| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Grace Beasley | 20:30.0 | 9 | Johnston | 2125 | 2060 | ▲101 |
| 2 | Payton Crabb | 21:01.0 | 9 | Johnston | 2010 | 1934 | ▲184 |
| 3 | Lexie Wisham | 21:08.0 | 10 | Johnston | 1965 | 1910 | ▲85 |
| 4 | Jaylee Duncan | 21:24.0 | 10 | Pleasant Valley | 1912 | 1905 | ▲405 |
| 5 | Jayna Lamping | 21:41.0 | 10 | Johnston | 1875 | 1876 | ▼-1 |
| 6 | Olivia Fehn | 21:43.0 | 10 | Johnston | 1866 | 1837 | ▲39 |
| 7 | Naomi Downing-Sherer | 22:07.0 | 9 | Iowa City, City High | 1842 | 1902 | ▼-138 |
| 8 | Frankie Gotto | 22:09.0 | 9 | Pleasant Valley | 1828 | 1823 | ▲323 |
| 9 | Ella Ripslinger | 22:12.0 | 9 | Bettendorf | 1823 | 1796 | ▲33 |
| 10 | Ella Romero | 22:21.0 | 9 | Iowa City, City High | 1807 | 1820 | ▼-17 |
| 11 | Madeline Fischer | 22:39.0 | 9 | Iowa City, City High | 1769 | 1748 | ▲25 |
| 12 | Stella Rose | 22:41.0 | 10 | Prairie, Cedar Rapids | 1765 | 1765 | ▼-72 |
| 13 | Harper Souhrada | 22:46.0 | 9 | Johnston | 1752 | 1748 | ▲248 |
| 14 | Sofia Miner | 23:03.0 | 9 | Prairie, Cedar Rapids | 1725 | 1721 | ▲221 |
| 15 | Aubrielle Tousey | 23:04.0 | 9 | Johnston | 1722 | 1719 | ▲4 |
| 16 | Millie Eikamp | 23:06.0 | 9 | Dubuque, Senior | 1719 | 1716 | ▲216 |
| 17 | Alma Bhandary-Narayanan | 23:18.0 | 10 | Iowa City, City High | 1714 | 1758 | ▼-62 |
| 18 | Stella Weber | 23:21.0 | 10 | Dubuque, Senior | 1703 | 1700 | ▲200 |
| 19 | Braeley Wullweber | 23:23.0 | 10 | Dubuque, Senior | 1702 | 1699 | ▲199 |
| 20 | Reese Wiley | 23:25.0 | 9 | Prairie, Cedar Rapids | 1701 | 1698 | ▲198 |
| 21 | Addi Schultes | 23:30.0 | 10 | Iowa City, City High | 1690 | 1715 | ▼-33 |
| 22 | Leah Ferguson | 23:31.0 | 9 | Johnston | 1678 | 1669 | ▲11 |
| 23 | Halia Christensen | 23:33.0 | 10 | Dubuque, Senior | 1670 | 1667 | ▲167 |
| 24 | Katiya Ellermeier | 23:43.0 | 10 | Iowa City, City High | 1661 | 1693 | ▼-42 |
| 25 | Nadia Spragg | 24:00.0 | 9 | Iowa City, City High | 1632 | 1667 | ▼-44 |
| 26 | Willow Schultz | 24:18.0 | 9 | Iowa City, City High | 1613 | 1602 | ▲13 |
| 27 | Audrey Holdener | 24:23.0 | 9 | Dubuque, Senior | 1593 | 1591 | ▲91 |
| 28 | Lilah Rasche | 24:27.0 | 9 | Bettendorf | 1582 | 1546 | ▲46 |
| 29 | Martha Willard | 24:31.0 | 9 | Iowa City, City High | 1577 | 1570 | ▲8 |
| 30 | Campbell Keibler | 24:43.0 | 9 | Bettendorf | 1558 | 1556 | ▲4 |
| 31 | Maddie Cappaert | 24:59.0 | 9 | Pleasant Valley | 1533 | 1532 | ▲32 |
| 32 | Addy Van Voorst | 25:04.0 | 9 | Prairie, Cedar Rapids | 1531 | 1531 | ▲31 |
| 33 | Anika Roe | 25:20.0 | 9 | Prairie, Cedar Rapids | 1515 | 1514 | ▲14 |
| 34 | Grace Hesselman | 25:25.0 | 10 | Dubuque, Senior | 1507 | 1507 | ▲7 |
