| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Meghan Wheatley | 18:55.7 | 12 | North-Linn, Troy Mills | 1948 | 1947 | 0 |
| 2 | Avery Rump | 19:47.5 | 10 | Fort Madison | 1830 | 1817 | ▲16 |
| 3 | Hallie Kelchen | 20:06.5 | 10 | Cascade, Western Dubuque | 1783 | 1752 | ▲36 |
| 4 | Taryn Burbridge | 20:45.2 | 10 | Maquoketa Valley, Delhi | 1714 | 1687 | ▲33 |
| 5 | Alivia Edens | 20:46.9 | 12 | Tipton | 1708 | 1686 | ▲20 |
| 6 | Paetyn Wiegand | 20:47.2 | 12 | Fort Madison | 1704 | 1692 | ▲9 |
| 7 | Marisa Kehoe | 20:59.7 | 12 | Monticello | 1692 | 1658 | ▲34 |
| 8 | Ava Remley | 21:06.4 | 10 | Anamosa | 1688 | 1668 | ▼-86 |
| 9 | Anna Quillin | 21:26.5 | 12 | Solon | 1665 | 1644 | ▲17 |
| 10 | Ava Rolwes | 21:32.2 | 9 | Solon | 1653 | 1625 | ▲26 |
| 11 | Jada Hoffman | 21:33.9 | 11 | Assumption, Davenport | 1650 | 1615 | ▲25 |
| 12 | Laura Owen | 21:39.0 | 11 | Tipton | 1638 | 1654 | ▼-11 |
| 13 | Ava Capron | 21:39.9 | 11 | Monticello | 1633 | 1604 | ▲26 |
| 14 | Leah Koehler | 21:40.7 | 11 | Monticello | 1631 | 1643 | ▼-11 |
| 15 | Sydney Dee | 21:44.5 | 11 | Solon | 1628 | 1638 | ▼-8 |
| 16 | Peyton Ries | 21:49.2 | 9 | Monticello | 1611 | 1597 | ▲15 |
| 17 | Amelia Moore | 21:53.0 | 10 | Assumption, Davenport | 1599 | 1588 | ▲8 |
| 18 | Falyn Svalstad | 21:54.0 | 9 | Solon | 1593 | 1587 | ▲5 |
| 19 | Gracie Federspiel | 21:55.7 | 12 | Solon | 1589 | 1584 | ▲3 |
| 20 | Addison Rump | 22:09.7 | 10 | Fort Madison | 1578 | 1609 | ▼-20 |
| 21 | Karli Hines | 22:27.9 | 11 | Tipton | 1546 | 1532 | ▲11 |
| 22 | Bryn Collum | 22:34.0 | 11 | North-Linn, Troy Mills | 1540 | 1553 | ▼-10 |
| 23 | Mackenzie Bridgewater | 22:43.9 | 11 | North-Linn, Troy Mills | 1524 | 1496 | ▲35 |
| 24 | Ella Hein | 22:45.0 | 9 | Tipton | 1523 | 1531 | ▼-6 |
| 25 | Lucy Haughenbury | 22:45.2 | 9 | North-Linn, Troy Mills | 1515 | 1488 | ▲32 |
| 26 | Jillian Janssen | 22:45.2 | 9 | Solon | 1519 | 1500 | ▲16 |
| 27 | Addie Nerem | 22:47.5 | 12 | Tipton | 1513 | 1522 | ▼-5 |
| 28 | Halle Recker | 23:01.2 | 10 | Monticello | 1497 | 1526 | ▼-29 |
| 29 | Kaitlin Kunde | 23:01.5 | 11 | Monticello | 1493 | 1458 | ▲33 |
| 30 | McKayla Schinstock | 23:08.7 | 10 | Fort Madison | 1488 | 1499 | ▼-11 |
| 31 | Chloe Klabo | 23:10.9 | 12 | Tipton | 1485 | 1494 | ▼-6 |
| 32 | Olivia Kahler | 23:12.5 | 10 | Assumption, Davenport | 1481 | 1426 | ▲42 |
| 33 | Emersen Verhagen | 23:31.7 | 9 | Monticello | 1463 | 1463 | ▼-1 |
| 34 | Maddy Martinez | 23:38.7 | 10 | Assumption, Davenport | 1452 | 1455 | ▼-4 |
| 35 | Alexa Fitzgerald | 23:39.0 | 9 | Tipton | 1446 | 1445 | ▲1 |
