| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Hallie Kelchen | 20:55.5 | 10 | Cascade, Western Dubuque | 1697 | 1731 | ▲116 |
| 2 | Leah Koehler | 21:08.0 | 11 | Monticello | 1684 | 1683 | ▲183 |
| 3 | Addison Dabroski | 21:28.2 | 10 | Marion | 1724 | 1726 | ▲226 |
| 4 | AudryElla Meyer | 21:31.7 | 11 | Marion | 1607 | 1605 | ▲105 |
| 5 | Marisa Kehoe | 21:34.4 | 12 | Monticello | 1604 | 1603 | ▲103 |
| 6 | Paetyn Wiegand | 21:36.0 | 12 | Fort Madison | 1600 | 1599 | ▲99 |
| 7 | Addison Rump | 21:45.7 | 10 | Fort Madison | 1634 | 1632 | ▲132 |
| 8 | Mia Deegan | 21:56.7 | 10 | Xavier, Cedar Rapids | 1732 | 1730 | ▲230 |
| 9 | Edie Axmear | 21:56.7 | 9 | Williamsburg | 1609 | 1608 | ▲108 |
| 10 | Ava Capron | 22:01.7 | 11 | Monticello | 1503 | 1507 | ▲7 |
| 11 | Emerson Quick | 22:04.2 | 12 | Assumption, Davenport | 1546 | 1545 | ▲45 |
| 12 | Halle Recker | 22:06.9 | 10 | Monticello | 1540 | 1539 | ▲39 |
| 13 | Amelia Moore | 22:07.0 | 10 | Assumption, Davenport | 1538 | 1537 | ▲37 |
| 14 | McKayla Schinstock | 22:22.0 | 10 | Fort Madison | 1500 | 1499 | ▼-1 |
| 15 | Jada Hoffman | 22:25.2 | 11 | Assumption, Davenport | 1504 | 1503 | ▲3 |
| 16 | Kendall Orozco | 22:29.9 | 12 | Marion | 1483 | 1483 | ▼-17 |
| 17 | Peyton Ries | 22:43.0 | 9 | Monticello | 1673 | 1673 | ▲173 |
| 18 | Cayleigh O'Brien | 22:45.7 | 9 | Xavier, Cedar Rapids | 1567 | 1564 | ▲64 |
| 19 | Keira Richmond | 23:16.7 | 11 | Xavier, Cedar Rapids | 1443 | 1443 | ▼-57 |
| 20 | Zoe Hulseburg | 23:17.7 | 10 | Williamsburg | 1317 | 1314 | ▼-186 |
| 21 | Jessica Stadtmueller | 23:19.5 | 11 | Monticello | 1441 | 1442 | ▼-58 |
| 22 | Emersen Verhagen | 23:27.2 | 9 | Monticello | 1516 | 1513 | ▲13 |
| 23 | Sophie Miller | 23:29.7 | 11 | Assumption, Davenport | 1426 | 1428 | ▼-72 |
| 24 | Maddy Martinez | 23:39.2 | 10 | Assumption, Davenport | 1416 | 1417 | ▼-83 |
| 25 | Sofia Musick | 23:42.0 | 9 | Xavier, Cedar Rapids | 1507 | 1506 | ▲6 |
| 26 | Elise Moore | 23:45.7 | 10 | Marion | 1575 | 1574 | ▲74 |
| 27 | Lilly Supple | 23:46.9 | 10 | Cascade, Western Dubuque | 1431 | 1398 | ▼-81 |
| 28 | Alena Dietz | 23:48.4 | 11 | Marion | 1215 | 1221 | ▼-279 |
| 29 | Laura Fitch | 23:57.2 | 11 | Marion | 1336 | 1340 | ▼-160 |
| 30 | Olivia Kahler | 24:26.2 | 10 | Assumption, Davenport | 1344 | 1346 | ▼-154 |
| 31 | Graceyn Uhlmann | 24:28.7 | 9 | Williamsburg | 1341 | 1344 | ▼-156 |
| 32 | Amalie Yeates | 24:35.0 | 11 | Assumption, Davenport | 1329 | 1332 | ▼-168 |
| 33 | Makenna Capper | 24:36.5 | 9 | Williamsburg | 1458 | 1461 | ▼-39 |
| 34 | Hadley Wolfe | 24:37.9 | 10 | Fort Madison | 1324 | 1327 | ▼-173 |
| 35 | Lanie Schlicksup | 24:39.0 | 11 | Assumption, Davenport | 1322 | 1324 | ▼-176 |
| 36 | Anya Rivera | 24:44.9 | 10 | Williamsburg | 1344 | 1348 | ▼-152 |
