| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Lucy Murphy | 20:58.5 | 10 | Wahlert, Dubuque | 1729 | 1725 | ▲225 |
| 2 | Hallie Kelchen | 22:03.7 | 10 | Cascade, Western Dubuque | 1617 | 1615 | ▲115 |
| 3 | Adalyn Appleby | 22:39.0 | 11 | Central DeWitt | 1555 | 1554 | ▲54 |
| 4 | Isabelle Hardin | 23:00.7 | 10 | Maquoketa | 1546 | 1546 | ▲46 |
| 5 | Maya Bormann | 23:45.5 | 9 | Wahlert, Dubuque | 1513 | 1512 | ▲12 |
| 6 | Lilly Supple | 24:26.8 | 10 | Cascade, Western Dubuque | 1479 | 1479 | ▼-21 |
| 7 | Ella Rohner | 25:25.4 | 9 | Wahlert, Dubuque | 1445 | 1446 | ▼-54 |
| 8 | Claire King | 25:26.8 | 10 | Wahlert, Dubuque | 1436 | 1437 | ▼-63 |
| 9 | Alison Munshower | 25:27.2 | 12 | Wahlert, Dubuque | 1419 | 1420 | ▼-80 |
| 10 | Grace Wethal | 25:53.7 | 11 | Wahlert, Dubuque | 1410 | 1412 | ▼-88 |
| 11 | Mallory Unsen | 26:01.7 | 9 | Wahlert, Dubuque | 1401 | 1403 | ▼-97 |
| 12 | Shelby McDermott | 26:05.0 | 10 | Cascade, Western Dubuque | 1392 | 1394 | ▼-106 |
| 13 | Jenny Claussen | 26:21.7 | 11 | Central DeWitt | 1374 | 1376 | ▼-124 |
| 14 | Lilly Graham | 26:25.2 | 11 | Wahlert, Dubuque | 1364 | 1367 | ▼-133 |
| 15 | Tori Rheingans | 26:42.0 | 12 | Central DeWitt | 1355 | 1357 | ▼-143 |
| 16 | Willa Berning | 26:47.9 | 9 | Wahlert, Dubuque | 1345 | 1348 | ▼-152 |
| 17 | Addison Walls | 26:54.7 | 10 | Central DeWitt | 1335 | 1338 | ▼-162 |
| 18 | Annie Trumm | 27:18.5 | 10 | Cascade, Western Dubuque | 1325 | 1328 | ▼-172 |
| 19 | Hailee Peters | 27:23.7 | 9 | Central DeWitt | 1315 | 1318 | ▼-182 |
| 20 | Anna Dehn | 27:55.3 | 12 | Wahlert, Dubuque | 1293 | 1297 | ▼-203 |
| 21 | Claire Thielen | 27:56.6 | 9 | Wahlert, Dubuque | 1282 | 1286 | ▼-214 |
| 22 | Hailey Fielding | 27:59.3 | 9 | Central DeWitt | 1271 | 1275 | ▼-225 |
| 23 | Ali Simmons | 28:01.5 | 12 | Maquoketa | 1259 | 1263 | ▼-237 |
| 24 | Everlie Sell | 28:03.0 | 9 | Wahlert, Dubuque | 1247 | 1251 | ▼-249 |
| 25 | Annabelle Cearlock | 28:03.3 | 10 | Wahlert, Dubuque | 1234 | 1238 | ▼-262 |
| 26 | Lilly Tuthill | 28:03.5 | 10 | Wahlert, Dubuque | 1221 | 1225 | ▼-275 |
| 27 | Rylee Steffen | 28:04.4 | 12 | Wahlert, Dubuque | 1207 | 1212 | ▼-288 |
| 28 | Olivia Bellini | 28:05.0 | 10 | Wahlert, Dubuque | 1193 | 1198 | ▼-302 |
| 29 | Sophia Bitter | 28:06.7 | 12 | Wahlert, Dubuque | 1177 | 1183 | ▼-317 |
| 30 | Marie Klostermann | 28:10.2 | 9 | Central DeWitt | 1161 | 1167 | ▼-333 |
| 31 | Delaney Barber | 28:13.2 | 11 | Central DeWitt | 1145 | 1150 | ▼-350 |
| 32 | Grace Zhang | 28:13.6 | 12 | Wahlert, Dubuque | 1126 | 1133 | ▼-367 |
| 33 | Julia Fielding | 28:18.1 | 11 | Central DeWitt | 1107 | 1114 | ▼-386 |
| 34 | Rylie Dunne | 29:12.7 | 11 | Central DeWitt | 1086 | 1093 | ▼-407 |
| 35 | Olivia McDermott | 29:16.7 | 12 | Maquoketa | 1063 | 1070 | ▼-430 |
| 36 | Madison Gilroy | 29:29.0 | 12 | Central DeWitt | 1038 | 1045 | ▼-455 |
| 37 | Madison Edens | 29:55.9 | 12 | Central DeWitt | 939 | 948 | ▼-552 |
| 38 | Melanie Miller | 30:58.4 | 9 | Central DeWitt | 835 | 846 | ▼-654 |
| 39 | Sophie Payton | 31:16.6 | 10 | Maquoketa | 753 | 766 | ▼-734 |
| 40 | Nora McAvan | 31:16.7 | 11 | Central DeWitt | 615 | 630 | ▼-870 |