| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Avery Rump | 19:48.2 | 10 | Fort Madison | 1763 | 1773 | ▲273 |
| 2 | Iris Dahl | 20:01.5 | 10 | Washington | 1833 | 1795 | ▲107 |
| 3 | Paetyn Wiegand | 20:43.9 | 12 | Fort Madison | 1663 | 1677 | ▼-17 |
| 4 | Hannah Karre | 20:45.5 | 11 | Keokuk | 1676 | 1668 | ▼-66 |
| 5 | Kiara Hallet | 21:03.0 | 12 | Muscatine | 1624 | 1611 | ▲11 |
| 6 | Lauren Horak | 21:12.0 | 11 | Washington | 1723 | 1677 | ▲77 |
| 7 | Addison Rump | 21:13.2 | 10 | Fort Madison | 1696 | 1684 | ▲51 |
| 8 | Quincy Griffis | 21:20.2 | 11 | Washington | 1596 | 1593 | ▲6 |
| 9 | Allison Ames | 22:06.2 | 11 | Keokuk | 1574 | 1548 | ▲4 |
| 10 | Ava Acker | 22:08.2 | 11 | Muscatine | 1408 | 1411 | ▼-90 |
| 11 | Alyvia Anderson | 22:09.9 | 11 | Washington | 1624 | 1591 | ▲78 |
| 12 | Abigail Kleese | 22:17.2 | 12 | Washington | 1527 | 1513 | ▲14 |
| 13 | Angeline Anderson | 22:26.5 | 10 | Washington | 1543 | 1521 | ▲5 |
| 14 | Emma Horak | 22:28.0 | 9 | Washington | 1509 | 1497 | ▲18 |
| 15 | Allison Lamb | 22:48.5 | 11 | Fort Madison | 1465 | 1426 | ▲65 |
| 16 | Katherine Schlawin | 22:52.5 | 12 | Muscatine | 1463 | 1457 | ▲13 |
| 17 | Isabella Lujan | 22:55.5 | 11 | Washington | 1528 | 1502 | ▼-13 |
| 18 | Charley Huebner | 22:58.2 | 9 | Fort Madison | 1447 | 1396 | ▲87 |
| 19 | Kate Olson | 23:04.7 | 11 | Muscatine | 1445 | 1423 | ▲18 |
| 20 | Baylee Billings | 23:07.2 | 9 | Keokuk | 1443 | 1457 | ▼-23 |
| 21 | Kendall Hinrichsen | 23:11.4 | 11 | Washington | 1568 | 1562 | ▲56 |
| 22 | Amelia Luna | 23:11.7 | 11 | Muscatine | 1021 | 1028 | ▼-374 |
| 23 | Rylee Olsen | 23:12.0 | 12 | Keokuk | 1428 | 1438 | ▼-19 |
| 24 | Ada Kendall | 23:12.0 | 12 | Washington | 1424 | 1424 | 0 |
| 25 | McKayla Schinstock | 23:20.2 | 10 | Fort Madison | 1647 | 1649 | ▲105 |
| 26 | Hadley Wolfe | 23:24.7 | 10 | Fort Madison | 1413 | 1421 | ▼-15 |
| 27 | Eva Downey | 23:29.2 | 12 | Burlington | 1401 | 1410 | ▼-12 |
| 28 | Isabella Kopf | 23:34.0 | 9 | Muscatine | 1485 | 1492 | ▼-7 |
| 29 | Giselle Marcelino | 23:36.9 | 12 | Washington | 1391 | 1392 | ▼-1 |
| 30 | Kirsten Holler | 23:58.0 | 9 | Muscatine | 1452 | 1433 | ▲55 |
| 31 | Isobel Murphy | 23:58.2 | 10 | Washington | 1427 | 1367 | ▲29 |
| 32 | Nelle Peterson | 24:01.2 | 10 | Mount Pleasant | 1299 | 1312 | ▼-76 |
| 33 | Monroe James | 24:07.2 | 9 | Mount Pleasant | 1265 | 1259 | ▼-56 |
| 34 | Dresden Fishback | 24:10.9 | 9 | Burlington | 1357 | 1344 | ▲19 |
| 35 | Darby Tackes | 24:10.9 | 10 | Keokuk | 1355 | 1353 | ▲49 |
| 36 | Ellie Huebner | 24:12.7 | 10 | Fort Madison | 1377 | 1369 | ▲40 |