| 37 | Brianna Kearney | 24:58.4 | 10 | Monticello | 1292 | 1294 | ▼-206 |
| 38 | Myla Hintze | 25:07.2 | 9 | Assumption, Davenport | 1269 | 1273 | ▼-227 |
| 39 | Charley Huebner | 25:11.4 | 9 | Fort Madison | 1260 | 1264 | ▼-236 |
| 40 | Ashlyn Hoffman | 25:12.5 | 10 | Williamsburg | 1383 | 1388 | ▼-112 |
| 41 | Kaitlin Kunde | 25:22.2 | 11 | Monticello | 1298 | 1302 | ▼-198 |
| 42 | Reagan McMenomy | 25:31.0 | 12 | Williamsburg | 1241 | 1245 | ▼-255 |
| 43 | Annabelle Neal | 25:37.5 | 12 | Xavier, Cedar Rapids | 1234 | 1238 | ▼-262 |
| 44 | Katherine Stadtmueller | 25:50.2 | 9 | Monticello | 1426 | 1422 | ▼-78 |
| 45 | Ellie Huebner | 26:03.5 | 10 | Fort Madison | 1277 | 1279 | ▼-221 |
| 46 | Kyra Cordes | 26:11.5 | 11 | Marion | 1556 | 1556 | ▲56 |
| 47 | Leah Schemmel | 26:19.9 | 10 | Monticello | 1324 | 1323 | ▼-177 |
| 48 | Molly Dolan | 26:22.0 | 10 | Assumption, Davenport | 1185 | 1191 | ▼-309 |
| 49 | Nora Maloney | 26:32.4 | 12 | Xavier, Cedar Rapids | 1169 | 1174 | ▼-326 |
| 50 | Jayda Carnes | 26:34.9 | 11 | Marion | 1482 | 1478 | ▼-22 |
| 51 | Greta Hansen | 26:54.5 | 11 | Marion | 1495 | 1490 | ▼-10 |
| 52 | Shelby McDermott | 27:06.7 | 10 | Cascade, Western Dubuque | 1132 | 1224 | ▼-170 |
| 53 | Teresa Nguyen | 27:30.7 | 12 | Xavier, Cedar Rapids | 1094 | 1101 | ▼-399 |
| 54 | Lulu Rozeboom | 27:38.0 | 10 | Xavier, Cedar Rapids | 1239 | 1235 | ▼-265 |
| 55 | Annie Trumm | 27:54.5 | 10 | Cascade, Western Dubuque | 1250 | 1299 | ▼-29 |
| 56 | Elly Pfab | 27:55.2 | 9 | Xavier, Cedar Rapids | 1216 | 1214 | ▼-286 |
| 57 | Ellie Stephenson | 28:07.7 | 10 | Xavier, Cedar Rapids | 1255 | 1251 | ▼-249 |
| 58 | Ciara O'Brien | 28:19.5 | 11 | Xavier, Cedar Rapids | 1041 | 1043 | ▼-457 |
| 59 | Kaitlyn Snow | 28:22.0 | 12 | Williamsburg | 989 | 998 | ▼-502 |
| 60 | Virginia Bostwick | 28:42.2 | 9 | Xavier, Cedar Rapids | 981 | 990 | ▼-510 |
| 61 | Molly Thomas | 28:56.5 | 11 | Williamsburg | 973 | 982 | ▼-518 |
| 62 | Addison Guerra | 29:04.0 | 9 | West Liberty | 1150 | 1153 | ▼-347 |
| 63 | Lucy Oehler | 29:53.2 | 11 | Xavier, Cedar Rapids | 1130 | 1128 | ▼-372 |
| 64 | Taylor Gassman | 30:00.5 | 12 | Monticello | 867 | 877 | ▼-623 |
| 65 | Naomi Sitas | 30:23.2 | 9 | Williamsburg | 851 | 862 | ▼-638 |
| 66 | Dotti Garbes | 30:38.5 | 9 | Xavier, Cedar Rapids | 881 | 885 | ▼-615 |
| 67 | Emelia Slesicki | 31:02.0 | 9 | Assumption, Davenport | 746 | 759 | ▼-741 |
| 68 | Aubrey Sires | 31:42.5 | 11 | Xavier, Cedar Rapids | 716 | 729 | ▼-771 |
| 69 | Skylar Christensen | 33:18.0 | 9 | Monticello | 836 | 834 | ▼-666 |
| 70 | Cady Campbell | 33:33.4 | 12 | Williamsburg | 499 | 516 | ▼-984 |
| 71 | Harper Miller | 35:55.6 | 9 | Assumption, Davenport | 363 | 382 | ▼-1118 |