| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Meghan Wheatley | 18:55.7 | 12 | North-Linn, Troy Mills | 2559 | 2559 | 0 |
| 2 | Avery Rump | 19:47.5 | 10 | Fort Madison | 2262 | 2247 | ▲12 |
| 3 | Hallie Kelchen | 20:06.5 | 10 | Cascade, Western Dubuque | 2205 | 2206 | ▼-2 |
| 4 | Taryn Burbridge | 20:45.2 | 10 | Maquoketa Valley, Delhi | 2143 | 2120 | ▲58 |
| 5 | Alivia Edens | 20:46.9 | 12 | Tipton | 2114 | 2100 | ▲21 |
| 6 | Paetyn Wiegand | 20:47.2 | 12 | Fort Madison | 2087 | 2061 | ▲21 |
| 7 | Marisa Kehoe | 20:59.7 | 12 | Monticello | 2065 | 2035 | ▲33 |
| 8 | Ava Remley | 21:06.4 | 10 | Anamosa | 2054 | 2060 | ▼-168 |
| 9 | Anna Quillin | 21:26.5 | 12 | Solon | 2029 | 1997 | ▲24 |
| 10 | Ava Rolwes | 21:32.2 | 9 | Solon | 2010 | 1965 | ▲37 |
| 11 | Jada Hoffman | 21:33.9 | 11 | Assumption, Davenport | 1993 | 1946 | ▲31 |
| 12 | Laura Owen | 21:39.0 | 11 | Tipton | 1988 | 2039 | ▼-134 |
| 13 | Ava Capron | 21:39.9 | 11 | Monticello | 1962 | 1930 | ▲33 |
| 14 | Leah Koehler | 21:40.7 | 11 | Monticello | 1959 | 2029 | ▼-61 |
| 15 | Sydney Dee | 21:44.5 | 11 | Solon | 1944 | 1985 | ▼-245 |
| 16 | Peyton Ries | 21:49.2 | 9 | Monticello | 1925 | 1916 | ▲12 |
| 17 | Amelia Moore | 21:53.0 | 10 | Assumption, Davenport | 1915 | 1913 | ▲2 |
| 18 | Falyn Svalstad | 21:54.0 | 9 | Solon | 1903 | 1901 | ▼-96 |
| 19 | Gracie Federspiel | 21:55.7 | 12 | Solon | 1892 | 1895 | ▼-2 |
| 20 | Addison Rump | 22:09.7 | 10 | Fort Madison | 1883 | 1904 | ▼-13 |
| 21 | Karli Hines | 22:27.9 | 11 | Tipton | 1855 | 1824 | ▲20 |
| 22 | Bryn Collum | 22:34.0 | 11 | North-Linn, Troy Mills | 1848 | 1854 | ▼-4 |
| 23 | Mackenzie Bridgewater | 22:43.9 | 11 | North-Linn, Troy Mills | 1831 | 1774 | ▲66 |
| 24 | Ella Hein | 22:45.0 | 9 | Tipton | 1826 | 1830 | ▼-101 |
| 25 | Lucy Haughenbury | 22:45.2 | 9 | North-Linn, Troy Mills | 1799 | 1751 | ▲55 |
| 26 | Jillian Janssen | 22:45.2 | 9 | Solon | 1811 | 1780 | ▲168 |
| 27 | Addie Nerem | 22:47.5 | 12 | Tipton | 1794 | 1804 | ▼-9 |
| 28 | Halle Recker | 23:01.2 | 10 | Monticello | 1785 | 1820 | ▼-36 |
| 29 | Kaitlin Kunde | 23:01.5 | 11 | Monticello | 1768 | 1708 | ▲54 |
| 30 | McKayla Schinstock | 23:08.7 | 10 | Fort Madison | 1761 | 1754 | ▲7 |
| 31 | Chloe Klabo | 23:10.9 | 12 | Tipton | 1753 | 1764 | ▼-8 |
| 32 | Olivia Kahler | 23:12.5 | 10 | Assumption, Davenport | 1738 | 1655 | ▲56 |
| 33 | Emersen Verhagen | 23:31.7 | 9 | Monticello | 1723 | 1714 | ▲13 |
| 34 | Maddy Martinez | 23:38.7 | 10 | Assumption, Davenport | 1714 | 1702 | ▲10 |
| 35 | Alexa Fitzgerald | 23:39.0 | 9 | Tipton | 1706 | 1694 | ▼-116 |
