| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Keelee Leitzen | 17:56.0 | 12 | Dubuque, Hempstead | 2504 | 2479 | ▲44 |
| 2 | Nakia Ollivierre | 18:19.2 | 10 | Waterloo, West | 2624 | 2613 | ▲237 |
| 3 | Grace Boleyn | 18:22.9 | 11 | Pleasant Valley | 2596 | 2612 | ▲96 |
| 4 | Leah Klapatauskas | 18:23.0 | 12 | Dubuque, Senior | 2387 | 2389 | ▼-2 |
| 5 | Julia Gehl | 18:28.2 | 12 | Dubuque, Hempstead | 2352 | 2331 | ▲23 |
| 6 | Ani Wedemeyer | 18:34.7 | 11 | Iowa City, City High | 2334 | 2478 | ▲127 |
| 7 | Claire Hoyer | 18:37.7 | 11 | Dubuque, Senior | 2358 | 2355 | ▲68 |
| 8 | Evie Henneberry | 18:39.9 | 11 | Dubuque, Hempstead | 2507 | 2469 | ▲226 |
| 9 | Abigail Burns | 18:41.2 | 10 | Iowa City, City High | 2457 | 2439 | ▲167 |
| 10 | Emily See | 18:53.0 | 12 | Bettendorf | 2239 | 2177 | ▲52 |
| 11 | Josee Simonson | 18:59.7 | 11 | Cedar Falls | 2286 | 2298 | ▲225 |
| 12 | Vivian McCombs | 19:00.0 | 9 | Pleasant Valley | 2382 | 2411 | ▲234 |
| 13 | Emily Gorton | 19:03.0 | 11 | Dubuque, Senior | 2392 | 2373 | ▲282 |
| 14 | Brynn Edgin | 19:03.2 | 10 | Pleasant Valley | 2300 | 2315 | ▲21 |
| 15 | Lucy Murphy | 19:05.2 | 10 | Wahlert, Dubuque | 2182 | 2224 | ▲32 |
| 16 | Briel Bechen | 19:08.5 | 10 | Dubuque, Senior | 2198 | 2193 | ▲35 |
| 17 | Maddie Millage | 19:12.0 | 9 | Pleasant Valley | 2444 | 2476 | ▲292 |
| 18 | Nevaeh Kessler | 19:23.0 | 10 | Dubuque, Senior | 2254 | 2228 | ▲142 |
| 19 | Emma Chesterman | 19:24.2 | 10 | Dubuque, Senior | 2541 | 2504 | ▲400 |
| 20 | Selah Flanigan | 19:30.4 | 10 | Pleasant Valley | 2208 | 2196 | ▲82 |
| 21 | Anna Becker | 19:33.5 | 12 | Cedar Falls | 2093 | 2089 | ▲4 |
| 22 | Mylee Lange | 19:36.5 | 11 | Dubuque, Hempstead | 2115 | 2131 | ▲112 |
| 23 | Peyton Madison | 19:37.9 | 12 | North Scott, Eldridge | 2069 | 2037 | ▲34 |
| 24 | Nicole Peterson | 19:38.5 | 11 | Iowa City, City High | 2267 | 2244 | ▲245 |
| 25 | Grace Hamann | 19:42.4 | 8 | Iowa City, City High | 2233 | 2238 | ▲208 |
| 26 | Maggie Henneberry | 19:43.5 | 9 | Dubuque, Hempstead | 2245 | 2247 | ▲175 |
| 27 | Dylan Moeller | 19:46.5 | 11 | Davenport, Central | 2407 | 2351 | ▲399 |
| 28 | Jaylee Duncan | 19:49.0 | 10 | Pleasant Valley | 2338 | 2304 | ▲321 |
| 29 | Zoe Zylstra | 19:54.2 | 11 | Cedar Falls | 2011 | 2006 | ▲6 |
| 30 | Claire Locher | 19:56.2 | 10 | Iowa City, City High | 1975 | 1968 | ▼-49 |
| 31 | Kaylee Mowen | 19:57.0 | 11 | Pleasant Valley | 1995 | 2016 | ▼-31 |
