1261 | ▲24 |
| 48 | Maddie Gunderson | 26:19.0 | 10 | Iowa City, City High | 1452 | 1427 | ▲95 |
| 49 | Aadilyn David | 26:22.0 | 11 | Dubuque, Senior | 1271 | 1255 | ▲18 |
| 50 | Stella Schmitz | 26:35.9 | 9 | Cedar Falls | 1254 | 1260 | ▼-10 |
| 51 | Melissa Meza | 26:38.2 | 10 | Cedar Falls | 1350 | 1320 | ▲115 |
| 52 | Allison LeConte | 26:57.0 | 10 | Epworth, Western Dubuque | 1216 | 1170 | ▲90 |
| 53 | Melanie Miller | 27:09.4 | 9 | Central DeWitt | 1185 | 1145 | ▲96 |
| 54 | Elise Good | 27:13.0 | 9 | Iowa City, City High | 1132 | 1218 | ▼-24 |
| 55 | Harper Bailey | 27:14.4 | 10 | Iowa City, City High | 1101 | 988 | ▼-247 |
| 56 | Emerson Bartlett | 27:18.2 | 10 | Cedar Falls | 1324 | 1279 | ▲127 |
| 57 | Everlie Sell | 27:23.7 | 9 | Wahlert, Dubuque | 1438 | 1435 | ▲125 |
| 58 | Khloe Sweet | 27:36.2 | 9 | Dubuque, Senior | 1155 | 1143 | ▲13 |
| 59 | Ruby Neal | 27:41.7 | 9 | Dubuque, Senior | 1126 | 1173 | ▲38 |
| 60 | Marie Klostermann | 27:51.9 | 9 | Central DeWitt | 1203 | 1262 | ▼-41 |
| 61 | Indre Jankunas | 27:53.0 | 9 | Cedar Falls | 1131 | 1165 | ▼-34 |
| 62 | Aarya Phuke | 27:57.5 | 9 | Cedar Falls | 926 | 923 | ▼-161 |
| 63 | Sara Gunn | 28:12.5 | 10 | Dubuque, Senior | 1103 | 1143 | ▼-51 |
| 64 | Liz Degner | 28:28.5 | 10 | Iowa City, City High | 1069 | 1142 | ▼-53 |
| 65 | Breeanna Runde | 29:10.7 | 10 | Dubuque, Hempstead | 1034 | 1041 | ▼-6 |
| 66 | Kalissa Brandon | 29:13.9 | 10 | Dubuque, Hempstead | 1027 | 1033 | ▼-10 |
| 67 | Avery Nace | 29:18.2 | 9 | Iowa City, City High | 1067 | 1069 | ▲16 |
| 68 | Addilyn Dolan | 29:28.9 | 9 | Dubuque, Hempstead | 850 | 848 | ▼-297 |
| 69 | Amari Casto | 30:02.7 | 9 | Iowa City, City High | 1460 | 1456 | ▲358 |
| 70 | Lily Wagener | 30:51.5 | 8 | Dubuque, Hempstead | 1084 | 1055 | ▲32 |