| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Ani Wedemeyer | 18:39.0 | 11 | Iowa City, City High | 2486 | 2429 | ▲45 |
| 2 | Keelee Leitzen | 18:52.0 | 12 | Dubuque, Hempstead | 2459 | 2471 | ▼-11 |
| 3 | Julia Gehl | 18:52.0 | 12 | Dubuque, Hempstead | 2399 | 2371 | ▲23 |
| 4 | Grace Boleyn | 18:55.0 | 11 | Pleasant Valley | 2378 | 2394 | ▼-15 |
| 5 | Camryn Sattler | 18:57.0 | 12 | Clinton | 2347 | 2382 | ▼-33 |
| 6 | Brynn Edgin | 19:19.0 | 10 | Pleasant Valley | 2286 | 2253 | ▲32 |
| 7 | Maddie Millage | 19:24.0 | 9 | Pleasant Valley | 2256 | 2225 | ▲30 |
| 8 | Evie Henneberry | 19:29.0 | 11 | Dubuque, Hempstead | 2236 | 2231 | ▲6 |
| 9 | Emily See | 19:38.0 | 12 | Bettendorf | 2207 | 2185 | ▲21 |
| 10 | Abigail Burns | 19:43.0 | 10 | Iowa City, City High | 2197 | 2230 | ▼-29 |
| 11 | Jaylee Duncan | 19:43.0 | 10 | Pleasant Valley | 2164 | 2138 | ▲32 |
| 12 | Vivian McCombs | 19:44.0 | 9 | Pleasant Valley | 2157 | 2190 | ▼-39 |
| 13 | Nicole Peterson | 19:58.0 | 11 | Iowa City, City High | 2131 | 2122 | ▲9 |
| 14 | Keirra Hess | 19:59.0 | 12 | Prairie, Cedar Rapids | 2116 | 2116 | ▲1 |
| 15 | Dylan Moeller | 20:00.0 | 11 | Davenport, Central | 2095 | 2056 | ▲51 |
| 16 | Carryn Sattler | 20:01.0 | 10 | Clinton | 2084 | 2062 | ▲18 |
| 17 | Maggie Henneberry | 20:12.0 | 9 | Dubuque, Hempstead | 2074 | 2078 | ▼-4 |
| 18 | Lexi Minard | 20:13.0 | 12 | Pleasant Valley | 2059 | 2051 | ▲15 |
| 19 | Mylee Lange | 20:21.0 | 11 | Dubuque, Hempstead | 2048 | 2051 | ▼-3 |
| 20 | Ava Christensen | 20:25.0 | 12 | Prairie, Cedar Rapids | 2036 | 2037 | ▼-1 |
| 21 | Claire Locher | 20:27.0 | 10 | Iowa City, City High | 2020 | 1990 | ▲29 |
| 22 | Selah Flanigan | 20:33.0 | 10 | Pleasant Valley | 2015 | 2051 | ▼-33 |
| 23 | Sloane Moeller | 20:42.0 | 9 | Davenport, Central | 2000 | 2004 | ▼-4 |
| 24 | Grace Hamann | 20:51.0 | 8 | Iowa City, City High | 1990 | 2007 | ▼-16 |
| 25 | Nina Peterson | 20:57.0 | 11 | Iowa City, City High | 1970 | 1918 | ▲45 |
| 26 | Olivia Divoky | 20:58.0 | 10 | Prairie, Cedar Rapids | 1960 | 1943 | ▲19 |
| 27 | Karlee Hamilton | 20:59.0 | 12 | Prairie, Cedar Rapids | 1945 | 1883 | ▲47 |
| 28 | Madeline Fischer | 21:08.0 | 9 | Iowa City, City High | 1933 | 1894 | ▲30 |
| 29 | Alyssa Brandt | 21:10.0 | 12 | Cedar Rapids, Kennedy | 1929 | 1976 | ▼-39 |
| 30 | Natalie Leitzen | 21:12.0 | 9 | Dubuque, Hempstead | 1914 | 1927 | ▼-12 |
