| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Ani Wedemeyer | 18:39.0 | 11 | Iowa City, City High | 1893 | 1868 | ▲21 |
| 2 | Keelee Leitzen | 18:52.0 | 12 | Dubuque, Hempstead | 1876 | 1887 | ▼-9 |
| 3 | Julia Gehl | 18:52.0 | 12 | Dubuque, Hempstead | 1863 | 1846 | ▲13 |
| 4 | Grace Boleyn | 18:55.0 | 11 | Pleasant Valley | 1854 | 1846 | ▲7 |
| 5 | Camryn Sattler | 18:57.0 | 12 | Clinton | 1845 | 1851 | ▼-6 |
| 6 | Brynn Edgin | 19:19.0 | 10 | Pleasant Valley | 1823 | 1805 | ▲18 |
| 7 | Maddie Millage | 19:24.0 | 9 | Pleasant Valley | 1812 | 1778 | ▲30 |
| 8 | Evie Henneberry | 19:29.0 | 11 | Dubuque, Hempstead | 1795 | 1781 | ▲12 |
| 9 | Emily See | 19:38.0 | 12 | Bettendorf | 1785 | 1762 | ▲23 |
| 10 | Abigail Burns | 19:43.0 | 10 | Iowa City, City High | 1770 | 1777 | ▼-5 |
| 11 | Jaylee Duncan | 19:43.0 | 10 | Pleasant Valley | 1759 | 1730 | ▲29 |
| 12 | Vivian McCombs | 19:44.0 | 9 | Pleasant Valley | 1754 | 1769 | ▼-16 |
| 13 | Nicole Peterson | 19:58.0 | 11 | Iowa City, City High | 1721 | 1711 | ▲8 |
| 14 | Keirra Hess | 19:59.0 | 12 | Prairie, Cedar Rapids | 1715 | 1715 | 0 |
| 15 | Dylan Moeller | 20:00.0 | 11 | Davenport, Central | 1705 | 1664 | ▲41 |
| 16 | Carryn Sattler | 20:01.0 | 10 | Clinton | 1699 | 1677 | ▲18 |
| 17 | Maggie Henneberry | 20:12.0 | 9 | Dubuque, Hempstead | 1687 | 1684 | ▲2 |
| 18 | Lexi Minard | 20:13.0 | 12 | Pleasant Valley | 1674 | 1667 | ▲7 |
| 19 | Mylee Lange | 20:21.0 | 11 | Dubuque, Hempstead | 1668 | 1668 | ▼-1 |
| 20 | Ava Christensen | 20:25.0 | 12 | Prairie, Cedar Rapids | 1662 | 1657 | ▲4 |
| 21 | Claire Locher | 20:27.0 | 10 | Iowa City, City High | 1654 | 1630 | ▲21 |
| 22 | Selah Flanigan | 20:33.0 | 10 | Pleasant Valley | 1639 | 1665 | ▼-23 |
| 23 | Sloane Moeller | 20:42.0 | 9 | Davenport, Central | 1632 | 1630 | ▲2 |
| 24 | Grace Hamann | 20:51.0 | 8 | Iowa City, City High | 1626 | 1634 | ▼-6 |
| 25 | Nina Peterson | 20:57.0 | 11 | Iowa City, City High | 1618 | 1588 | ▲26 |
| 26 | Olivia Divoky | 20:58.0 | 10 | Prairie, Cedar Rapids | 1613 | 1600 | ▲14 |
| 27 | Karlee Hamilton | 20:59.0 | 12 | Prairie, Cedar Rapids | 1606 | 1571 | ▲28 |
| 28 | Madeline Fischer | 21:08.0 | 9 | Iowa City, City High | 1600 | 1576 | ▲19 |
| 29 | Alyssa Brandt | 21:10.0 | 12 | Cedar Rapids, Kennedy | 1590 | 1614 | ▼-18 |
| 30 | Natalie Leitzen | 21:12.0 | 9 | Dubuque, Hempstead | 1583 | 1592 | ▼-7 |
| 31 | Hannah Hughes | 21:13.0 | 11 | Prairie, Cedar Rapids | 1578 | 1604 | ▼-22 |
