| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | SKYLER CARPENTER | 20:24.0 | 10 | Dubuque, Senior | 1595 | 1581 | ▲14 |
| 2 | Mallory Schaefer | 20:37.9 | 9 | Dubuque, Senior | 1567 | 1549 | ▲16 |
| 3 | JOSIE BEARD | 21:32.9 | 10 | Dubuque, Senior | 1479 | 1472 | ▲9 |
| 4 | Grace Meier | 21:49.7 | 9 | Linn-Mar, Marion | 1435 | 1431 | ▲5 |
| 5 | Audrey Holdener | 22:13.0 | 10 | Dubuque, Senior | 1408 | 1427 | ▼-23 |
| 6 | Sophie Tigges | 22:18.2 | 9 | Dubuque, Senior | 1398 | 1410 | ▼-9 |
| 7 | Millie Eikamp | 22:33.2 | 10 | Dubuque, Senior | 1376 | 1455 | ▼-57 |
| 8 | Elayna Backes | 22:48.0 | 9 | Linn-Mar, Marion | 1339 | 1344 | ▼-6 |
| 9 | Olivia Daubs | 22:51.5 | 9 | Linn-Mar, Marion | 1333 | 1282 | ▲41 |
| 10 | Kamille Blott | 22:57.0 | 9 | Linn-Mar, Marion | 1324 | 1326 | ▼-4 |
| 11 | Haylie Wildman | 23:57.4 | 9 | Linn-Mar, Marion | 1245 | 1222 | ▲22 |
| 12 | Maddie Lucas | 24:20.5 | 10 | Epworth, Western Dubuque | 1220 | 1248 | ▼-49 |
| 13 | Chloe Sprague | 24:49.7 | 10 | Dubuque, Senior | 1187 | 1220 | ▼-30 |
| 14 | Sophia Morrison | 25:02.0 | 9 | Dubuque, Senior | 1163 | 1128 | ▲48 |
| 15 | Hannah Pfab | 25:03.2 | 10 | Xavier, Cedar Rapids | 1157 | 1099 | ▲53 |
| 16 | Heather Carpenter | 25:33.2 | 9 | Linn-Mar, Marion | 1121 | 1114 | ▲8 |
| 17 | Ella Digmann | 25:47.0 | 10 | Epworth, Western Dubuque | 1103 | 1089 | ▲26 |
| 18 | Ella Arens | 25:55.2 | 10 | Xavier, Cedar Rapids | 1085 | 1072 | ▲20 |
| 19 | Anna Zimmerman | 26:26.0 | 9 | Epworth, Western Dubuque | 1048 | 1036 | ▲12 |
| 20 | Sophia Kettmann | 26:31.5 | 9 | Xavier, Cedar Rapids | 1035 | 1026 | ▲18 |
| 21 | Olivia Hodgson | 26:59.5 | 10 | Epworth, Western Dubuque | 1013 | 1053 | ▼-33 |
| 22 | Jaclyn Nauman | 27:06.5 | 9 | Epworth, Western Dubuque | 1002 | 984 | ▲26 |
| 23 | Sadie Feit | 27:09.0 | 9 | Cedar Rapids, Kennedy | 994 | 963 | ▲34 |
| 24 | Emma Mochal | 27:16.5 | 9 | Linn-Mar, Marion | 993 | 1071 | ▼-104 |
| 25 | Kaitlyn Vaske | 27:26.9 | 9 | Epworth, Western Dubuque | 966 | 935 | ▲67 |
| 26 | Ruby Neal | 27:39.2 | 10 | Dubuque, Senior | 946 | 934 | ▲14 |
| 27 | Haylie Ayala | 29:24.7 | 10 | Cedar Rapids, Kennedy | 839 | 797 | ▲43 |
| 28 | Soyeon Park | 30:09.7 | 10 | Xavier, Cedar Rapids | 756 | 665 | ▲56 |
| 29 | Madalynn Arnold | 32:28.4 | 10 | Epworth, Western Dubuque | 608 | 795 | ▼-80 |