| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Grace Berglund | 18:54.3 | 9 | Glenwood | 2316 | 2297 | ▲18 |
| 2 | Delayna Reese | 19:05.7 | 9 | Lewis Central | 2249 | 2150 | ▲100 |
| 3 | Raenna Henke | 19:07.7 | 11 | Clarinda | 2236 | 2254 | ▼-17 |
| 4 | Claire Pellett | 19:09.6 | 12 | Atlantic | 2194 | 2196 | ▼-3 |
| 5 | Lola Mendlik | 19:24.4 | 11 | Denison-Schleswig | 2166 | 2183 | ▼-15 |
| 6 | Marie Dea | 19:50.6 | 12 | Kuemper Catholic, Carroll | 2125 | 2112 | ▲10 |
| 7 | Alexa Tremblay | 19:55.9 | 11 | Denison-Schleswig | 2090 | 2053 | ▲24 |
| 8 | Brylee Schechinger | 19:57.0 | 11 | Harlan Community | 2065 | 2045 | ▲19 |
| 9 | Breckyn Petersen | 19:57.5 | 11 | Glenwood | 2036 | 1988 | ▲49 |
| 10 | Lauren Hughes | 19:57.5 | 12 | Glenwood | 2016 | 1981 | ▲29 |
| 11 | Madelyn Hoss | 20:00.1 | 9 | Lewis Central | 1999 | 1993 | ▲6 |
| 12 | Hailey Egbert | 20:29.2 | 11 | Shenandoah | 1990 | 2091 | ▼-69 |
| 13 | Ava Bussey | 20:37.6 | 11 | Lewis Central | 1969 | 2022 | ▼-96 |
| 14 | Belle Berg | 20:50.4 | 12 | Atlantic | 1938 | 1921 | ▲18 |
| 15 | Caitlin Hebel | 20:55.4 | 10 | Glenwood | 1919 | 1890 | ▲27 |
| 16 | Madelyn Berglund | 20:57.3 | 11 | Glenwood | 1903 | 1876 | ▲31 |
| 17 | Elaina Hesse | 21:07.9 | 9 | Clarinda | 1890 | 1873 | ▲15 |
| 18 | Katrina Williams | 21:11.9 | 10 | Atlantic | 1877 | 1860 | ▲15 |
| 19 | Megan Hughes | 21:15.0 | 9 | Glenwood | 1864 | 1846 | ▲15 |
| 20 | Riley King | 21:17.1 | 10 | Clarinda | 1853 | 1847 | ▲6 |
| 21 | Taylor Bieker | 21:26.2 | 12 | Harlan Community | 1841 | 1833 | ▲8 |
| 22 | Tyler Tingley | 21:29.9 | 11 | Lewis Central | 1826 | 1800 | ▲37 |
| 23 | Payton Davis | 21:33.1 | 11 | Creston | 1821 | 1844 | ▼-29 |
| 24 | Katelyn Harms | 21:36.2 | 9 | Glenwood | 1809 | 1827 | ▼-15 |
| 25 | Allie Anderson | 21:46.0 | 9 | Harlan Community | 1801 | 1914 | ▼-63 |
| 26 | Kate Strohmeier | 21:48.1 | 9 | Lewis Central | 1781 | 1749 | ▲25 |
| 27 | Emily Schechinger | 21:56.2 | 12 | Harlan Community | 1775 | 1794 | ▼-21 |
| 28 | Julia Kanne | 21:59.2 | 12 | Kuemper Catholic, Carroll | 1760 | 1743 | ▲18 |
| 29 | Hailey Huffman | 22:18.8 | 11 | Atlantic | 1729 | 1690 | ▲50 |
| 30 | Megan Birge | 22:27.3 | 11 | Atlantic | 1724 | 1721 | ▲2 |
| 31 | Makenna Schroeder | 22:27.9 | 10 | Atlantic | 1714 | 1705 | ▲12 |
| 32 | Alexa Barnes | 22:34.0 | 9 | Clarinda | 1706 | 1692 | ▲12 |
| 33 | Lily Schechinger | 22:34.9 | 10 | Harlan Community | 1699 | 1689 | ▲9 |
