| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Iris Dahl | 19:32.5 | 11 | Washington | 2263 | 2258 | ▲5 |
| 2 | Avery Rump | 19:55.5 | 11 | Fort Madison | 2177 | 2173 | ▲5 |
| 3 | Mara Smith | 20:17.7 | 11 | Fort Madison | 2108 | 2077 | ▲58 |
| 4 | Addison Rump | 20:20.2 | 11 | Fort Madison | 2071 | 2033 | ▲38 |
| 5 | Jordyn Marshall | 20:21.5 | 9 | Fort Madison | 2052 | 2054 | ▼-2 |
| 6 | Quintrie Lee | 20:30.2 | 9 | Mount Pleasant | 2021 | 1998 | ▲20 |
| 7 | McKayla Schinstock | 20:30.4 | 11 | Fort Madison | 2001 | 1988 | ▲17 |
| 8 | Lauren Horak | 20:34.7 | 12 | Washington | 1980 | 1960 | ▲17 |
| 9 | Alyvia Anderson | 20:38.2 | 12 | Washington | 1957 | 1910 | ▲30 |
| 10 | Kendall Hinrichsen | 20:42.5 | 12 | Washington | 1944 | 1944 | 0 |
| 11 | Hannah Karre | 21:03.0 | 12 | Keokuk | 1930 | 1966 | ▼-37 |
| 12 | Ellie Hellman | 21:06.2 | 9 | Fort Madison | 1911 | 1989 | ▼-83 |
| 13 | Baylee Billings | 21:20.2 | 10 | Keokuk | 1869 | 1841 | ▲34 |
| 14 | Quincy Griffis | 21:30.2 | 12 | Washington | 1861 | 1908 | ▼-43 |
| 15 | Emma Horak | 21:46.5 | 10 | Washington | 1816 | 1770 | ▲33 |
| 16 | Angeline Anderson | 21:49.7 | 11 | Washington | 1803 | 1815 | ▼-8 |
| 17 | Allison Ames | 22:02.0 | 12 | Keokuk | 1782 | 1802 | ▼-18 |
| 18 | Alex Jo Steward | 22:17.0 | 9 | Fairfield | 1755 | 1760 | ▼-8 |
| 19 | Isabella Lujan | 22:23.7 | 12 | Washington | 1732 | 1746 | ▼-11 |
| 20 | Caroline Van Pelt | 22:44.0 | 11 | Fairfield | 1705 | 1712 | ▼-12 |
| 21 | Violet Shead | 23:00.5 | 11 | Keokuk | 1677 | 1686 | ▼-9 |
| 22 | Bella Dodds | 23:18.5 | 9 | Mount Pleasant | 1640 | 1627 | ▲13 |
| 23 | Ellie Huebner | 23:20.0 | 11 | Fort Madison | 1614 | 1597 | ▲19 |
| 24 | Kali Ames | 23:34.2 | 10 | Keokuk | 1590 | 1560 | ▲23 |
| 25 | Isobel Murphy | 23:41.5 | 11 | Washington | 1574 | 1571 | ▲3 |
| 26 | Nelle Peterson | 23:43.7 | 11 | Mount Pleasant | 1557 | 1558 | ▼-1 |
| 27 | Monroe James | 23:45.5 | 10 | Mount Pleasant | 1537 | 1523 | ▲17 |
| 28 | Naomi Stiemsma | 24:08.2 | 9 | Fairfield | 1519 | 1480 | ▲45 |
| 29 | Ellie Van Der Molen | 24:18.5 | 10 | Washington | 1507 | 1500 | ▲6 |
| 30 | Maya Bruty | 24:19.0 | 11 | Washington | 1493 | 1497 | ▼-2 |
| 31 | Kelly Takorbisong | 24:32.9 | 12 | Keokuk | 1474 | 1462 | ▲9 |
| 32 | Bailey Belzer | 24:37.5 | 11 | Fairfield | 1454 | 1411 | ▲45 |
| 33 | Darby Tackes | 24:44.9 | 11 | Keokuk | 1451 | 1494 | ▼-71 |
| 34 | Kensley Fligg | 24:50.5 | 9 | Fairfield | 1420 | 1381 | ▲48 |
| 35 | Anna McAvan | 24:51.0 | 9 | Fairfield | 1412 | 1423 | ▼-17 |
| 36 | Jalyiah Gardner | 24:57.7 | 12 | Keokuk | 1391 | 1387 | ▲2 |
| 37 | Katelyn Kobliska | 25:08.0 | 12 | Burlington | 1378 | 1412 | ▼-33 |
| 38 | Emerson Porter | 25:10.0 | 10 | Fairfield | 1349 | 1326 | ▲24 |
| 39 | Alexis Shuman | 26:04.5 | 10 | Keokuk | 1334 | 1339 | ▼-3 |
| 40 | Kimberly Sistern | 26:10.7 | 11 | Keokuk | 1323 | 1414 | ▼-90 |
| 41 | Keira Campbell | 26:28.0 | 12 | Keokuk | 1294 | 1304 | ▼-10 |
| 42 | Emily Newberry | 26:32.0 | 12 | Keokuk | 1257 | 1208 | ▲34 |
| 43 | Jaida Matlick | 26:32.0 | 10 | Keokuk | 1241 | 1240 | ▲1 |
| 44 | Linzy Striegel | 26:33.9 | 10 | Mount Pleasant | 1215 | 1219 | ▼-3 |
| 45 | Christine Condren | 26:58.2 | 11 | Keokuk | 1175 | 1112 | ▲54 |
| 46 | Maisy Yeoman | 27:20.7 | 9 | Burlington | 1173 | 1259 | ▼-63 |
| 47 | Charlee Read | 27:21.9 | 9 | Washington | 1139 | 1142 | ▼-11 |
| 48 | Kenzie Thomas | 27:38.7 | 9 | Washington | 1110 | 1098 | ▲10 |
| 49 | Summer Winget | 28:32.0 | 9 | Mount Pleasant | 1083 | 1064 | ▲24 |
| 50 | Reagan Haage | 28:38.9 | 12 | Keokuk | 1071 | 1098 | ▼-21 |
| 51 | Peyton Freeman | 28:48.7 | 9 | Fairfield | 1027 | 988 | ▲52 |
| 52 | Eden Levetzow | 29:04.2 | 12 | Washington | 1021 | 1085 | ▼-40 |
| 53 | Meadow Carter | 29:11.4 | 11 | Mount Pleasant | 978 | 1016 | ▼-42 |
| 54 | Lydia Cass | 29:29.2 | 10 | Fairfield | 916 | 939 | ▼-57 |