| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Danielle Hostetler | 19:40.2 | 12 | Mid-Prairie, Wellman | 1836 | 1830 | ▲330 |
| 2 | Keelee Leitzen | 19:56.5 | 12 | Dubuque, Hempstead | 1811 | 1806 | ▲306 |
| 3 | Julia Gehl | 20:38.7 | 12 | Dubuque, Hempstead | 1723 | 1719 | ▲219 |
| 4 | Evie Henneberry | 20:43.9 | 11 | Dubuque, Hempstead | 1719 | 1716 | ▲216 |
| 5 | Emily See | 20:49.4 | 12 | Bettendorf | 1709 | 1705 | ▲205 |
| 6 | Kate Van Waning | 20:56.4 | 10 | Iowa City, West | 1698 | 1695 | ▲195 |
| 7 | Cori Mac | 21:10.7 | 12 | Iowa City, Liberty | 1688 | 1685 | ▲185 |
| 8 | Mylee Lange | 21:38.5 | 11 | Dubuque, Hempstead | 1643 | 1640 | ▲140 |
| 9 | Maggie Henneberry | 21:40.4 | 9 | Dubuque, Hempstead | 1637 | 1634 | ▲134 |
| 10 | Carleigh Maher | 22:04.2 | 10 | Iowa City, Liberty | 1610 | 1608 | ▲108 |
| 11 | Mimi Marquardt | 22:09.7 | 11 | Iowa City, Liberty | 1598 | 1596 | ▲96 |
| 12 | Clara Welch | 22:10.0 | 11 | Iowa City, Liberty | 1595 | 1594 | ▲94 |
| 13 | Natalie Leitzen | 22:11.0 | 9 | Dubuque, Hempstead | 1592 | 1591 | ▲91 |
| 14 | Bridget Canton | 22:17.2 | 12 | Iowa City, Liberty | 1587 | 1585 | ▲85 |
| 15 | Cindy Wang | 22:17.9 | 12 | Iowa City, West | 1584 | 1582 | ▲82 |
| 16 | Annika Poll | 22:25.5 | 12 | Mid-Prairie, Wellman | 1581 | 1580 | ▲80 |
| 17 | Annabelle Everding | 22:28.5 | 11 | Bettendorf | 1575 | 1574 | ▲74 |
| 18 | Brooklyn Stutzman | 22:32.7 | 9 | Mid-Prairie, Wellman | 1570 | 1569 | ▲69 |
| 19 | Greta Sieren | 22:35.9 | 12 | Mid-Prairie, Wellman | 1567 | 1566 | ▲66 |
| 20 | Abby Fleming | 22:37.2 | 12 | Mid-Prairie, Wellman | 1561 | 1560 | ▲60 |
| 21 | Susanna Olson | 22:46.2 | 9 | Iowa City, West | 1548 | 1547 | ▲47 |
| 22 | Kalli Titus | 22:51.5 | 11 | Iowa City, West | 1539 | 1539 | ▲39 |
| 23 | Phoebe Shetler | 23:06.9 | 12 | Mid-Prairie, Wellman | 1518 | 1517 | ▲17 |
| 24 | Erinn Varga | 23:15.0 | 12 | Iowa City, West | 1507 | 1507 | ▲7 |
| 25 | Destiny Borland | 23:15.5 | 10 | Bettendorf | 1504 | 1504 | ▲4 |
| 26 | Stella Hunter | 23:26.5 | 11 | Iowa City, West | 1480 | 1480 | ▼-20 |
| 27 | Mackenzie Schaefer | 23:44.7 | 11 | Bettendorf | 1466 | 1467 | ▼-33 |
| 28 | Calista Rasmer | 23:46.2 | 11 | Bettendorf | 1463 | 1464 | ▼-36 |
| 29 | Gabby Moniza | 23:57.5 | 12 | Iowa City, West | 1455 | 1456 | ▼-44 |
| 30 | Emerson Adams | 23:59.2 | 10 | Iowa City, Liberty | 1452 | 1453 | ▼-47 |
| 31 | Rebekah Wallington | 24:03.2 | 10 | Mid-Prairie, Wellman | 1441 | 1442 | ▼-58 |
| 32 | Ellie Hermiston | 24:10.5 | 12 | Dubuque, Hempstead | 1427 | 1429 | ▼-71 |
| 33 | Kali Miller | 24:15.2 | 12 | Mid-Prairie, Wellman | 1416 | 1418 | ▼-82 |
| 34 | Dessa Poll | 24:16.0 | 11 | Mid-Prairie, Wellman | 1410 | 1412 | ▼-88 |
| 35 | Madelyn Johnson | 24:17.2 | 11 | Iowa City, Liberty | 1408 | 1409 | ▼-91 |
| 36 | Aubrey Meyer | 24:22.0 | 11 | Iowa City, Liberty | 1405 | 1406 | ▼-94 |
| 37 | Peyten Eide | 24:56.9 | 10 | Iowa City, Liberty | 1363 | 1366 | ▼-134 |
| 38 | Rowan Appel | 29:55.5 | 11 | Bettendorf | 1092 | 1099 | ▼-401 |
| 39 | Kennah Block | 29:58.4 | 11 | Bettendorf | 1085 | 1092 | ▼-408 |