| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Grace Boleyn | 18:28.0 | 11 | Pleasant Valley | 2559 | 2541 | ▲1041 |
| 2 | Olivia Verde | 18:32.0 | 12 | Johnston | 2472 | 2470 | ▲3 |
| 3 | Leah Klapatauskas | 19:24.0 | 12 | Dubuque, Senior | 2407 | 2392 | ▲892 |
| 4 | Alyx Woodley | 19:33.0 | 10 | Johnston | 2364 | 2351 | ▲18 |
| 5 | Brynn Edgin | 19:36.0 | 10 | Pleasant Valley | 2331 | 2317 | ▲817 |
| 6 | Ele Wharton | 19:38.0 | 9 | Johnston | 2296 | 2278 | ▲24 |
| 7 | Ani Wedemeyer | 19:45.0 | 11 | Iowa City, City High | 2276 | 2308 | ▼-51 |
| 8 | Claire Hoyer | 19:46.0 | 11 | Dubuque, Senior | 2231 | 2219 | ▲719 |
| 9 | Abigail Burns | 19:48.0 | 10 | Iowa City, City High | 2215 | 2219 | ▼-4 |
| 10 | Audrey Dummermuth | 20:06.0 | 10 | Johnston | 2180 | 2169 | ▲16 |
| 11 | Briel Bechen | 20:09.0 | 10 | Dubuque, Senior | 2165 | 2154 | ▲654 |
| 12 | Selah Flanigan | 20:17.0 | 10 | Pleasant Valley | 2160 | 2149 | ▲649 |
| 13 | Vivian McCombs | 20:20.0 | 9 | Pleasant Valley | 2154 | 2143 | ▲643 |
| 14 | Emma Chesterman | 20:23.0 | 10 | Dubuque, Senior | 2149 | 2138 | ▲638 |
| 15 | Maddie Millage | 20:30.0 | 9 | Pleasant Valley | 2144 | 2133 | ▲633 |
| 16 | Marissa Pewe | 20:33.0 | 11 | Johnston | 2095 | 2052 | ▲59 |
| 17 | Krissy Spear | 20:35.0 | 12 | Johnston | 2086 | 2086 | 0 |
| 18 | Kate Van Waning | 20:38.0 | 10 | Iowa City, West | 2071 | 2068 | ▲5 |
| 19 | Micah Fitzgerald | 20:43.0 | 10 | Johnston | 2054 | 2021 | ▲46 |
| 20 | Nicole Peterson | 20:52.0 | 11 | Iowa City, City High | 2042 | 2009 | ▲38 |
| 21 | Emily Gorton | 20:55.0 | 11 | Dubuque, Senior | 2036 | 2027 | ▲527 |
| 22 | Keirra Hess | 21:01.0 | 12 | Prairie, Cedar Rapids | 2021 | 1943 | ▲215 |
| 23 | Grace Hamann | 21:02.0 | 8 | Iowa City, City High | 2004 | 2004 | ▲1 |
| 24 | Claire Locher | 21:03.0 | 10 | Iowa City, City High | 1997 | 2033 | ▼-53 |
| 25 | Lexi Minard | 21:05.0 | 12 | Pleasant Valley | 1985 | 1977 | ▲477 |
| 26 | Olivia Divoky | 21:06.0 | 10 | Prairie, Cedar Rapids | 1982 | 2006 | ▼-38 |
| 27 | Peyton Madison | 21:10.0 | 12 | North Scott, Eldridge | 1963 | 2000 | ▼-55 |
| 28 | Kailee Wilson | 21:11.0 | 10 | Pleasant Valley | 1952 | 1945 | ▲445 |
| 29 | Nevaeh Kessler | 21:17.0 | 10 | Dubuque, Senior | 1950 | 1942 | ▲442 |
| 30 | Emily See | 21:18.0 | 12 | Bettendorf | 1949 | 1999 | ▼-101 |
| 31 | Hannah Hughes | 21:21.0 | 11 | Prairie, Cedar Rapids | 1926 | 1914 | ▼-135 |
| 32 | Sloane Moeller | 21:22.0 | 9 | Davenport, Central | 1922 | 1981 | ▼-154 |
| 33 | Lise Hoyer | 21:28.0 | 9 | Dubuque, Senior | 1910 | 1903 | ▲403 |
| 34 | Cindy Wang | 21:35.0 | 12 | Iowa City, West | 1904 | 1889 | ▲18 |
| 35 | Annabelle Everding | 21:40.0 | 11 | Bettendorf | 1888 | 1868 | ▲25 |
| 36 | Ava Christensen | 21:40.0 | 12 | Prairie, Cedar Rapids | 1897 | 1890 | ▲10 |
| 37 | Erinn Varga | 21:41.0 | 12 | Iowa City, West | 1879 | 1818 | ▲84 |
