| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Avery Rump | 19:39.2 | 10 | Fort Madison | 2258 | 2251 | ▲4 |
| 2 | Addison Dabroski | 19:42.8 | 10 | Marion | 2172 | 2148 | ▼-58 |
| 3 | Iris Dahl | 20:25.4 | 10 | Washington | 2137 | 2141 | ▼-4 |
| 4 | Paetyn Wiegand | 20:28.4 | 12 | Fort Madison | 2085 | 2071 | ▲10 |
| 5 | Hannah Karre | 20:35.5 | 11 | Keokuk | 2057 | 2084 | ▼-23 |
| 6 | Carley Seeley | 20:55.8 | 12 | Fairfield | 1984 | 1983 | ▲3 |
| 7 | Kendall Orozco | 21:14.9 | 12 | Marion | 1911 | 1841 | ▲40 |
| 8 | AudryElla Meyer | 21:27.4 | 11 | Marion | 1892 | 1902 | ▼-8 |
| 9 | Emma Horak | 21:43.9 | 9 | Washington | 1847 | 1779 | ▲60 |
| 10 | Quincy Griffis | 21:50.4 | 11 | Washington | 1838 | 1850 | ▼-13 |
| 11 | Angeline Anderson | 21:57.9 | 10 | Washington | 1812 | 1787 | ▲20 |
| 12 | Alyvia Anderson | 21:59.2 | 11 | Washington | 1800 | 1793 | ▲6 |
| 13 | Allison Ames | 22:10.2 | 11 | Keokuk | 1787 | 1792 | ▼-4 |
| 14 | Elise Moore | 22:17.9 | 10 | Marion | 1773 | 1768 | ▼-229 |
| 15 | Kendall Hinrichsen | 22:21.5 | 11 | Washington | 1758 | 1714 | ▲63 |
| 16 | Isabella Lujan | 22:24.6 | 11 | Washington | 1750 | 1737 | ▲12 |
| 17 | Baylee Billings | 22:26.5 | 9 | Keokuk | 1737 | 1701 | ▲40 |
| 18 | Kyra Cordes | 22:27.4 | 11 | Marion | 1731 | 1728 | ▼-316 |
| 19 | Alena Dietz | 22:32.4 | 11 | Marion | 1722 | 1725 | ▲136 |
| 20 | Eva Downey | 22:33.3 | 12 | Burlington | 1710 | 1694 | ▲21 |
| 21 | Sydney Andresen | 22:43.1 | 12 | Marion | 1700 | 1679 | ▲24 |
| 22 | Malena Bloomquist | 22:51.4 | 12 | Fairfield | 1693 | 1683 | ▲10 |
| 23 | Jayda Carnes | 23:14.1 | 11 | Marion | 1683 | 1656 | ▼-180 |
| 24 | Allison Lamb | 23:15.3 | 11 | Fort Madison | 1675 | 1666 | ▲7 |
| 25 | Ada Kendall | 23:20.2 | 12 | Washington | 1666 | 1645 | ▲18 |
| 26 | Rylee Olsen | 23:21.2 | 12 | Keokuk | 1659 | 1665 | ▼-5 |
| 27 | Hadley Wolfe | 23:27.5 | 10 | Fort Madison | 1647 | 1613 | ▲23 |
| 28 | McKayla Schinstock | 23:32.7 | 10 | Fort Madison | 1645 | 1711 | ▼-43 |
| 29 | Vivian Zaruba | 23:46.4 | 11 | Lone Tree | 1634 | 1665 | ▼-34 |
| 30 | Caroline Van Pelt | 23:49.3 | 10 | Fairfield | 1621 | 1611 | ▲21 |
| 31 | Ellie Huebner | 23:52.6 | 10 | Fort Madison | 1609 | 1551 | ▲44 |
| 32 | Amelia Dahl | 23:54.8 | 12 | Washington | 1607 | 1640 | ▼-63 |
| 33 | Abigail Kleese | 24:07.6 | 12 | Washington | 1599 | 1671 | ▼-99 |
| 34 | Giselle Marcelino | 24:13.6 | 12 | Washington | 1585 | 1589 | ▼-4 |
| 35 | Violet Shead | 24:19.7 | 10 | Keokuk | 1571 | 1529 | ▲30 |
| 36 | Laura Fitch | 24:30.8 | 11 | Marion | 1568 | 1604 | ▼-8 |
| 37 | Jayden Yoder | 24:31.8 | 9 | Mount Pleasant | 1549 | 1504 | ▲52 |
