| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Lucy Murphy | 20:58.5 | 10 | Wahlert, Dubuque | 2222 | 2210 | ▲710 |
| 2 | Hallie Kelchen | 22:03.7 | 10 | Cascade, Western Dubuque | 2081 | 2071 | ▲571 |
| 3 | Adalyn Appleby | 22:39.0 | 11 | Central DeWitt | 1997 | 1988 | ▲488 |
| 4 | Isabelle Hardin | 23:00.7 | 10 | Maquoketa | 1935 | 1928 | ▲428 |
| 5 | Maya Bormann | 23:45.5 | 9 | Wahlert, Dubuque | 1886 | 1880 | ▲380 |
| 6 | Lilly Supple | 24:26.8 | 10 | Cascade, Western Dubuque | 1845 | 1839 | ▲339 |
| 7 | Ella Rohner | 25:25.4 | 9 | Wahlert, Dubuque | 1809 | 1804 | ▲304 |
| 8 | Claire King | 25:26.8 | 10 | Wahlert, Dubuque | 1777 | 1773 | ▲273 |
| 9 | Alison Munshower | 25:27.2 | 12 | Wahlert, Dubuque | 1748 | 1744 | ▲244 |
| 10 | Grace Wethal | 25:53.7 | 11 | Wahlert, Dubuque | 1721 | 1718 | ▲218 |
| 11 | Mallory Unsen | 26:01.7 | 9 | Wahlert, Dubuque | 1696 | 1693 | ▲193 |
| 12 | Shelby McDermott | 26:05.0 | 10 | Cascade, Western Dubuque | 1673 | 1670 | ▲170 |
| 13 | Jenny Claussen | 26:21.7 | 11 | Central DeWitt | 1650 | 1648 | ▲148 |
| 14 | Lilly Graham | 26:25.2 | 11 | Wahlert, Dubuque | 1628 | 1626 | ▲126 |
| 15 | Tori Rheingans | 26:42.0 | 12 | Central DeWitt | 1608 | 1606 | ▲106 |
| 16 | Willa Berning | 26:47.9 | 9 | Wahlert, Dubuque | 1587 | 1586 | ▲86 |
| 17 | Addison Walls | 26:54.7 | 10 | Central DeWitt | 1567 | 1566 | ▲66 |
| 18 | Annie Trumm | 27:18.5 | 10 | Cascade, Western Dubuque | 1548 | 1547 | ▲47 |
| 19 | Hailee Peters | 27:23.7 | 9 | Central DeWitt | 1529 | 1528 | ▲28 |
| 20 | Anna Dehn | 27:55.3 | 12 | Wahlert, Dubuque | 1510 | 1509 | ▲9 |
| 21 | Claire Thielen | 27:56.6 | 9 | Wahlert, Dubuque | 1490 | 1491 | ▼-9 |
| 22 | Hailey Fielding | 27:59.3 | 9 | Central DeWitt | 1471 | 1472 | ▼-28 |
| 23 | Ali Simmons | 28:01.5 | 12 | Maquoketa | 1452 | 1453 | ▼-47 |
| 24 | Everlie Sell | 28:03.0 | 9 | Wahlert, Dubuque | 1433 | 1434 | ▼-66 |
| 25 | Annabelle Cearlock | 28:03.3 | 10 | Wahlert, Dubuque | 1413 | 1414 | ▼-86 |
| 26 | Lilly Tuthill | 28:03.5 | 10 | Wahlert, Dubuque | 1392 | 1394 | ▼-106 |
| 27 | Rylee Steffen | 28:04.4 | 12 | Wahlert, Dubuque | 1372 | 1374 | ▼-126 |
| 28 | Olivia Bellini | 28:05.0 | 10 | Wahlert, Dubuque | 1350 | 1352 | ▼-148 |
| 29 | Sophia Bitter | 28:06.7 | 12 | Wahlert, Dubuque | 1327 | 1330 | ▼-170 |
| 30 | Marie Klostermann | 28:10.2 | 9 | Central DeWitt | 1304 | 1307 | ▼-193 |
| 31 | Delaney Barber | 28:13.2 | 11 | Central DeWitt | 1279 | 1282 | ▼-218 |
| 32 | Grace Zhang | 28:13.6 | 12 | Wahlert, Dubuque | 1252 | 1256 | ▼-244 |
| 33 | Julia Fielding | 28:18.1 | 11 | Central DeWitt | 1223 | 1227 | ▼-273 |
| 34 | Rylie Dunne | 29:12.7 | 11 | Central DeWitt | 1191 | 1196 | ▼-304 |
| 35 | Olivia McDermott | 29:16.7 | 12 | Maquoketa | 1155 | 1161 | ▼-339 |
| 36 | Madison Gilroy | 29:29.0 | 12 | Central DeWitt | 1114 | 1120 | ▼-380 |
| 37 | Madison Edens | 29:55.9 | 12 | Central DeWitt | 1065 | 1072 | ▼-428 |
| 38 | Melanie Miller | 30:58.4 | 9 | Central DeWitt | 1003 | 1012 | ▼-488 |
| 39 | Sophie Payton | 31:16.6 | 10 | Maquoketa | 919 | 929 | ▼-571 |
| 40 | Nora McAvan | 31:16.7 | 11 | Central DeWitt | 778 | 790 | ▼-710 |