| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Hallie Kelchen | 20:55.5 | 10 | Cascade, Western Dubuque | 2114 | 2154 | ▲83 |
| 2 | Leah Koehler | 21:08.0 | 11 | Monticello | 2068 | 2065 | ▲565 |
| 3 | Addison Dabroski | 21:28.2 | 10 | Marion | 2192 | 2194 | ▲694 |
| 4 | AudryElla Meyer | 21:31.7 | 11 | Marion | 1966 | 1958 | ▲458 |
| 5 | Marisa Kehoe | 21:34.4 | 12 | Monticello | 1953 | 1945 | ▲445 |
| 6 | Paetyn Wiegand | 21:36.0 | 12 | Fort Madison | 1940 | 1933 | ▲433 |
| 7 | Addison Rump | 21:45.7 | 10 | Fort Madison | 1990 | 1987 | ▲487 |
| 8 | Mia Deegan | 21:56.7 | 10 | Xavier, Cedar Rapids | 2203 | 2198 | ▲698 |
| 9 | Edie Axmear | 21:56.7 | 9 | Williamsburg | 1968 | 1966 | ▲466 |
| 10 | Ava Capron | 22:01.7 | 11 | Monticello | 1791 | 1796 | ▲296 |
| 11 | Emerson Quick | 22:04.2 | 12 | Assumption, Davenport | 1843 | 1837 | ▲337 |
| 12 | Halle Recker | 22:06.9 | 10 | Monticello | 1835 | 1829 | ▲329 |
| 13 | Amelia Moore | 22:07.0 | 10 | Assumption, Davenport | 1827 | 1821 | ▲321 |
| 14 | McKayla Schinstock | 22:22.0 | 10 | Fort Madison | 1782 | 1780 | ▲280 |
| 15 | Jada Hoffman | 22:25.2 | 11 | Assumption, Davenport | 1777 | 1772 | ▲272 |
| 16 | Kendall Orozco | 22:29.9 | 12 | Marion | 1744 | 1740 | ▲240 |
| 17 | Peyton Ries | 22:43.0 | 9 | Monticello | 2042 | 2042 | ▲542 |
| 18 | Cayleigh O'Brien | 22:45.7 | 9 | Xavier, Cedar Rapids | 1911 | 1906 | ▲406 |
| 19 | Keira Richmond | 23:16.7 | 11 | Xavier, Cedar Rapids | 1704 | 1703 | ▲203 |
| 20 | Zoe Hulseburg | 23:17.7 | 10 | Williamsburg | 1550 | 1546 | ▲46 |
| 21 | Jessica Stadtmueller | 23:19.5 | 11 | Monticello | 1661 | 1658 | ▲158 |
| 22 | Emersen Verhagen | 23:27.2 | 9 | Monticello | 1819 | 1816 | ▲316 |
| 23 | Sophie Miller | 23:29.7 | 11 | Assumption, Davenport | 1631 | 1629 | ▲129 |
| 24 | Maddy Martinez | 23:39.2 | 10 | Assumption, Davenport | 1622 | 1620 | ▲120 |
| 25 | Sofia Musick | 23:42.0 | 9 | Xavier, Cedar Rapids | 1795 | 1793 | ▲293 |
| 26 | Elise Moore | 23:45.7 | 10 | Marion | 1922 | 1920 | ▲420 |
| 27 | Lilly Supple | 23:46.9 | 10 | Cascade, Western Dubuque | 1677 | 1637 | ▼-202 |
| 28 | Alena Dietz | 23:48.4 | 11 | Marion | 1435 | 1443 | ▼-57 |
| 29 | Laura Fitch | 23:57.2 | 11 | Marion | 1577 | 1581 | ▲81 |
| 30 | Olivia Kahler | 24:26.2 | 10 | Assumption, Davenport | 1539 | 1538 | ▲38 |
| 31 | Graceyn Uhlmann | 24:28.7 | 9 | Williamsburg | 1534 | 1534 | ▲34 |
| 32 | Amalie Yeates | 24:35.0 | 11 | Assumption, Davenport | 1521 | 1520 | ▲20 |
| 33 | Makenna Capper | 24:36.5 | 9 | Williamsburg | 1726 | 1730 | ▲230 |
| 34 | Hadley Wolfe | 24:37.9 | 10 | Fort Madison | 1512 | 1511 | ▲11 |
| 35 | Lanie Schlicksup | 24:39.0 | 11 | Assumption, Davenport | 1507 | 1507 | ▲7 |
| 36 | Anya Rivera | 24:44.9 | 10 | Williamsburg | 1582 | 1586 | ▲86 |
