| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | SKYLER CARPENTER | 20:24.0 | 10 | Dubuque, Senior | 1989 | 1958 | ▲32 |
| 2 | Mallory Schaefer | 20:37.9 | 9 | Dubuque, Senior | 1929 | 1901 | ▲28 |
| 3 | JOSIE BEARD | 21:32.9 | 10 | Dubuque, Senior | 1811 | 1795 | ▲23 |
| 4 | Grace Meier | 21:49.7 | 9 | Linn-Mar, Marion | 1765 | 1744 | ▲38 |
| 5 | Audrey Holdener | 22:13.0 | 10 | Dubuque, Senior | 1731 | 1744 | ▼-18 |
| 6 | Sophie Tigges | 22:18.2 | 9 | Dubuque, Senior | 1707 | 1714 | ▼-6 |
| 7 | Millie Eikamp | 22:33.2 | 10 | Dubuque, Senior | 1679 | 1788 | ▼-67 |
| 8 | Elayna Backes | 22:48.0 | 9 | Linn-Mar, Marion | 1636 | 1629 | ▲9 |
| 9 | Olivia Daubs | 22:51.5 | 9 | Linn-Mar, Marion | 1625 | 1535 | ▲57 |
| 10 | Kamille Blott | 22:57.0 | 9 | Linn-Mar, Marion | 1606 | 1603 | ▲4 |
| 11 | Haylie Wildman | 23:57.4 | 9 | Linn-Mar, Marion | 1511 | 1466 | ▲41 |
| 12 | Maddie Lucas | 24:20.5 | 10 | Epworth, Western Dubuque | 1474 | 1496 | ▼-41 |
| 13 | Chloe Sprague | 24:49.7 | 10 | Dubuque, Senior | 1427 | 1462 | ▼-33 |
| 14 | Sophia Morrison | 25:02.0 | 9 | Dubuque, Senior | 1396 | 1353 | ▲70 |
| 15 | Hannah Pfab | 25:03.2 | 10 | Xavier, Cedar Rapids | 1387 | 1313 | ▲69 |
| 16 | Heather Carpenter | 25:33.2 | 9 | Linn-Mar, Marion | 1349 | 1338 | ▲14 |
| 17 | Ella Digmann | 25:47.0 | 10 | Epworth, Western Dubuque | 1330 | 1309 | ▲46 |
| 18 | Ella Arens | 25:55.2 | 10 | Xavier, Cedar Rapids | 1302 | 1285 | ▲29 |
| 19 | Anna Zimmerman | 26:26.0 | 9 | Epworth, Western Dubuque | 1250 | 1235 | ▲14 |
| 20 | Sophia Kettmann | 26:31.5 | 9 | Xavier, Cedar Rapids | 1233 | 1221 | ▲24 |
| 21 | Olivia Hodgson | 26:59.5 | 10 | Epworth, Western Dubuque | 1212 | 1254 | ▼-34 |
| 22 | Jaclyn Nauman | 27:06.5 | 9 | Epworth, Western Dubuque | 1196 | 1171 | ▲39 |
| 23 | Sadie Feit | 27:09.0 | 9 | Cedar Rapids, Kennedy | 1187 | 1148 | ▲44 |
| 24 | Emma Mochal | 27:16.5 | 9 | Linn-Mar, Marion | 1185 | 1265 | ▼-138 |
| 25 | Kaitlyn Vaske | 27:26.9 | 9 | Epworth, Western Dubuque | 1150 | 1122 | ▲63 |
| 26 | Ruby Neal | 27:39.2 | 10 | Dubuque, Senior | 1123 | 1110 | ▲17 |
| 27 | Haylie Ayala | 29:24.7 | 10 | Cedar Rapids, Kennedy | 1008 | 957 | ▲57 |
| 28 | Soyeon Park | 30:09.7 | 10 | Xavier, Cedar Rapids | 902 | 804 | ▲59 |
| 29 | Madalynn Arnold | 32:28.4 | 10 | Epworth, Western Dubuque | 751 | 963 | ▼-77 |