| 35 | Maryl Meeboer | 25:43.0 | 9 | Pleasant Valley | 1479 | 1480 | ▼-20 |
| 36 | Khloe Hamilton | 25:45.0 | 9 | North Scott, Eldridge | 1476 | 1484 | ▼-9 |
| 37 | Jolie Evans | 25:48.0 | 9 | Iowa City, City High | 1464 | 1476 | ▼-15 |
| 38 | Cecelia Spector | 26:21.0 | 10 | Bettendorf | 1431 | 1423 | ▲9 |
| 39 | Hannah Highberger | 26:40.0 | 10 | Pleasant Valley | 1419 | 1420 | ▼-80 |
| 40 | Lexi Kuboushek | 26:41.0 | 9 | Prairie, Cedar Rapids | 1417 | 1419 | ▼-81 |
| 41 | Chloe Sprague | 26:51.0 | 9 | Dubuque, Senior | 1414 | 1416 | ▼-84 |
| 42 | Hope Hazen | 26:59.0 | 9 | Prairie, Cedar Rapids | 1405 | 1407 | ▼-93 |
| 43 | Jenna DeNike | 27:08.0 | 9 | Pleasant Valley | 1403 | 1405 | ▼-95 |
| 44 | Tiffany Ku | 27:26.0 | 10 | Pleasant Valley | 1371 | 1373 | ▼-127 |
| 45 | Marissa Eads | 27:36.0 | 9 | Muscatine | 1355 | 1397 | ▼-62 |
| 46 | JoLee Steinecke | 27:43.0 | 10 | North Scott, Eldridge | 1343 | 1346 | ▼-154 |
| 47 | Maggie Menster | 27:52.0 | 10 | Bettendorf | 1332 | 1329 | ▲3 |
| 48 | Amelia Fangman | 27:53.0 | 10 | Muscatine | 1324 | 1298 | ▲37 |
| 49 | Lydia Anderson | 27:54.0 | 10 | Muscatine | 1318 | 1306 | ▲18 |
| 50 | Maddie Gunderson | 28:21.0 | 10 | Iowa City, City High | 1290 | 1309 | ▼-24 |
| 51 | Paula Schwan | 28:26.0 | 9 | Bettendorf | 1280 | 1261 | ▲24 |
| 52 | Victoria Stellmach | 28:28.0 | 9 | Bettendorf | 1269 | 1301 | ▼-41 |
| 53 | Emma Reif | 28:44.0 | 9 | North Scott, Eldridge | 1246 | 1313 | ▼-92 |
| 54 | Harper Bailey | 29:33.0 | 10 | Iowa City, City High | 1209 | 1245 | ▼-44 |
| 55 | Ellie Daughetee | 29:57.0 | 10 | Dubuque, Senior | 1180 | 1185 | ▼-315 |
| 56 | Sara Gunn | 30:14.0 | 10 | Dubuque, Senior | 1177 | 1183 | ▼-317 |
| 57 | Liz Degner | 30:21.0 | 10 | Iowa City, City High | 1173 | 1203 | ▼-36 |
| 58 | Lillee Young | 31:03.0 | 9 | Prairie, Cedar Rapids | 1142 | 1148 | ▼-352 |
| 59 | Ruby Neal | 31:18.0 | 9 | Dubuque, Senior | 1109 | 1115 | ▼-385 |
| 60 | Khloe Sweet | 31:42.0 | 9 | Dubuque, Senior | 1101 | 1108 | ▼-392 |
| 61 | Shyanne Lemmon | 31:43.0 | 10 | Muscatine | 1084 | 1060 | ▲36 |
| 62 | Rylan Backes | 31:45.0 | 9 | Pleasant Valley | 1074 | 1082 | ▼-418 |
| 63 | Lily Gao | 32:00.0 | 9 | Pleasant Valley | 1070 | 1077 | ▼-423 |
| 64 | Amari Casto | 32:06.0 | 9 | Iowa City, City High | 1064 | 1129 | ▼-82 |
| 65 | Avery Nace | 32:29.0 | 9 | Iowa City, City High | 1042 | 1097 | ▼-66 |
| 66 | Katelyn Peck | 32:44.0 | 9 | North Scott, Eldridge | 989 | 1022 | ▼-39 |
| 67 | Ellie Routley | 32:50.0 | 10 | Dubuque, Senior | 963 | 972 | ▼-528 |
| 68 | Lauren Hessling | 33:43.0 | 10 | Muscatine | 925 | 903 | ▲35 |