| 38 | Lucy Sherburne | 21:55.0 | 9 | Iowa City, City High | 1862 | 1877 | ▼-18 |
| 39 | Kiara Hallet | 21:56.0 | 12 | Muscatine | 1856 | 1888 | ▼-51 |
| 40 | Hannah Ford | 22:09.0 | 12 | Davenport, Central | 1833 | 1837 | ▼-6 |
| 41 | Kalli Titus | 22:22.0 | 11 | Iowa City, West | 1799 | 1787 | ▲14 |
| 42 | Catie Reittinger | 22:27.0 | 12 | Prairie, Cedar Rapids | 1794 | 1794 | ▲2 |
| 43 | Elizabeth Asklof | 22:29.0 | 10 | Iowa City, City High | 1789 | 1818 | ▼-37 |
| 44 | Dylan Moeller | 22:31.0 | 11 | Davenport, Central | 1785 | 1851 | ▼-237 |
| 45 | Cameron Shumpert | 22:32.0 | 10 | Davenport, Central | 1778 | 1774 | ▲274 |
| 46 | Karlee Hamilton | 22:38.0 | 12 | Prairie, Cedar Rapids | 1778 | 1818 | ▼-71 |
| 47 | Susanna Olson | 22:42.0 | 9 | Iowa City, West | 1761 | 1771 | ▼-12 |
| 48 | Chloe Bishop | 22:43.0 | 10 | Prairie, Cedar Rapids | 1756 | 1768 | ▼-18 |
| 49 | Ava Acker | 22:50.0 | 11 | Muscatine | 1749 | 1763 | ▼-19 |
| 50 | Destiny Borland | 22:52.0 | 10 | Bettendorf | 1743 | 1735 | ▲10 |
| 51 | Mackenzie Schaefer | 22:53.0 | 11 | Bettendorf | 1737 | 1720 | ▲21 |
| 52 | Calista Rasmer | 23:07.0 | 11 | Bettendorf | 1716 | 1704 | ▲14 |
| 53 | Ava Duncan | 23:31.0 | 12 | North Scott, Eldridge | 1684 | 1693 | ▼-10 |
| 54 | Isabella Kopf | 23:33.0 | 9 | Muscatine | 1672 | 1654 | ▲24 |
| 55 | Tina Hong | 23:36.0 | 11 | Iowa City, West | 1668 | 1689 | ▼-27 |
| 56 | Kate Olson | 23:51.0 | 11 | Muscatine | 1652 | 1628 | ▲32 |
| 57 | Amelia Luna | 23:53.0 | 11 | Muscatine | 1642 | 1642 | 0 |
| 58 | Evelyn Barfels | 23:55.0 | 12 | Davenport, Central | 1638 | 1697 | ▼-98 |
| 59 | Kennadi Thiessen | 24:02.0 | 11 | North Scott, Eldridge | 1627 | 1658 | ▼-39 |
| 60 | Whitney Estabrook | 24:14.0 | 10 | Muscatine | 1622 | 1663 | ▼-72 |
| 61 | Stella Hunter | 24:20.0 | 11 | Iowa City, West | 1610 | 1650 | ▼-57 |
| 62 | Kennah Block | 24:23.0 | 11 | Bettendorf | 1594 | 1518 | ▲271 |
| 63 | Natalie Nwatchock | 24:24.0 | 10 | North Scott, Eldridge | 1592 | 1632 | ▼-53 |
| 64 | Eva Downey | 24:40.0 | 12 | Burlington | 1568 | 1567 | ▲67 |
| 65 | Ella Riniker | 24:47.0 | 12 | North Scott, Eldridge | 1546 | 1579 | ▼-42 |
| 66 | Kirsten Holler | 24:56.0 | 9 | Muscatine | 1539 | 1573 | ▼-51 |
| 67 | Jadalynn Daily | 25:08.0 | 12 | Davenport, West | 1519 | 1471 | ▲85 |
| 68 | Katelyn Kobliska | 25:16.0 | 11 | Burlington | 1518 | 1517 | ▲17 |
| 69 | Emma Schneiderman | 25:58.0 | 9 | Davenport, West | 1451 | 1452 | ▼-48 |
| 70 | Ada Kaplan | 26:11.0 | 10 | Davenport, Central | 1447 | 1506 | ▼-85 |
| 71 | Mylee Stiefel | 26:25.0 | 10 | Burlington | 1428 | 1429 | ▼-71 |
| 72 | Klairissa Hamilton | 26:43.0 | 10 | Burlington | 1416 | 1417 | ▼-83 |
| 73 | Sophie Wiklund | 26:55.0 | 11 | Davenport, West | 1407 | 1349 | ▲117 |
| 74 | Rowan Appel | 27:19.0 | 11 | Bettendorf | 1391 | 1339 | ▲82 |
| 75 | Macy Ringold | 27:30.0 | 12 | Burlington | 1363 | 1366 | ▼-134 |