| 32 | Annabelle Everding | 21:22.0 | 11 | Bettendorf | 1571 | 1591 | ▼-21 |
| 33 | Ellie Hermiston | 21:28.0 | 12 | Dubuque, Hempstead | 1563 | 1560 | ▲2 |
| 34 | Kylie Daily | 21:31.0 | 12 | Davenport, West | 1548 | 1527 | ▲45 |
| 35 | Mackenzie Schaefer | 21:34.0 | 11 | Bettendorf | 1543 | 1533 | ▲8 |
| 36 | Lillian Cogdill | 21:39.0 | 11 | Cedar Rapids, Kennedy | 1538 | 1557 | ▼-16 |
| 37 | Ella Ripslinger | 21:58.0 | 9 | Bettendorf | 1520 | 1493 | ▲30 |
| 38 | Destiny Borland | 22:02.0 | 10 | Bettendorf | 1516 | 1530 | ▼-11 |
| 39 | Chloe Bishop | 22:03.0 | 10 | Prairie, Cedar Rapids | 1507 | 1494 | ▲10 |
| 40 | Catie Reittinger | 22:09.0 | 12 | Prairie, Cedar Rapids | 1501 | 1512 | ▼-10 |
| 41 | Evelyn Barfels | 22:15.0 | 12 | Davenport, Central | 1493 | 1499 | ▼-5 |
| 42 | Calista Rasmer | 22:27.0 | 11 | Bettendorf | 1484 | 1486 | ▼-1 |
| 43 | Gabby Leibold | 22:34.0 | 12 | Davenport, North | 1474 | 1459 | ▲20 |
| 44 | Kennah Block | 22:36.0 | 11 | Bettendorf | 1469 | 1481 | ▼-11 |
| 45 | Emma Manthe | 22:42.0 | 9 | Cedar Rapids, Kennedy | 1461 | 1489 | ▼-23 |
| 46 | Aubrey Rivers | 22:52.0 | 10 | Clinton | 1452 | 1464 | ▼-191 |
| 47 | Sescie Haan | 23:01.0 | 11 | Clinton | 1440 | 1424 | ▲15 |
| 48 | Cameron Shumpert | 23:13.0 | 10 | Davenport, Central | 1433 | 1448 | ▼-14 |
| 49 | Maria Kaiser | 23:13.0 | 10 | Cedar Rapids, Kennedy | 1420 | 1405 | ▲11 |
| 50 | Erin Arnold | 23:30.0 | 10 | Cedar Rapids, Kennedy | 1410 | 1406 | ▲4 |
| 51 | Delainey Woodman | 23:34.0 | 11 | Davenport, North | 1398 | 1375 | ▲19 |
| 52 | Madelyn Robinson | 23:47.0 | 12 | Clinton | 1390 | 1396 | ▼-6 |
| 53 | Ada Kaplan | 23:57.0 | 10 | Davenport, Central | 1376 | 1373 | ▲3 |
| 54 | Eleanor Goodin | 24:03.0 | 10 | Davenport, North | 1359 | 1323 | ▲28 |
| 55 | Ramsay Geater | 24:12.0 | 10 | Cedar Rapids, Kennedy | 1356 | 1402 | ▼-11 |
| 56 | Kirstin Bengtson | 24:13.0 | 9 | Clinton | 1336 | 1331 | ▲4 |
| 57 | Olivia Hallam | 24:23.0 | 10 | Cedar Rapids, Kennedy | 1323 | 1338 | ▼-13 |
| 58 | Emma Yacapraro | 24:31.0 | 12 | Davenport, North | 1295 | 1269 | ▲27 |
| 59 | Emma Schneiderman | 24:50.0 | 9 | Davenport, West | 1283 | 1293 | ▼-25 |
| 60 | Jillian Koenig | 25:11.0 | 9 | Davenport, North | 1242 | 1216 | ▲27 |
| 61 | Jadalynn Daily | 25:16.0 | 12 | Davenport, West | 1232 | 1288 | ▼-87 |
| 62 | Hannah Ford | 27:58.0 | 12 | Davenport, Central | 1188 | 1465 | ▼-84 |