| 37 | Whitney Estabrook | 24:17.0 | 10 | Muscatine | 1513 | 1528 | ▼-23 |
| 38 | Violet Shead | 24:30.5 | 10 | Keokuk | 1465 | 1414 | ▲95 |
| 39 | Katelyn Kobliska | 24:32.2 | 11 | Burlington | 1139 | 1179 | ▼-190 |
| 40 | Jacie Olsen | 24:40.0 | 10 | Keokuk | 1251 | 1234 | ▼-99 |
| 41 | Jayden Yoder | 24:54.5 | 9 | Mount Pleasant | 1315 | 1310 | ▲7 |
| 42 | Keira Campbell | 24:55.9 | 11 | Keokuk | 1232 | 1227 | ▼-26 |
| 43 | Alexis Shuman | 25:12.9 | 9 | Keokuk | 1160 | 1171 | ▼-65 |
| 44 | Grace Miller | 25:13.2 | 12 | Muscatine | 1286 | 1278 | ▲6 |
| 45 | Haley Thomas | 25:13.4 | 12 | Muscatine | 1282 | 1245 | ▲46 |
| 46 | Marissa Eads | 25:13.7 | 9 | Muscatine | 1381 | 1371 | ▲9 |
| 47 | Abby Yahn | 25:24.0 | 12 | Muscatine | 1271 | 1255 | ▲35 |
| 48 | Grace Zorich | 25:29.7 | 12 | Muscatine | 1259 | 1236 | ▲20 |
| 49 | Macy Ringold | 25:31.2 | 12 | Burlington | 1255 | 1211 | ▲47 |
| 50 | Cecilia Murphy | 25:33.7 | 12 | Washington | 1248 | 1254 | ▼-6 |
| 51 | Jordyn Burch | 25:38.5 | 12 | Fort Madison | 1244 | 1236 | ▲11 |
| 52 | Kelly Takorbisong | 25:45.7 | 11 | Keokuk | 1260 | 1197 | ▼-86 |
| 53 | Jalyiah Gardner | 25:51.0 | 11 | Keokuk | 1192 | 1189 | ▼-89 |
| 54 | Kira Holler | 25:56.2 | 11 | Muscatine | 1237 | 1255 | ▲74 |
| 55 | Lola Stamler | 25:57.7 | 12 | Muscatine | 1222 | 1213 | ▲8 |
| 56 | Kristin Wadden | 26:02.7 | 11 | Muscatine | 1217 | 1211 | ▲5 |
| 57 | Mylee Stiefel | 26:35.7 | 10 | Burlington | 1202 | 1250 | ▼-85 |
| 58 | Issabelle Evans | 26:37.9 | 12 | Keokuk | 1194 | 1190 | ▲5 |
| 59 | Maya Bruty | 26:38.2 | 10 | Washington | 1307 | 1293 | ▲41 |
| 60 | Klairissa Hamilton | 26:55.2 | 10 | Burlington | 1177 | 1230 | ▼-95 |
| 61 | Lydia Anderson | 27:03.9 | 10 | Muscatine | 1223 | 1213 | ▲15 |
| 62 | Amelia Fangman | 27:04.2 | 10 | Muscatine | 1186 | 1092 | ▲61 |
| 63 | Jetzibe Sanchez | 27:05.0 | 12 | Washington | 1138 | 1116 | ▲28 |
| 64 | Kali Ames | 27:07.9 | 9 | Keokuk | 1321 | 1292 | ▲50 |
| 65 | Alexa Walz | 27:35.0 | 10 | Fort Madison | 1118 | 1124 | ▼-376 |
| 66 | Tatum Kane | 27:40.0 | 12 | Mount Pleasant | 1115 | 1147 | ▼-29 |
| 67 | Reagan Haage | 28:20.2 | 11 | Keokuk | 943 | 961 | ▼-132 |
| 68 | Emma Kern | 28:20.5 | 12 | Fort Madison | 1063 | 1068 | ▼-5 |
| 69 | Christine Condren | 29:27.0 | 10 | Keokuk | 983 | 999 | ▼-67 |
| 70 | Shyanne Lemmon | 31:12.7 | 10 | Muscatine | 1055 | 1049 | ▲19 |
| 71 | Hailey Parrott | 31:41.7 | 12 | Mount Pleasant | 860 | 841 | ▲43 |
| 72 | Lauren Hessling | 34:49.0 | 10 | Muscatine | 719 | 690 | ▲41 |
| 73 | Constelle Votio | 36:39.5 | 11 | Muscatine | 662 | 676 | ▼-824 |