| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Amelia Roe | 19:54.4 | 10 | Decorah | 2279 | 2268 | ▲14 |
| 2 | Hallie Kelchen | 20:09.0 | 10 | Cascade, Western Dubuque | 2249 | 2248 | ▲42 |
| 3 | Lucy Murphy | 20:20.2 | 10 | Wahlert, Dubuque | 2284 | 2256 | ▲32 |
| 4 | Isabelle Hardin | 21:04.2 | 10 | Maquoketa | 2389 | 2385 | ▲400 |
| 5 | Alyssa Brandt | 21:04.7 | 12 | Cedar Rapids, Kennedy | 2063 | 2039 | ▲48 |
| 6 | Maria Dudzik | 21:14.2 | 12 | Beckman Catholic, Dyersville | 2047 | 2053 | ▼-5 |
| 7 | Leah Koehler | 21:23.4 | 11 | Monticello | 2215 | 2230 | ▲201 |
| 8 | Madelyn Reiter | 21:28.7 | 11 | Beckman Catholic, Dyersville | 2068 | 2094 | ▼-26 |
| 9 | Lillian Cogdill | 21:28.7 | 11 | Cedar Rapids, Kennedy | 1977 | 1936 | ▼-78 |
| 10 | Peyton Ries | 21:32.0 | 9 | Monticello | 2117 | 2089 | ▲173 |
| 11 | Brinlee Courtney | 21:32.7 | 9 | Decorah | 1951 | 1958 | ▼-14 |
| 12 | Marisa Kehoe | 21:35.0 | 12 | Monticello | 1942 | 1989 | ▼-46 |
| 13 | Bella Meyers | 21:40.5 | 11 | Epworth, Western Dubuque | 1728 | 1697 | ▲43 |
| 14 | Delany Homan | 21:41.7 | 9 | Camanche | 1961 | 1951 | ▲28 |
| 15 | Ava Capron | 21:43.0 | 11 | Monticello | 1855 | 1835 | ▼-95 |
| 16 | Kasey McIlrath | 21:43.7 | 11 | Epworth, Western Dubuque | 1915 | 1910 | ▲4 |
| 17 | Julia Mertz | 21:47.2 | 12 | Beckman Catholic, Dyersville | 1872 | 1904 | ▼-41 |
| 18 | Olivia Volkmann | 21:48.7 | 9 | Decorah | 2169 | 2170 | ▼-1 |
| 19 | Kaitlyn Thole | 21:57.2 | 11 | Epworth, Western Dubuque | 1793 | 1796 | ▼-4 |
| 20 | Maya Bormann | 22:02.9 | 9 | Wahlert, Dubuque | 1977 | 1979 | ▼-2 |
| 21 | Danielle Losen | 22:08.5 | 12 | Decorah | 1819 | 1740 | ▲62 |
| 22 | Emma Manthe | 22:13.7 | 9 | Cedar Rapids, Kennedy | 1811 | 1782 | ▲34 |
| 23 | Cameron Johnson | 22:25.7 | 12 | Waukon | 1809 | 1857 | ▼-81 |
| 24 | Reegan Benzing | 22:32.7 | 9 | Waukon | 2025 | 1991 | ▲16 |
| 25 | Lilly Graham | 22:36.7 | 11 | Wahlert, Dubuque | 1744 | 1751 | ▼-11 |
| 26 | Deborah Hougen | 22:38.0 | 10 | Decorah | 1840 | 1850 | ▼-10 |
| 27 | Mia Kurth | 22:38.7 | 12 | Waukon | 1774 | 1792 | ▼-22 |
| 28 | Amelia Wadsworth | 22:41.7 | 11 | Decorah | 1767 | 1792 | ▼-56 |
| 29 | Adalyn Appleby | 22:43.2 | 11 | Central DeWitt | 1761 | 1821 | ▼-30 |
| 30 | Emersen Verhagen | 22:53.5 | 9 | Monticello | 1701 | 1774 | ▲60 |
