| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Leah Klapatauskas | 18:35.5 | 12 | Dubuque, Senior | 2430 | 2427 | ▲3 |
| 2 | Claire Hoyer | 18:54.2 | 11 | Dubuque, Senior | 2315 | 2306 | ▼-75 |
| 3 | Emily Gorton | 18:58.7 | 11 | Dubuque, Senior | 2242 | 2192 | ▼-172 |
| 4 | Cori Mac | 19:10.5 | 12 | Iowa City, Liberty | 2211 | 2182 | ▲44 |
| 5 | Lucy Murphy | 19:11.4 | 10 | Wahlert, Dubuque | 2194 | 2196 | ▼-55 |
| 6 | Emma Chesterman | 19:13.5 | 10 | Dubuque, Senior | 2168 | 2153 | ▼-371 |
| 7 | Keirra Hess | 19:18.9 | 12 | Prairie, Cedar Rapids | 2146 | 2115 | ▲28 |
| 8 | Josee Simonson | 19:26.5 | 11 | Cedar Falls | 2137 | 2156 | ▼-61 |
| 9 | Anna Becker | 19:29.0 | 12 | Cedar Falls | 2113 | 2103 | ▲10 |
| 10 | Emily Meyer | 19:45.5 | 11 | Cedar Falls | 2090 | 2042 | ▼-64 |
| 11 | Nevaeh Kessler | 19:51.9 | 10 | Dubuque, Senior | 2084 | 2109 | ▼-183 |
| 12 | Mia Deegan | 19:56.2 | 10 | Xavier, Cedar Rapids | 2058 | 2046 | ▼-147 |
| 13 | Ava Christensen | 20:00.5 | 12 | Prairie, Cedar Rapids | 2042 | 2038 | ▲5 |
| 14 | Hannah Hughes | 20:00.7 | 11 | Prairie, Cedar Rapids | 2020 | 1988 | ▼-11 |
| 15 | Clara Welch | 20:11.0 | 11 | Iowa City, Liberty | 2000 | 1937 | ▼-42 |
| 16 | Lise Hoyer | 20:13.7 | 9 | Dubuque, Senior | 1987 | 1966 | ▼-194 |
| 17 | Briel Bechen | 20:14.5 | 10 | Dubuque, Senior | 1982 | 2109 | ▼-92 |
| 18 | Zoe Zylstra | 20:18.9 | 11 | Cedar Falls | 1957 | 1948 | ▲17 |
| 19 | Emersyn Fonley | 20:25.2 | 9 | Cedar Falls | 1942 | 1931 | ▼-139 |
| 20 | Bridget Canton | 20:29.9 | 12 | Iowa City, Liberty | 1925 | 1887 | ▲33 |
| 21 | Mimi Marquardt | 20:31.0 | 11 | Iowa City, Liberty | 1918 | 1936 | ▼-159 |
| 22 | Olivia Divoky | 20:36.0 | 10 | Prairie, Cedar Rapids | 1905 | 1924 | ▼-31 |
| 23 | June Cousin | 20:37.0 | 9 | Cedar Falls | 1885 | 1840 | ▲207 |
| 24 | Carleigh Maher | 20:38.7 | 10 | Iowa City, Liberty | 1875 | 1854 | ▼-35 |
| 25 | Maddie Gallagher | 20:40.4 | 12 | Cedar Falls | 1871 | 1954 | ▼-101 |
| 26 | Karlee Hamilton | 20:43.5 | 12 | Prairie, Cedar Rapids | 1852 | 1836 | ▲19 |
| 27 | Ella Rohner | 20:57.5 | 9 | Wahlert, Dubuque | 1839 | 1740 | ▼-202 |
| 28 | Ashley Bernardy | 21:00.7 | 11 | Cedar Falls | 1830 | 1773 | ▼-74 |
| 29 | Peyten Eide | 21:01.2 | 10 | Iowa City, Liberty | 1822 | 1807 | ▼-84 |
| 30 | Madelyn Johnson | 21:01.7 | 11 | Iowa City, Liberty | 1816 | 1819 | ▼-43 |
| 31 | Emerson Adams | 21:05.0 | 10 | Iowa City, Liberty | 1806 | 1797 | 0 |
| 32 | Catie Reittinger | 21:07.2 | 12 | Prairie, Cedar Rapids | 1799 | 1804 | ▼-5 |
| 33 | Aubrey Meyer | 21:09.0 | 11 | Iowa City, Liberty | 1789 | 1757 | ▲33 |
| 34 | Olivia Bellini | 21:37.5 | 10 | Wahlert, Dubuque | 1756 | 1737 | ▲18 |
| 35 | Willa Berning | 21:37.9 | 9 | Wahlert, Dubuque | 1749 | 1696 | ▼-272 |
| 36 | Chloe Bishop | 21:43.9 | 10 | Prairie, Cedar Rapids | 1734 | 1748 | ▼-12 |
| 37 | Cayleigh O'Brien | 22:00.0 | 9 | Xavier, Cedar Rapids | 1723 | 1733 | ▼-15 |
| 38 | Marissa Becker | 22:03.0 | 11 | Iowa City, Liberty | 1700 | 1698 | ▼-63 |
| 39 | Kaitlyn Miller | 22:35.9 | 12 | Dubuque, Senior | 1661 | 1839 | ▼-91 |
| 40 | Maya Bormann | 22:39.7 | 9 | Wahlert, Dubuque | 1655 | 1718 | ▼-259 |
| 41 | Sofia Musick | 22:40.7 | 9 | Xavier, Cedar Rapids | 1650 | 1705 | ▼-212 |
| 42 | Mallory Unsen | 22:48.7 | 9 | Wahlert, Dubuque | 1631 | 1608 | ▼-45 |
| 43 | Ella Arens | 23:47.4 | 9 | Xavier, Cedar Rapids | 1543 | 1535 | ▲279 |
| 44 | Grace Bruns | 23:47.9 | 11 | Xavier, Cedar Rapids | 1533 | 1518 | ▼-150 |
| 45 | Ruby Schillinger | 23:53.2 | 11 | Cedar Falls | 1532 | 1578 | ▼-476 |
| 46 | Christina Egger | 24:10.5 | 12 | Cedar Rapids, Jefferson | 1482 | 1486 | ▼-5 |
| 47 | Ryiah Nickell | 24:11.2 | 11 | Cedar Rapids, Jefferson | 1476 | 1437 | ▲377 |
| 48 | Cheyanna Thompson-Williams | 24:37.0 | 11 | Cedar Rapids, Jefferson | 1435 | 1439 | ▼-12 |
| 49 | Nora Maloney | 24:38.0 | 12 | Xavier, Cedar Rapids | 1432 | 1473 | ▼-41 |
| 50 | Thursday Peterson | 25:04.2 | 11 | Cedar Rapids, Jefferson | 1389 | 1394 | ▼-138 |
| 51 | Lizeth Esqueda | 25:04.2 | 11 | Cedar Rapids, Jefferson | 1383 | 1375 | ▼-315 |