| 32 | Lexi Minard | 20:00.5 | 12 | Pleasant Valley | 1984 | 1974 | ▲12 |
| 33 | Emily Meyer | 20:06.2 | 11 | Cedar Falls | 2216 | 2164 | ▲261 |
| 34 | Annabelle Everding | 20:08.5 | 11 | Bettendorf | 2104 | 2090 | ▲225 |
| 35 | Sydney Bochmann | 20:12.2 | 12 | Waverly-Shell Rock | 1962 | 2026 | ▼-110 |
| 36 | Maddie Gallagher | 20:15.5 | 12 | Cedar Falls | 1953 | 2072 | ▼-143 |
| 37 | Lise Hoyer | 20:20.7 | 9 | Dubuque, Senior | 2150 | 2151 | ▲192 |
| 38 | Sloane Moeller | 20:22.5 | 9 | Davenport, Central | 2036 | 2025 | ▲54 |
| 39 | Kaitlyn Miller | 20:24.7 | 12 | Dubuque, Senior | 1916 | 1895 | ▲22 |
| 40 | Natalie Leitzen | 20:35.7 | 9 | Dubuque, Hempstead | 2005 | 1998 | ▲71 |
| 41 | Josephine LeClair | 20:40.7 | 11 | Iowa City, City High | 1634 | 1626 | ▼-209 |
| 42 | Bella Meyers | 20:41.5 | 11 | Epworth, Western Dubuque | 1626 | 1654 | ▼-140 |
| 43 | Evelyn Barfels | 20:43.4 | 12 | Davenport, Central | 1887 | 1840 | ▲52 |
| 44 | Lucy Sherburne | 20:46.0 | 9 | Iowa City, City High | 1849 | 1874 | ▼-19 |
| 45 | Ella Romero | 20:47.5 | 9 | Iowa City, City High | 1962 | 1923 | ▲88 |
| 46 | Aubrey Schlichte | 20:48.0 | 11 | Dubuque, Hempstead | 1863 | 1823 | ▲34 |
| 47 | Lauren Gehl | 20:49.4 | 12 | Dubuque, Hempstead | 1857 | 1811 | ▲48 |
| 48 | Madeline Fischer | 20:52.5 | 9 | Iowa City, City High | 2058 | 2040 | ▲207 |
| 49 | Adalyn Appleby | 20:53.5 | 11 | Central DeWitt | 1848 | 1853 | ▼-7 |
| 50 | Cece Jerome | 20:56.0 | 12 | Waverly-Shell Rock | 1845 | 1876 | ▼-29 |
| 51 | Kaitlyn Thole | 21:12.9 | 11 | Epworth, Western Dubuque | 1819 | 1800 | ▼-83 |
| 52 | June Cousin | 21:13.7 | 9 | Cedar Falls | 1810 | 1787 | ▲24 |
| 53 | Kennadi Thiessen | 21:14.0 | 11 | North Scott, Eldridge | 1768 | 1815 | ▲155 |
| 54 | Jailyn Kent | 21:16.9 | 11 | Waverly-Shell Rock | 1749 | 1797 | ▼-25 |
| 55 | Maya Bormann | 21:18.5 | 9 | Wahlert, Dubuque | 1992 | 1981 | ▲181 |
| 56 | Mackenzie Schaefer | 21:20.2 | 11 | Bettendorf | 1884 | 1885 | ▲128 |
| 57 | Kasey McIlrath | 21:21.2 | 11 | Epworth, Western Dubuque | 1905 | 1906 | ▲153 |
| 58 | Ramey Dahlquist | 21:26.2 | 12 | Waverly-Shell Rock | 1781 | 1768 | ▲40 |
| 59 | Destiny Borland | 21:28.2 | 10 | Bettendorf | 1815 | 1841 | ▲58 |
| 60 | Ashley Bernardy | 21:32.7 | 11 | Cedar Falls | 1705 | 1747 | ▲55 |
| 61 | Kate Nelson | 21:33.5 | 9 | Waverly-Shell Rock | 1755 | 1792 | ▼-3 |