| 37 | Brianna Kearney | 24:58.4 | 10 | Monticello | 1521 | 1523 | ▲23 |
| 38 | Myla Hintze | 25:07.2 | 9 | Assumption, Davenport | 1446 | 1446 | ▼-54 |
| 39 | Charley Huebner | 25:11.4 | 9 | Fort Madison | 1431 | 1432 | ▼-68 |
| 40 | Ashlyn Hoffman | 25:12.5 | 10 | Williamsburg | 1622 | 1628 | ▲128 |
| 41 | Kaitlin Kunde | 25:22.2 | 11 | Monticello | 1532 | 1536 | ▲36 |
| 42 | Reagan McMenomy | 25:31.0 | 12 | Williamsburg | 1400 | 1401 | ▼-99 |
| 43 | Annabelle Neal | 25:37.5 | 12 | Xavier, Cedar Rapids | 1394 | 1396 | ▼-104 |
| 44 | Katherine Stadtmueller | 25:50.2 | 9 | Monticello | 1671 | 1666 | ▲166 |
| 45 | Ellie Huebner | 26:03.5 | 10 | Fort Madison | 1506 | 1507 | ▲7 |
| 46 | Kyra Cordes | 26:11.5 | 11 | Marion | 1889 | 1889 | ▲389 |
| 47 | Leah Schemmel | 26:19.9 | 10 | Monticello | 1562 | 1560 | ▲60 |
| 48 | Molly Dolan | 26:22.0 | 10 | Assumption, Davenport | 1338 | 1341 | ▼-159 |
| 49 | Nora Maloney | 26:32.4 | 12 | Xavier, Cedar Rapids | 1314 | 1317 | ▼-183 |
| 50 | Jayda Carnes | 26:34.9 | 11 | Marion | 1763 | 1759 | ▲259 |
| 51 | Greta Hansen | 26:54.5 | 11 | Marion | 1775 | 1768 | ▲268 |
| 52 | Shelby McDermott | 27:06.7 | 10 | Cascade, Western Dubuque | 1283 | 1373 | ▼-297 |
| 53 | Teresa Nguyen | 27:30.7 | 12 | Xavier, Cedar Rapids | 1253 | 1257 | ▼-243 |
| 54 | Lulu Rozeboom | 27:38.0 | 10 | Xavier, Cedar Rapids | 1458 | 1454 | ▼-46 |
| 55 | Annie Trumm | 27:54.5 | 10 | Cascade, Western Dubuque | 1477 | 1529 | ▼-18 |
| 56 | Elly Pfab | 27:55.2 | 9 | Xavier, Cedar Rapids | 1437 | 1434 | ▼-66 |
| 57 | Ellie Stephenson | 28:07.7 | 10 | Xavier, Cedar Rapids | 1484 | 1480 | ▼-20 |
| 58 | Ciara O'Brien | 28:19.5 | 11 | Xavier, Cedar Rapids | 1219 | 1221 | ▼-279 |
| 59 | Kaitlyn Snow | 28:22.0 | 12 | Williamsburg | 1115 | 1121 | ▼-379 |
| 60 | Virginia Bostwick | 28:42.2 | 9 | Xavier, Cedar Rapids | 1103 | 1110 | ▼-390 |
| 61 | Molly Thomas | 28:56.5 | 11 | Williamsburg | 1090 | 1097 | ▼-403 |
| 62 | Addison Guerra | 29:04.0 | 9 | West Liberty | 1345 | 1347 | ▼-153 |
| 63 | Lucy Oehler | 29:53.2 | 11 | Xavier, Cedar Rapids | 1321 | 1318 | ▼-182 |
| 64 | Taylor Gassman | 30:00.5 | 12 | Monticello | 1015 | 1023 | ▼-477 |
| 65 | Naomi Sitas | 30:23.2 | 9 | Williamsburg | 997 | 1005 | ▼-495 |
| 66 | Dotti Garbes | 30:38.5 | 9 | Xavier, Cedar Rapids | 1041 | 1045 | ▼-455 |
| 67 | Emelia Slesicki | 31:02.0 | 9 | Assumption, Davenport | 872 | 882 | ▼-618 |
| 68 | Aubrey Sires | 31:42.5 | 11 | Xavier, Cedar Rapids | 835 | 846 | ▼-654 |
| 69 | Skylar Christensen | 33:18.0 | 9 | Monticello | 989 | 987 | ▼-513 |
| 70 | Cady Campbell | 33:33.4 | 12 | Williamsburg | 652 | 666 | ▼-834 |
| 71 | Harper Miller | 35:55.6 | 9 | Assumption, Davenport | 515 | 531 | ▼-969 |