| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Leah Klapatauskas | 18:35.5 | 12 | Dubuque, Senior | 1852 | 1860 | ▼-7 |
| 2 | Claire Hoyer | 18:54.2 | 11 | Dubuque, Senior | 1789 | 1793 | ▼-59 |
| 3 | Emily Gorton | 18:58.7 | 11 | Dubuque, Senior | 1782 | 1751 | ▼-92 |
| 4 | Cori Mac | 19:10.5 | 12 | Iowa City, Liberty | 1760 | 1748 | ▲15 |
| 5 | Lucy Murphy | 19:11.4 | 10 | Wahlert, Dubuque | 1757 | 1754 | ▼-10 |
| 6 | Emma Chesterman | 19:13.5 | 10 | Dubuque, Senior | 1749 | 1736 | ▼-172 |
| 7 | Keirra Hess | 19:18.9 | 12 | Prairie, Cedar Rapids | 1741 | 1715 | ▲25 |
| 8 | Josee Simonson | 19:26.5 | 11 | Cedar Falls | 1724 | 1734 | ▼-32 |
| 9 | Anna Becker | 19:29.0 | 12 | Cedar Falls | 1712 | 1707 | ▲4 |
| 10 | Emily Meyer | 19:45.5 | 11 | Cedar Falls | 1673 | 1654 | ▼-35 |
| 11 | Nevaeh Kessler | 19:51.9 | 10 | Dubuque, Senior | 1659 | 1690 | ▼-107 |
| 12 | Mia Deegan | 19:56.2 | 10 | Xavier, Cedar Rapids | 1647 | 1654 | ▼-101 |
| 13 | Ava Christensen | 20:00.5 | 12 | Prairie, Cedar Rapids | 1643 | 1653 | ▼-10 |
| 14 | Hannah Hughes | 20:00.7 | 11 | Prairie, Cedar Rapids | 1640 | 1626 | ▲17 |
| 15 | Clara Welch | 20:11.0 | 11 | Iowa City, Liberty | 1620 | 1596 | ▼-18 |
| 16 | Lise Hoyer | 20:13.7 | 9 | Dubuque, Senior | 1614 | 1610 | ▼-115 |
| 17 | Briel Bechen | 20:14.5 | 10 | Dubuque, Senior | 1609 | 1691 | ▼-58 |
| 18 | Zoe Zylstra | 20:18.9 | 11 | Cedar Falls | 1603 | 1603 | ▲1 |
| 19 | Emersyn Fonley | 20:25.2 | 9 | Cedar Falls | 1592 | 1586 | ▼-92 |
| 20 | Bridget Canton | 20:29.9 | 12 | Iowa City, Liberty | 1587 | 1573 | ▲13 |
| 21 | Mimi Marquardt | 20:31.0 | 11 | Iowa City, Liberty | 1581 | 1603 | ▼-88 |
| 22 | Olivia Divoky | 20:36.0 | 10 | Prairie, Cedar Rapids | 1572 | 1586 | ▼-23 |
| 23 | June Cousin | 20:37.0 | 9 | Cedar Falls | 1569 | 1545 | ▲180 |
| 24 | Carleigh Maher | 20:38.7 | 10 | Iowa City, Liberty | 1564 | 1555 | ▲4 |
| 25 | Maddie Gallagher | 20:40.4 | 12 | Cedar Falls | 1563 | 1614 | ▼-54 |
| 26 | Karlee Hamilton | 20:43.5 | 12 | Prairie, Cedar Rapids | 1557 | 1543 | ▲16 |
| 27 | Ella Rohner | 20:57.5 | 9 | Wahlert, Dubuque | 1538 | 1474 | ▼-103 |
| 28 | Ashley Bernardy | 21:00.7 | 11 | Cedar Falls | 1531 | 1501 | ▼-20 |
| 29 | Peyten Eide | 21:01.2 | 10 | Iowa City, Liberty | 1529 | 1520 | ▼-37 |
| 30 | Madelyn Johnson | 21:01.7 | 11 | Iowa City, Liberty | 1527 | 1533 | ▲8 |
| 31 | Emerson Adams | 21:05.0 | 10 | Iowa City, Liberty | 1524 | 1523 | ▲44 |
| 32 | Catie Reittinger | 21:07.2 | 12 | Prairie, Cedar Rapids | 1522 | 1522 | 0 |
| 33 | Aubrey Meyer | 21:09.0 | 11 | Iowa City, Liberty | 1519 | 1494 | ▲26 |
| 34 | Olivia Bellini | 21:37.5 | 10 | Wahlert, Dubuque | 1484 | 1475 | ▲8 |
| 35 | Willa Berning | 21:37.9 | 9 | Wahlert, Dubuque | 1481 | 1445 | ▼-151 |
| 36 | Chloe Bishop | 21:43.9 | 10 | Prairie, Cedar Rapids | 1468 | 1484 | ▼-14 |
| 37 | Cayleigh O'Brien | 22:00.0 | 9 | Xavier, Cedar Rapids | 1451 | 1466 | ▼-18 |
| 38 | Marissa Becker | 22:03.0 | 11 | Iowa City, Liberty | 1439 | 1450 | ▼-2 |
| 39 | Kaitlyn Miller | 22:35.9 | 12 | Dubuque, Senior | 1410 | 1526 | ▼-70 |
| 40 | Maya Bormann | 22:39.7 | 9 | Wahlert, Dubuque | 1405 | 1462 | ▼-137 |
| 41 | Sofia Musick | 22:40.7 | 9 | Xavier, Cedar Rapids | 1400 | 1451 | ▼-132 |
| 42 | Mallory Unsen | 22:48.7 | 9 | Wahlert, Dubuque | 1383 | 1371 | ▼-5 |
| 43 | Ella Arens | 23:47.4 | 9 | Xavier, Cedar Rapids | 1315 | 1315 | ▲263 |
| 44 | Grace Bruns | 23:47.9 | 11 | Xavier, Cedar Rapids | 1309 | 1302 | ▼-93 |
| 45 | Ruby Schillinger | 23:53.2 | 11 | Cedar Falls | 1308 | 1353 | ▼-301 |
| 46 | Christina Egger | 24:10.5 | 12 | Cedar Rapids, Jefferson | 1274 | 1280 | ▼-6 |
| 47 | Ryiah Nickell | 24:11.2 | 11 | Cedar Rapids, Jefferson | 1271 | 1238 | ▲348 |
| 48 | Cheyanna Thompson-Williams | 24:37.0 | 11 | Cedar Rapids, Jefferson | 1237 | 1245 | ▼-25 |
| 49 | Nora Maloney | 24:38.0 | 12 | Xavier, Cedar Rapids | 1235 | 1267 | ▼-33 |
| 50 | Thursday Peterson | 25:04.2 | 11 | Cedar Rapids, Jefferson | 1202 | 1208 | ▼-71 |
| 51 | Lizeth Esqueda | 25:04.2 | 11 | Cedar Rapids, Jefferson | 1198 | 1193 | ▼-220 |