| 36 | Lilly Supple | 23:43.0 | 10 | Cascade, Western Dubuque | 1700 | 1717 | ▼-24 |
| 37 | Addison Merritt | 23:48.7 | 9 | Springville | 1694 | 1788 | ▼-48 |
| 38 | Ava Hoover | 23:49.5 | 9 | North-Linn, Troy Mills | 1685 | 1707 | ▼-68 |
| 39 | Khloie Martin | 23:50.9 | 9 | Oelwein | 1673 | 1635 | ▲30 |
| 40 | Peyton McMahon | 23:59.2 | 10 | North-Linn, Troy Mills | 1671 | 1706 | ▲54 |
| 41 | Allison Lamb | 23:59.7 | 11 | Fort Madison | 1660 | 1659 | 0 |
| 42 | Amalie Yeates | 24:06.0 | 11 | Assumption, Davenport | 1642 | 1590 | ▲33 |
| 43 | Ella Sheeley | 24:17.0 | 11 | Solon | 1641 | 1794 | ▼-107 |
| 44 | Sophie Miller | 24:22.0 | 11 | Assumption, Davenport | 1618 | 1653 | ▼-27 |
| 45 | Lauren Oltmanns | 24:22.2 | 9 | Anamosa | 1608 | 1598 | ▼-68 |
| 46 | Alexa Berryman | 24:36.5 | 12 | Oelwein | 1597 | 1611 | ▼-11 |
| 47 | Shelby McDermott | 24:41.5 | 10 | Cascade, Western Dubuque | 1581 | 1529 | ▲53 |
| 48 | Isabel Imler | 24:42.2 | 12 | Maquoketa Valley, Delhi | 1576 | 1562 | ▲14 |
| 49 | Hadley Wolfe | 24:49.0 | 10 | Fort Madison | 1567 | 1590 | ▼-19 |
| 50 | Cheyanna Thompson-Williams | 25:00.0 | 11 | Cedar Rapids, Jefferson | 1550 | 1518 | ▲24 |
| 51 | Jenna Bahe | 25:18.0 | 10 | Oelwein | 1529 | 1535 | ▲42 |
| 52 | Libby Gearhart | 25:28.2 | 12 | Oelwein | 1524 | 1552 | ▼-22 |
| 53 | Audrey Fort | 25:35.0 | 10 | Anamosa | 1515 | 1490 | ▲27 |
| 54 | Annie Trumm | 25:44.0 | 10 | Cascade, Western Dubuque | 1508 | 1471 | ▲41 |
| 55 | Carly Ries | 25:49.5 | 10 | North-Linn, Troy Mills | 1494 | 1514 | ▲173 |
| 56 | Lizeth Esqueda | 26:02.2 | 11 | Cedar Rapids, Jefferson | 1474 | 1465 | ▲20 |
| 57 | Thursday Peterson | 26:04.2 | 11 | Cedar Rapids, Jefferson | 1470 | 1486 | ▲23 |
| 58 | Ellie Huebner | 26:21.9 | 10 | Fort Madison | 1453 | 1507 | ▼-40 |
| 59 | Rachel Rulapaugh | 26:47.7 | 12 | Oelwein | 1422 | 1592 | ▼-71 |
| 60 | Sophia Kevitt | 26:56.9 | 11 | Cedar Rapids, Jefferson | 1412 | 1409 | ▼-7 |
| 61 | McKenna Bush | 27:09.0 | 11 | Maquoketa Valley, Delhi | 1389 | 1376 | ▲15 |
| 62 | Hanna Noonan | 27:23.5 | 9 | Cascade, Western Dubuque | 1371 | 1331 | ▲66 |
| 63 | Brooke Heying | 27:49.2 | 10 | Anamosa | 1358 | 1379 | ▼-30 |
| 64 | Mickala Herrick | 28:29.0 | 12 | Anamosa | 1299 | 1263 | ▲49 |
| 65 | Claire Prouty | 29:09.4 | 11 | Oelwein | 1261 | 1359 | ▼-130 |
| 66 | Noel Morris | 29:29.7 | 11 | Cedar Rapids, Jefferson | 1205 | 1141 | ▲36 |
| 67 | Lydia Long | 29:54.7 | 11 | Cedar Rapids, Jefferson | 1188 | 1408 | ▲107 |
| 68 | Caejyn Helgens | 29:59.2 | 11 | Anamosa | 1156 | 1136 | ▼-522 |
| 69 | Kathryne Sundstrom | 30:48.2 | 9 | Anamosa | 1110 | 1143 | ▼-110 |