| 62 | Ella Ripslinger | 21:36.0 | 9 | Bettendorf | 1932 | 1924 | ▲153 |
| 63 | Jenna Rohne | 21:43.2 | 10 | Waverly-Shell Rock | 1587 | 1615 | ▼-169 |
| 64 | Jenny Claussen | 21:46.7 | 11 | Central DeWitt | 1940 | 1854 | ▲189 |
| 65 | Kennah Block | 21:49.0 | 11 | Bettendorf | 1768 | 1735 | ▼-12 |
| 66 | Hannah Ford | 21:55.2 | 12 | Davenport, Central | 1706 | 1782 | ▼-62 |
| 67 | Lilah Rasche | 21:56.5 | 9 | Bettendorf | 1356 | 1388 | ▼-204 |
| 68 | Lilly Graham | 21:58.9 | 11 | Wahlert, Dubuque | 1836 | 1762 | ▲135 |
| 69 | Campbell Keibler | 22:00.5 | 9 | Bettendorf | 1927 | 1913 | ▲256 |
| 70 | Ruby Schillinger | 22:03.0 | 11 | Cedar Falls | 2026 | 2054 | ▲366 |
| 71 | Bella Engelhardt | 22:03.0 | 9 | Waverly-Shell Rock | 1720 | 1723 | ▼-36 |
| 72 | Ava Duncan | 22:03.2 | 12 | North Scott, Eldridge | 1675 | 1692 | ▼-27 |
| 73 | Cameron Shumpert | 22:05.5 | 10 | Davenport, Central | 1841 | 1853 | ▲79 |
| 74 | Olivia Bellini | 22:07.5 | 10 | Wahlert, Dubuque | 1665 | 1669 | ▼-5 |
| 75 | Ella Rohner | 22:11.2 | 9 | Wahlert, Dubuque | 1912 | 1866 | ▲181 |
| 76 | Katie McKenna | 22:14.7 | 11 | Epworth, Western Dubuque | 1831 | 1833 | ▲225 |
| 77 | Olivia Bartelt | 22:16.7 | 11 | Cedar Falls | 1622 | 1606 | ▼-45 |
| 78 | Emersyn Fonley | 22:20.5 | 9 | Cedar Falls | 2155 | 2108 | ▲242 |
| 79 | Khloe Hamilton | 22:20.9 | 9 | North Scott, Eldridge | 1895 | 1872 | ▲350 |
| 80 | Bella Herrig | 22:36.4 | 11 | Epworth, Western Dubuque | 1628 | 1620 | ▲12 |
| 81 | Kaelin Carlson-Gross | 22:44.0 | 11 | North Scott, Eldridge | 1726 | 1736 | ▲126 |
| 82 | Natalie Nwatchock | 22:54.7 | 10 | North Scott, Eldridge | 1588 | 1562 | ▼-11 |
| 83 | Jessica Deaver | 22:58.7 | 10 | Marquette Catholic, Bellevue | 1417 | 1459 | ▼-181 |
| 84 | Ada Kaplan | 23:03.0 | 10 | Davenport, Central | 1501 | 1545 | ▼-18 |
| 85 | Katherine Brunsman | 23:10.7 | 11 | Epworth, Western Dubuque | 1482 | 1520 | ▼-57 |
| 86 | Ella SPRANK | 23:21.2 | 9 | Epworth, Western Dubuque | 1711 | 1719 | ▲149 |
| 87 | Carson Koerperich | 23:23.0 | 12 | Epworth, Western Dubuque | 1531 | 1519 | ▲12 |
| 88 | Ella Riniker | 23:25.0 | 12 | North Scott, Eldridge | 1529 | 1551 | ▼-22 |
| 89 | Kalyn Skrivseth | 23:28.7 | 11 | Marquette Catholic, Bellevue | 1602 | 1586 | ▲52 |
| 90 | Paige Koetz | 23:34.5 | 11 | Epworth, Western Dubuque | 1606 | 1622 | ▼-5 |
| 91 | Taylor Sikora | 23:36.5 | 9 | Waverly-Shell Rock | 1050 | 1285 | ▼-239 |