| 36 | Lilly Supple | 23:43.0 | 10 | Cascade, Western Dubuque | 1438 | 1456 | ▼-21 |
| 37 | Addison Merritt | 23:48.7 | 9 | Springville | 1433 | 1501 | ▼-37 |
| 38 | Ava Hoover | 23:49.5 | 9 | North-Linn, Troy Mills | 1430 | 1458 | ▼-102 |
| 39 | Khloie Martin | 23:50.9 | 9 | Oelwein | 1424 | 1411 | ▲11 |
| 40 | Peyton McMahon | 23:59.2 | 10 | North-Linn, Troy Mills | 1411 | 1449 | ▼-36 |
| 41 | Allison Lamb | 23:59.7 | 11 | Fort Madison | 1408 | 1424 | ▼-13 |
| 42 | Amalie Yeates | 24:06.0 | 11 | Assumption, Davenport | 1395 | 1371 | ▲16 |
| 43 | Ella Sheeley | 24:17.0 | 11 | Solon | 1394 | 1504 | ▼-59 |
| 44 | Sophie Miller | 24:22.0 | 11 | Assumption, Davenport | 1384 | 1419 | ▼-24 |
| 45 | Lauren Oltmanns | 24:22.2 | 9 | Anamosa | 1380 | 1374 | ▼-35 |
| 46 | Alexa Berryman | 24:36.5 | 12 | Oelwein | 1373 | 1394 | ▼-16 |
| 47 | Shelby McDermott | 24:41.5 | 10 | Cascade, Western Dubuque | 1365 | 1326 | ▲40 |
| 48 | Isabel Imler | 24:42.2 | 12 | Maquoketa Valley, Delhi | 1363 | 1355 | ▲8 |
| 49 | Hadley Wolfe | 24:49.0 | 10 | Fort Madison | 1354 | 1381 | ▼-20 |
| 50 | Cheyanna Thompson-Williams | 25:00.0 | 11 | Cedar Rapids, Jefferson | 1340 | 1326 | ▲11 |
| 51 | Jenna Bahe | 25:18.0 | 10 | Oelwein | 1324 | 1342 | ▼-13 |
| 52 | Libby Gearhart | 25:28.2 | 12 | Oelwein | 1315 | 1351 | ▼-27 |
| 53 | Audrey Fort | 25:35.0 | 10 | Anamosa | 1309 | 1293 | ▲17 |
| 54 | Annie Trumm | 25:44.0 | 10 | Cascade, Western Dubuque | 1302 | 1278 | ▲25 |
| 55 | Carly Ries | 25:49.5 | 10 | North-Linn, Troy Mills | 1289 | 1310 | ▼-32 |
| 56 | Lizeth Esqueda | 26:02.2 | 11 | Cedar Rapids, Jefferson | 1276 | 1271 | ▲10 |
| 57 | Thursday Peterson | 26:04.2 | 11 | Cedar Rapids, Jefferson | 1274 | 1300 | ▼-29 |
| 58 | Ellie Huebner | 26:21.9 | 10 | Fort Madison | 1262 | 1317 | ▼-36 |
| 59 | Rachel Rulapaugh | 26:47.7 | 12 | Oelwein | 1231 | 1381 | ▼-64 |
| 60 | Sophia Kevitt | 26:56.9 | 11 | Cedar Rapids, Jefferson | 1224 | 1231 | ▼-6 |
| 61 | McKenna Bush | 27:09.0 | 11 | Maquoketa Valley, Delhi | 1207 | 1201 | ▲7 |
| 62 | Hanna Noonan | 27:23.5 | 9 | Cascade, Western Dubuque | 1195 | 1162 | ▲53 |
| 63 | Brooke Heying | 27:49.2 | 10 | Anamosa | 1173 | 1201 | ▼-42 |
| 64 | Mickala Herrick | 28:29.0 | 12 | Anamosa | 1126 | 1096 | ▲41 |
| 65 | Claire Prouty | 29:09.4 | 11 | Oelwein | 1080 | 1187 | ▼-79 |
| 66 | Noel Morris | 29:29.7 | 11 | Cedar Rapids, Jefferson | 1044 | 998 | ▲31 |
| 67 | Lydia Long | 29:54.7 | 11 | Cedar Rapids, Jefferson | 1031 | 1235 | ▼-47 |
| 68 | Caejyn Helgens | 29:59.2 | 11 | Anamosa | 1010 | 998 | ▼-403 |
| 69 | Kathryne Sundstrom | 30:48.2 | 9 | Anamosa | 949 | 998 | ▼-91 |