| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Lili Denton | 18:06.5 | 11 | St. Albert, Council Bluffs | 2583 | 2580 | ▲2 |
| 2 | Lindsey Sonderman | 18:17.9 | 11 | Harlan Community | 2469 | 2461 | ▲8 |
| 3 | Grace Berglund | 18:42.0 | 10 | Glenwood | 2406 | 2411 | ▼-4 |
| 4 | Delayna Reese | 19:40.8 | 10 | Lewis Central | 2318 | 2282 | ▲38 |
| 5 | Ashlyn Rau | 19:52.4 | 9 | Harlan Community | 2284 | 2268 | ▲14 |
| 6 | Ava Bussey | 20:04.9 | 12 | Lewis Central | 2258 | 2262 | ▼-5 |
| 7 | Breckyn Petersen | 20:05.2 | 12 | Glenwood | 2233 | 2254 | ▼-25 |
| 8 | Lola Mendlik | 20:25.6 | 12 | Denison-Schleswig | 2188 | 2174 | ▲10 |
| 9 | Madelyn Berglund | 20:26.8 | 12 | Glenwood | 2145 | 2102 | ▲76 |
| 10 | Alexa Tremblay | 20:30.3 | 12 | Denison-Schleswig | 2126 | 2127 | ▼-1 |
| 11 | Madelyn Hoss | 20:40.0 | 10 | Lewis Central | 2107 | 2152 | ▼-57 |
| 12 | Cora Smith | 20:44.7 | 9 | Creston | 2063 | 2027 | ▲32 |
| 13 | Brylee Schechinger | 20:45.2 | 12 | Harlan Community | 2045 | 2032 | ▲18 |
| 14 | Megan Hughes | 21:04.0 | 10 | Glenwood | 2031 | 2044 | ▼-13 |
| 15 | Katrina Williams | 21:09.1 | 11 | Atlantic | 2014 | 2035 | ▼-20 |