| 34 | Olivia Wait | 22:35.9 | 10 | Lewis Central | 1691 | 1672 | ▲20 |
| 35 | Kayla Anderson | 22:40.7 | 11 | Harlan Community | 1684 | 1672 | ▲25 |
| 36 | Marlee Perrien | 22:41.1 | 9 | Red Oak | 1677 | 1663 | ▲16 |
| 37 | Maura Ryan | 22:41.9 | 9 | St. Albert, Council Bluffs | 1674 | 1722 | ▼-39 |
| 38 | Richlyn Muff | 22:57.4 | 10 | Clarinda | 1658 | 1656 | ▲3 |
| 39 | Kambry Gordon | 22:58.5 | 10 | Clarinda | 1652 | 1640 | ▲10 |
| 40 | Mariah Huffman | 23:06.2 | 11 | Atlantic | 1641 | 1646 | ▼-8 |
| 41 | Zoe Young | 23:09.2 | 9 | Shenandoah | 1627 | 1588 | ▲33 |
| 42 | Charlotte Schrum | 23:12.4 | 10 | Denison-Schleswig | 1624 | 1645 | ▼-27 |
| 43 | Maddy Lopez | 23:23.0 | 9 | Red Oak | 1605 | 1590 | ▲13 |
| 44 | Reese Strunk | 23:24.6 | 9 | Creston | 1598 | 1677 | ▼-68 |
| 45 | Lainey Klepinger | 23:26.1 | 12 | Red Oak | 1589 | 1573 | ▲13 |
| 46 | Karter Clayton | 23:28.4 | 11 | Creston | 1577 | 1557 | ▲18 |
| 47 | Britney Kolamneo | 23:32.9 | 9 | Clarinda | 1568 | 1574 | ▼-10 |
| 48 | Addie Davis | 23:43.0 | 9 | Kuemper Catholic, Carroll | 1541 | 1555 | ▼-14 |
| 49 | Sadie Alberti | 23:54.6 | 9 | Harlan Community | 1531 | 1573 | ▼-51 |
| 50 | Gretchen Hoepker | 23:58.0 | 9 | Creston | 1512 | 1515 | ▼-7 |
| 51 | Greta Livingston | 24:00.4 | 9 | St. Albert, Council Bluffs | 1504 | 1487 | ▲15 |
| 52 | Tiffany Ramirez | 24:08.2 | 11 | Denison-Schleswig | 1500 | 1508 | ▼-7 |
| 53 | Jenna Meadows | 24:37.2 | 9 | Denison-Schleswig | 1482 | 1508 | ▼-23 |
| 54 | Emily Bahnsen | 24:50.9 | 11 | Denison-Schleswig | 1473 | 1468 | ▲4 |
| 55 | Sydney Skokan | 24:55.7 | 10 | Lewis Central | 1461 | 1464 | ▼-3 |
| 56 | Anna Galvin | 24:58.1 | 10 | Denison-Schleswig | 1451 | 1405 | ▲31 |
| 57 | Kyra Wolterman | 25:21.2 | 12 | Kuemper Catholic, Carroll | 1429 | 1483 | ▼-96 |
| 58 | Shelby Greving | 25:46.8 | 9 | Kuemper Catholic, Carroll | 1375 | 1436 | ▼-48 |
| 59 | Caroline Campbell | 25:48.0 | 9 | Shenandoah | 1364 | 1354 | ▲9 |
| 60 | Abby Freeman | 26:07.3 | 10 | Creston | 1342 | 1326 | ▲18 |
| 61 | Cate Horn | 26:42.0 | 9 | Red Oak | 1302 | 1302 | ▼-1 |
| 62 | Madeline Segebart | 27:24.1 | 10 | Kuemper Catholic, Carroll | 1248 | 1327 | ▼-63 |
| 63 | Leya Walker | 28:23.5 | 9 | Red Oak | 1184 | 1157 | ▲22 |
| 64 | Gillian Heim | 28:26.5 | 9 | Red Oak | 1167 | 1143 | ▲28 |
| 65 | Gabby Smith | 29:42.5 | 9 | Red Oak | 1100 | 1116 | ▼-17 |