| 31 | Hannah Hughes | 21:13.0 | 11 | Prairie, Cedar Rapids | 1904 | 1948 | ▼-40 |
| 32 | Annabelle Everding | 21:22.0 | 11 | Bettendorf | 1891 | 1926 | ▼-38 |
| 33 | Ellie Hermiston | 21:28.0 | 12 | Dubuque, Hempstead | 1874 | 1868 | ▲6 |
| 34 | Kylie Daily | 21:31.0 | 12 | Davenport, West | 1859 | 1832 | ▲73 |
| 35 | Mackenzie Schaefer | 21:34.0 | 11 | Bettendorf | 1851 | 1842 | ▲8 |
| 36 | Lillian Cogdill | 21:39.0 | 11 | Cedar Rapids, Kennedy | 1844 | 1870 | ▼-25 |
| 37 | Ella Ripslinger | 21:58.0 | 9 | Bettendorf | 1826 | 1782 | ▲43 |
| 38 | Destiny Borland | 22:02.0 | 10 | Bettendorf | 1821 | 1842 | ▼-18 |
| 39 | Chloe Bishop | 22:03.0 | 10 | Prairie, Cedar Rapids | 1804 | 1773 | ▲25 |
| 40 | Catie Reittinger | 22:09.0 | 12 | Prairie, Cedar Rapids | 1797 | 1801 | ▼-3 |
| 41 | Evelyn Barfels | 22:15.0 | 12 | Davenport, Central | 1787 | 1798 | ▼-10 |
| 42 | Calista Rasmer | 22:27.0 | 11 | Bettendorf | 1774 | 1772 | ▲1 |
| 43 | Gabby Leibold | 22:34.0 | 12 | Davenport, North | 1759 | 1738 | ▲34 |
| 44 | Kennah Block | 22:36.0 | 11 | Bettendorf | 1752 | 1768 | ▼-13 |
| 45 | Emma Manthe | 22:42.0 | 9 | Cedar Rapids, Kennedy | 1742 | 1772 | ▼-28 |
| 46 | Aubrey Rivers | 22:52.0 | 10 | Clinton | 1727 | 1735 | ▼-313 |
| 47 | Sescie Haan | 23:01.0 | 11 | Clinton | 1710 | 1684 | ▲23 |
| 48 | Cameron Shumpert | 23:13.0 | 10 | Davenport, Central | 1704 | 1733 | ▼-27 |
| 49 | Maria Kaiser | 23:13.0 | 10 | Cedar Rapids, Kennedy | 1684 | 1664 | ▲18 |
| 50 | Erin Arnold | 23:30.0 | 10 | Cedar Rapids, Kennedy | 1671 | 1663 | ▲8 |
| 51 | Delainey Woodman | 23:34.0 | 11 | Davenport, North | 1653 | 1621 | ▲27 |
| 52 | Madelyn Robinson | 23:47.0 | 12 | Clinton | 1643 | 1650 | ▼-5 |
| 53 | Ada Kaplan | 23:57.0 | 10 | Davenport, Central | 1626 | 1619 | ▲7 |
| 54 | Eleanor Goodin | 24:03.0 | 10 | Davenport, North | 1604 | 1552 | ▲43 |
| 55 | Ramsay Geater | 24:12.0 | 10 | Cedar Rapids, Kennedy | 1600 | 1645 | ▼-66 |
| 56 | Kirstin Bengtson | 24:13.0 | 9 | Clinton | 1574 | 1566 | ▲7 |
| 57 | Olivia Hallam | 24:23.0 | 10 | Cedar Rapids, Kennedy | 1559 | 1576 | ▼-16 |
| 58 | Emma Yacapraro | 24:31.0 | 12 | Davenport, North | 1521 | 1477 | ▲44 |
| 59 | Emma Schneiderman | 24:50.0 | 9 | Davenport, West | 1506 | 1510 | ▼-16 |
| 60 | Jillian Koenig | 25:11.0 | 9 | Davenport, North | 1450 | 1413 | ▲43 |
| 61 | Jadalynn Daily | 25:16.0 | 12 | Davenport, West | 1441 | 1493 | ▼-100 |
| 62 | Hannah Ford | 27:58.0 | 12 | Davenport, Central | 1386 | 1768 | ▼-111 |