| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Iris Dahl | 19:32.5 | 11 | Washington | 1764 | 1760 | ▲4 |
| 2 | Avery Rump | 19:55.5 | 11 | Fort Madison | 1710 | 1725 | ▼-17 |
| 3 | Mara Smith | 20:17.7 | 11 | Fort Madison | 1655 | 1664 | ▼-14 |
| 4 | Addison Rump | 20:20.2 | 11 | Fort Madison | 1647 | 1647 | ▼-1 |
| 5 | Jordyn Marshall | 20:21.5 | 9 | Fort Madison | 1640 | 1656 | ▼-18 |
| 6 | Quintrie Lee | 20:30.2 | 9 | Mount Pleasant | 1630 | 1621 | ▲7 |
| 7 | McKayla Schinstock | 20:30.4 | 11 | Fort Madison | 1624 | 1628 | ▼-6 |
| 8 | Lauren Horak | 20:34.7 | 12 | Washington | 1601 | 1596 | ▲4 |
| 9 | Alyvia Anderson | 20:38.2 | 12 | Washington | 1592 | 1565 | ▲18 |
| 10 | Kendall Hinrichsen | 20:42.5 | 12 | Washington | 1580 | 1587 | ▼-5 |
| 11 | Hannah Karre | 21:03.0 | 12 | Keokuk | 1533 | 1593 | ▼-43 |
| 12 | Ellie Hellman | 21:06.2 | 9 | Fort Madison | 1512 | 1603 | ▼-79 |
| 13 | Baylee Billings | 21:20.2 | 10 | Keokuk | 1470 | 1480 | ▼-13 |
| 14 | Quincy Griffis | 21:30.2 | 12 | Washington | 1464 | 1547 | ▼-46 |
| 15 | Emma Horak | 21:46.5 | 10 | Washington | 1450 | 1447 | ▲3 |
| 16 | Angeline Anderson | 21:49.7 | 11 | Washington | 1444 | 1480 | ▼-23 |
| 17 | Allison Ames | 22:02.0 | 12 | Keokuk | 1435 | 1478 | ▼-31 |
| 18 | Alex Jo Steward | 22:17.0 | 9 | Fairfield | 1425 | 1453 | ▼-34 |
| 19 | Isabella Lujan | 22:23.7 | 12 | Washington | 1415 | 1440 | ▼-19 |
| 20 | Caroline Van Pelt | 22:44.0 | 11 | Fairfield | 1384 | 1413 | ▼-40 |
| 21 | Violet Shead | 23:00.5 | 11 | Keokuk | 1372 | 1394 | ▼-17 |
| 22 | Bella Dodds | 23:18.5 | 9 | Mount Pleasant | 1359 | 1359 | ▼-1 |
| 23 | Ellie Huebner | 23:20.0 | 11 | Fort Madison | 1347 | 1340 | ▲7 |
| 24 | Kali Ames | 23:34.2 | 10 | Keokuk | 1324 | 1307 | ▲14 |
| 25 | Isobel Murphy | 23:41.5 | 11 | Washington | 1315 | 1316 | ▼-1 |
| 26 | Nelle Peterson | 23:43.7 | 11 | Mount Pleasant | 1304 | 1308 | ▼-4 |
| 27 | Monroe James | 23:45.5 | 10 | Mount Pleasant | 1292 | 1284 | ▲10 |
| 28 | Naomi Stiemsma | 24:08.2 | 9 | Fairfield | 1270 | 1249 | ▲23 |
| 29 | Ellie Van Der Molen | 24:18.5 | 10 | Washington | 1262 | 1263 | ▼-2 |
| 30 | Maya Bruty | 24:19.0 | 11 | Washington | 1251 | 1261 | ▼-7 |
| 31 | Kelly Takorbisong | 24:32.9 | 12 | Keokuk | 1238 | 1231 | ▲6 |
| 32 | Bailey Belzer | 24:37.5 | 11 | Fairfield | 1224 | 1197 | ▲28 |
| 33 | Darby Tackes | 24:44.9 | 11 | Keokuk | 1209 | 1253 | ▼-68 |
| 34 | Kensley Fligg | 24:50.5 | 9 | Fairfield | 1188 | 1169 | ▲22 |
| 35 | Anna McAvan | 24:51.0 | 9 | Fairfield | 1181 | 1201 | ▼-27 |
| 36 | Jalyiah Gardner | 24:57.7 | 12 | Keokuk | 1166 | 1169 | ▼-3 |
| 37 | Katelyn Kobliska | 25:08.0 | 12 | Burlington | 1156 | 1188 | ▼-30 |
| 38 | Emerson Porter | 25:10.0 | 10 | Fairfield | 1136 | 1129 | ▲8 |
| 39 | Alexis Shuman | 26:04.5 | 10 | Keokuk | 1124 | 1134 | ▼-8 |
| 40 | Kimberly Sistern | 26:10.7 | 11 | Keokuk | 1099 | 1193 | ▼-84 |
| 41 | Keira Campbell | 26:28.0 | 12 | Keokuk | 1079 | 1097 | ▼-19 |
| 42 | Emily Newberry | 26:32.0 | 12 | Keokuk | 1050 | 1015 | ▲26 |
| 43 | Jaida Matlick | 26:32.0 | 10 | Keokuk | 1037 | 1040 | ▼-2 |
| 44 | Linzy Striegel | 26:33.9 | 10 | Mount Pleasant | 1018 | 1024 | ▼-6 |
| 45 | Christine Condren | 26:58.2 | 11 | Keokuk | 988 | 935 | ▲46 |
| 46 | Maisy Yeoman | 27:20.7 | 9 | Burlington | 985 | 1055 | ▼-63 |
| 47 | Charlee Read | 27:21.9 | 9 | Washington | 957 | 960 | ▼-8 |
| 48 | Kenzie Thomas | 27:38.7 | 9 | Washington | 933 | 925 | ▲7 |
| 49 | Summer Winget | 28:32.0 | 9 | Mount Pleasant | 910 | 893 | ▲21 |
| 50 | Reagan Haage | 28:38.9 | 12 | Keokuk | 897 | 921 | ▼-19 |
| 51 | Peyton Freeman | 28:48.7 | 9 | Fairfield | 860 | 829 | ▲37 |
| 52 | Eden Levetzow | 29:04.2 | 12 | Washington | 853 | 914 | ▼-38 |
| 53 | Meadow Carter | 29:11.4 | 11 | Mount Pleasant | 814 | 848 | ▼-37 |
| 54 | Lydia Cass | 29:29.2 | 10 | Fairfield | 761 | 786 | ▼-57 |