| 31 | Olivia Bellini | 22:55.0 | 10 | Wahlert, Dubuque | 1742 | 1705 | ▲36 |
| 32 | Lily Sandhorst | 22:56.0 | 11 | Decorah | 1737 | 1735 | ▲3 |
| 33 | Jenny Claussen | 22:59.7 | 11 | Central DeWitt | 1884 | 1875 | ▲8 |
| 34 | Grace Brynsaas | 23:01.9 | 12 | Decorah | 1726 | 1740 | ▼-30 |
| 35 | Lilly Supple | 23:07.2 | 10 | Cascade, Western Dubuque | 1640 | 1648 | ▼-69 |
| 36 | Ramsay Geater | 23:11.0 | 10 | Cedar Rapids, Kennedy | 1706 | 1695 | ▲13 |
| 37 | Ella Rohner | 23:16.0 | 9 | Wahlert, Dubuque | 2002 | 1932 | ▲66 |
| 38 | Erin Arnold | 23:22.0 | 10 | Cedar Rapids, Kennedy | 1688 | 1648 | ▼-143 |
| 39 | Katie McKenna | 23:22.0 | 11 | Epworth, Western Dubuque | 1832 | 1832 | ▼-1 |
| 40 | Ana Simon | 23:23.2 | 10 | Decorah | 1681 | 1729 | ▼-49 |
| 41 | Willa Berning | 23:31.0 | 9 | Wahlert, Dubuque | 1989 | 1971 | ▲21 |
| 42 | Jaelyn Johanningmeier | 23:32.0 | 9 | Waukon | 1750 | 1742 | ▲19 |
| 43 | Gretchyn Fairlie | 23:33.7 | 11 | Camanche | 1825 | 1841 | ▲106 |
| 44 | Brynn Storhoff | 23:41.2 | 12 | Decorah | 1640 | 1695 | ▼-88 |
| 45 | Eva Ford | 23:41.5 | 12 | Cedar Rapids, Kennedy | 1632 | 1596 | ▲37 |
| 46 | Reaghan Ressler | 23:47.0 | 11 | Independence | 1631 | 1717 | ▼-112 |
| 47 | Emma O'Neill | 23:52.5 | 10 | Waukon | 1897 | 1904 | ▼-24 |
| 48 | Maria Kaiser | 23:54.5 | 10 | Cedar Rapids, Kennedy | 1614 | 1606 | ▲11 |
| 49 | Jeorgia Neumann | 23:57.2 | 11 | Camanche | 1612 | 1647 | ▼-37 |
| 50 | Bella Herrig | 24:08.2 | 11 | Epworth, Western Dubuque | 1606 | 1613 | ▼-7 |
| 51 | Nora Davis | 24:09.5 | 9 | Waukon | 1357 | 1433 | ▼-65 |
| 52 | Kalyn Skrivseth | 24:12.0 | 11 | Marquette Catholic, Bellevue | 1443 | 1527 | ▼-39 |
| 53 | Autumn Domeyer | 24:18.5 | 9 | Beckman Catholic, Dyersville | 1635 | 1655 | ▼-18 |
| 54 | Brianna Kearney | 24:23.7 | 10 | Monticello | 1626 | 1571 | ▼-45 |
| 55 | Mallory Unsen | 24:25.4 | 9 | Wahlert, Dubuque | 1703 | 1672 | ▲30 |
| 56 | Ella SPRANK | 24:27.4 | 9 | Epworth, Western Dubuque | 1756 | 1737 | ▲18 |
| 57 | Katherine Brunsman | 24:27.5 | 11 | Epworth, Western Dubuque | 1576 | 1552 | ▲32 |
| 58 | Jessica Deaver | 24:40.4 | 10 | Marquette Catholic, Bellevue | 1426 | 1447 | ▼-14 |
| 59 | Ali Simmons | 24:42.0 | 12 | Maquoketa | 1543 | 1541 | ▲2 |
| 60 | Claire King | 24:44.2 | 10 | Wahlert, Dubuque | 1540 | 1554 | ▼-17 |