| 38 | Bailey Belzer | 24:33.4 | 10 | Fairfield | 1538 | 1473 | ▲55 |
| 39 | Darby Tackes | 24:38.1 | 10 | Keokuk | 1531 | 1518 | ▲12 |
| 40 | Nelle Peterson | 24:42.1 | 10 | Mount Pleasant | 1525 | 1557 | ▼-26 |
| 41 | Alexis Shuman | 24:47.0 | 9 | Keokuk | 1507 | 1467 | ▲24 |
| 42 | Kelly Takorbisong | 24:57.5 | 11 | Keokuk | 1498 | 1476 | ▲22 |
| 43 | Cecilia Murphy | 25:05.5 | 12 | Washington | 1486 | 1435 | ▲52 |
| 44 | Keira Campbell | 25:11.0 | 11 | Keokuk | 1478 | 1461 | ▲16 |
| 45 | Jalyiah Gardner | 25:13.3 | 11 | Keokuk | 1468 | 1449 | ▲14 |
| 46 | Jazmine Nino | 25:14.6 | 10 | Lone Tree | 1458 | 1442 | ▲15 |
| 47 | Macy Ringold | 25:15.2 | 12 | Burlington | 1449 | 1442 | ▲9 |
| 48 | Delaney Shindelar | 25:20.3 | 10 | Marion | 1442 | 1463 | ▼-92 |
| 49 | Halle Hazelett | 25:21.8 | 12 | Highland, Riverside | 1424 | 1365 | ▲45 |
| 50 | Isobel Murphy | 25:22.4 | 10 | Washington | 1423 | 1499 | ▼-55 |
| 51 | Katelyn Kobliska | 25:23.0 | 11 | Burlington | 1413 | 1489 | ▼-50 |
| 52 | Paige Bisgard | 25:23.9 | 11 | Fairfield | 1399 | 1425 | ▼-23 |
| 53 | Maya Bruty | 25:43.0 | 10 | Washington | 1385 | 1388 | ▼-3 |
| 54 | Klairissa Hamilton | 26:13.5 | 10 | Burlington | 1374 | 1388 | ▼-13 |
| 55 | Tatum Kane | 26:26.2 | 12 | Mount Pleasant | 1355 | 1327 | ▲25 |
| 56 | Jadyn Pauly | 26:48.9 | 9 | Marion | 1347 | 1360 | ▼-47 |
| 57 | Justine Lynn | 26:57.7 | 11 | WACO, Wayland | 1325 | 1301 | ▲34 |
| 58 | Greta Hansen | 27:07.1 | 11 | Marion | 1322 | 1481 | ▼-317 |
| 59 | Siena Stanerson | 27:40.5 | 9 | Highland, Riverside | 1306 | 1449 | ▼-403 |
| 60 | Emerson Porter | 27:42.9 | 9 | Fairfield | 1283 | 1282 | ▲2 |
| 61 | Emma Kern | 27:47.6 | 12 | Fort Madison | 1262 | 1234 | ▲16 |
| 62 | Sarah Craun | 27:50.9 | 10 | WACO, Wayland | 1247 | 1235 | ▲15 |
| 63 | Issabelle Evans | 27:56.7 | 12 | Keokuk | 1234 | 1243 | ▼-10 |
| 64 | Tara Carter | 28:17.8 | 9 | Fairfield | 1217 | 1230 | ▼-37 |
| 65 | Aliyah Jara | 28:23.0 | 12 | Washington | 1204 | 1209 | ▼-291 |
| 66 | Jetzibe Sanchez | 28:35.9 | 12 | Washington | 1198 | 1240 | ▼-43 |
| 67 | Christine Condren | 28:46.1 | 10 | Keokuk | 1166 | 1174 | ▼-5 |
| 68 | Abby Zaruba | 28:46.3 | 9 | Lone Tree | 1127 | 1114 | ▲36 |
| 69 | Reagan Haage | 29:10.2 | 11 | Keokuk | 1112 | 1141 | ▼-35 |
| 70 | Iyanna Barkley | 30:18.3 | 11 | Marion | 1062 | 1060 | ▲4 |
| 71 | Lydia Cass | 30:55.1 | 9 | Fairfield | 1024 | 1018 | ▲8 |
| 72 | Deedra Graber | 31:42.1 | 9 | WACO, Wayland | 989 | 988 | ▲3 |
| 73 | Hailey Parrott | 34:12.1 | 12 | Mount Pleasant | 935 | 924 | ▲14 |
| 74 | Genesis Rahe | 36:07.9 | 9 | Burlington | 907 | 961 | ▼-68 |
| 75 | Valerie Hernandez | 37:40.4 | 10 | Fairfield | 717 | 718 | ▼-2 |