| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Paetyn Wiegand | 20:50.0 | 12 | Fort Madison | 1992 | 1965 | ▲32 |
| 2 | Hannah Karre | 21:05.0 | 11 | Keokuk | 1949 | 1941 | ▲441 |
| 3 | Addison Rump | 21:24.0 | 10 | Fort Madison | 1910 | 1910 | ▼-77 |
| 4 | Kaitlyn Kipp | 21:38.0 | 9 | Notre Dame / West Burlington | 1857 | 1851 | ▲351 |
| 5 | McKayla Schinstock | 22:47.0 | 10 | Fort Madison | 1803 | 1792 | ▲12 |
| 6 | Baylee Billings | 23:02.0 | 9 | Keokuk | 1754 | 1750 | ▲250 |
| 7 | Allison Ames | 23:18.0 | 11 | Keokuk | 1731 | 1727 | ▲227 |
| 8 | Charley Huebner | 23:38.0 | 9 | Fort Madison | 1618 | 1552 | ▲120 |
| 9 | Hadley Wolfe | 23:48.0 | 10 | Fort Madison | 1559 | 1538 | ▲27 |
| 10 | Rylee Olsen | 24:01.0 | 12 | Keokuk | 1536 | 1535 | ▲35 |
| 11 | Grace Nichels | 25:01.0 | 11 | Notre Dame / West Burlington | 1524 | 1523 | ▲23 |
| 12 | Kennedy Ritter | 25:23.0 | 12 | Notre Dame / West Burlington | 1512 | 1512 | ▲12 |
| 13 | Ellie Huebner | 25:25.0 | 10 | Fort Madison | 1469 | 1428 | ▼-79 |
| 14 | Darby Tackes | 25:37.0 | 10 | Keokuk | 1460 | 1461 | ▼-39 |
| 15 | Jacie Olsen | 25:51.0 | 10 | Keokuk | 1451 | 1452 | ▼-48 |
| 16 | Keira Campbell | 27:51.0 | 11 | Keokuk | 1395 | 1397 | ▼-103 |
| 17 | Justine Lynn | 28:20.0 | 11 | WACO, Wayland | 1376 | 1426 | ▼-56 |
| 18 | Allison Lamb | 28:30.0 | 11 | Fort Madison | 1333 | 1336 | ▼-164 |
| 19 | Gabby Maynes | 28:35.0 | 10 | Central Lee, Donnellson | 1321 | 1324 | ▼-176 |
| 20 | Sarah Craun | 28:53.0 | 10 | WACO, Wayland | 1302 | 1331 | ▼-32 |
| 21 | Deedra Graber | 32:44.0 | 9 | WACO, Wayland | 1165 | 1213 | ▼-52 |