| 61 | Genevieve Orr | 24:46.2 | 11 | Epworth, Western Dubuque | 1534 | 1517 | ▲22 |
| 62 | Shelby McDermott | 24:49.7 | 10 | Cascade, Western Dubuque | 1523 | 1505 | ▼-24 |
| 63 | Audrey Pruett | 24:56.0 | 10 | Cedar Rapids, Kennedy | 1521 | 1513 | ▲10 |
| 64 | Leah Schemmel | 25:04.4 | 10 | Monticello | 1616 | 1611 | ▲102 |
| 65 | Claire Johnson | 25:04.9 | 9 | Waukon | 1784 | 1765 | ▲1 |
| 66 | Kennedy Recker | 25:14.4 | 12 | Beckman Catholic, Dyersville | 1492 | 1552 | ▼-74 |
| 67 | Makenna Kurth | 25:15.4 | 9 | Waukon | 1418 | 1409 | ▼-43 |
| 68 | Carson Koerperich | 25:28.7 | 12 | Epworth, Western Dubuque | 1468 | 1494 | ▼-25 |
| 69 | Hailey Fielding | 26:09.7 | 9 | Central DeWitt | 1512 | 1488 | ▲21 |
| 70 | Tori Rheingans | 26:10.4 | 12 | Central DeWitt | 1413 | 1392 | ▲19 |
| 71 | Thelma Henricksen | 26:25.5 | 9 | Camanche | 1190 | 1245 | ▼-223 |
| 72 | Delaney Barber | 26:39.0 | 11 | Central DeWitt | 1390 | 1374 | ▲1 |
| 73 | Elizabeth Hansen | 27:24.5 | 9 | Springville | 1331 | 1326 | ▲36 |
| 74 | Madison Edens | 27:35.7 | 12 | Central DeWitt | 1321 | 1306 | ▲49 |
| 75 | Hanna Noonan | 27:37.9 | 9 | Cascade, Western Dubuque | 1318 | 1324 | ▼-7 |
| 76 | Hope Naber | 27:39.9 | 12 | Beckman Catholic, Dyersville | 1313 | 1330 | ▼-16 |
| 77 | Evelyn Nelson | 27:42.4 | 11 | Maquoketa | 1301 | 1272 | ▲33 |
| 78 | Hailee Peters | 27:46.0 | 9 | Central DeWitt | 1283 | 1386 | ▼-43 |
| 79 | Sadie Johnson | 27:55.2 | 9 | Camanche | 879 | 943 | ▼-234 |
| 80 | Madison Gilroy | 28:09.5 | 12 | Central DeWitt | 1265 | 1244 | ▲13 |
| 81 | Brooklyn Banghart | 28:11.7 | 10 | Independence | 1252 | 1352 | ▲278 |
| 82 | Mallory Rea | 28:24.2 | 12 | Beckman Catholic, Dyersville | 1231 | 1177 | ▲62 |
| 83 | Catalina McGrane | 28:31.5 | 9 | Beckman Catholic, Dyersville | 1008 | 1027 | ▼-20 |
| 84 | Andrea Schneider | 28:32.0 | 9 | Beckman Catholic, Dyersville | 1180 | 1224 | ▲107 |
| 85 | Elisaveta Knutsen | 28:51.7 | 9 | Easton Valley | 1170 | 1201 | ▲406 |
| 86 | Renee Exchange | 29:11.9 | 11 | Independence | 1126 | 1253 | ▼-60 |
| 87 | Laia McDonald | 29:15.2 | 10 | Camanche | 1116 | 1138 | ▼-55 |
| 88 | Bailey Sullivan | 29:22.0 | 10 | Easton Valley | 1099 | 1153 | ▼-99 |
| 89 | Rylie Dunne | 29:34.7 | 11 | Central DeWitt | 1368 | 1382 | ▼-9 |