| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Meghan Wheatley | 18:27.0 | 12 | North-Linn, Troy Mills | 2559 | 2554 | ▲8 |
| 2 | Alyssa Klein | 19:36.4 | 12 | Epworth, Western Dubuque | 2452 | 2456 | ▼-5 |
| 3 | Lauren Krogmann | 19:43.5 | 9 | Starmont | 2401 | 2386 | ▲235 |
| 4 | Hallie Kelchen | 19:51.7 | 10 | Cascade, Western Dubuque | 2214 | 2232 | ▲81 |
| 5 | Taryn Burbridge | 20:05.5 | 10 | Maquoketa Valley, Delhi | 2163 | 2152 | ▲652 |
| 6 | Alivia Edens | 20:14.2 | 12 | Tipton | 2139 | 2104 | ▲27 |
| 7 | Leah Koehler | 20:17.0 | 11 | Monticello | 2226 | 2173 | ▲95 |
| 8 | Abby Fleming | 20:20.5 | 12 | Mid-Prairie, Wellman | 2095 | 1992 | ▲104 |
| 9 | Maria Dudzik | 20:23.9 | 12 | Beckman Catholic, Dyersville | 2086 | 2080 | ▲10 |
| 10 | Laura Owen | 20:24.7 | 11 | Tipton | 2183 | 2207 | ▼-19 |
| 11 | Maria Kruse | 20:26.0 | 12 | Beckman Catholic, Dyersville | 2059 | 2074 | ▼-28 |
| 12 | Marisa Kehoe | 20:26.5 | 12 | Monticello | 2035 | 1972 | ▲89 |
| 13 | Ava Remley | 20:30.7 | 10 | Anamosa | 2304 | 2228 | ▲106 |
| 14 | Avery Trunkhill | 20:31.7 | 10 | Denver | 1967 | 1975 | ▼-39 |
| 15 | Delany Homan | 20:35.0 | 9 | Camanche | 2055 | 1983 | ▲132 |
| 16 | Brooklyn Stutzman | 20:40.2 | 9 | Mid-Prairie, Wellman | 2292 | 2318 | ▲433 |
| 17 | Kaitlyn Kipp | 20:45.7 | 9 | Notre Dame / West Burlington | 2082 | 2070 | ▲89 |
| 18 | Phoebe Shetler | 20:46.9 | 12 | Mid-Prairie, Wellman | 1956 | 1911 | ▲74 |
| 19 | Peyton Ries | 20:47.2 | 9 | Monticello | 1867 | 1968 | ▲173 |
| 20 | Jada Hoffman | 20:47.9 | 11 | Assumption, Davenport | 2028 | 2026 | ▲202 |
| 21 | Amelia Moore | 20:53.2 | 10 | Assumption, Davenport | 2039 | 1999 | ▲95 |
| 22 | Reeve Ristau | 20:54.0 | 11 | Denver | 1920 | 1952 | ▼-96 |
| 23 | Addison Merritt | 20:58.9 | 9 | Springville | 1985 | 1915 | ▲94 |
| 24 | Kaitlyn Thole | 21:00.2 | 11 | Epworth, Western Dubuque | 1716 | 1760 | ▼-13 |
| 25 | Halle Recker | 21:01.7 | 10 | Monticello | 1886 | 1853 | ▲33 |
| 26 | Ava Capron | 21:02.2 | 11 | Monticello | 1837 | 1840 | ▼-58 |
| 27 | Madelyn Reiter | 21:03.7 | 11 | Beckman Catholic, Dyersville | 2113 | 2131 | ▲161 |
| 28 | Hailey Homan | 21:07.9 | 11 | Denver | 1749 | 1782 | ▼-215 |
| 29 | Karli Hines | 21:10.4 | 11 | Tipton | 1814 | 1817 | ▼-4 |
| 30 | Annika Poll | 21:11.0 | 12 | Mid-Prairie, Wellman | 1846 | 1830 | ▲21 |
| 31 | Bella Meyers | 21:11.4 | 11 | Epworth, Western Dubuque | 1787 | 1771 | ▲111 |
| 32 | Julia Mertz | 21:13.0 | 12 | Beckman Catholic, Dyersville | 1837 | 1880 | ▼-147 |
| 33 | Kasey McIlrath | 21:14.0 | 11 | Epworth, Western Dubuque | 1894 | 1891 | ▲151 |
| 34 | Bryn Collum | 21:18.7 | 11 | North-Linn, Troy Mills | 1823 | 1859 | ▼-83 |
| 35 | Anna Mulert | 21:31.5 | 11 | Denver | 1690 | 1694 | ▼-210 |
| 36 | Sophie Sanderson | 21:31.9 | 10 | Denver | 1846 | 1860 | ▲41 |
| 37 | Dessa Poll | 21:33.2 | 11 | Mid-Prairie, Wellman | 1928 | 1936 | ▲252 |
| 38 | Ella Hein | 21:37.5 | 9 | Tipton | 1950 | 1932 | ▲13 |
| 39 | Addie Nerem | 21:38.5 | 12 | Tipton | 1784 | 1824 | ▼-26 |
| 40 | Greta Sieren | 21:40.4 | 12 | Mid-Prairie, Wellman | 1777 | 1822 | ▼-103 |
| 41 | Kendal Landstrum | 21:41.5 | 9 | Mid-Prairie, Wellman | 1768 | 1778 | ▼-16 |
| 42 | Aubrey Decker | 21:57.0 | 12 | Denver | 1756 | 1794 | ▼-92 |
| 43 | Chloe Klabo | 22:04.5 | 12 | Tipton | 1745 | 1743 | ▲2 |
| 44 | Mya Bodecker | 22:05.5 | 9 | Tipton | 1647 | 1724 | ▼-53 |
| 45 | Peyton McMahon | 22:05.7 | 10 | North-Linn, Troy Mills | 1762 | 1773 | ▼-52 |
| 46 | Gretchyn Fairlie | 22:06.9 | 11 | Camanche | 1869 | 1832 | ▲123 |
| 47 | Jeorgia Neumann | 22:12.7 | 11 | Camanche | 1708 | 1702 | ▲11 |
| 48 | Lilly Supple | 22:24.4 | 10 | Cascade, Western Dubuque | 1534 | 1636 | ▼-72 |
| 49 | Maddy Martinez | 22:25.2 | 10 | Assumption, Davenport | 1694 | 1690 | ▲9 |
| 50 | Sophie Miller | 22:29.0 | 11 | Assumption, Davenport | 1766 | 1747 | ▲45 |
| 51 | Paige Koetz | 22:36.5 | 11 | Epworth, Western Dubuque | 1678 | 1627 | ▲55 |
| 52 | Kaitlin Kunde | 22:38.9 | 11 | Monticello | 1671 | 1651 | ▲49 |
| 53 | Adeline Decker | 22:41.7 | 9 | Denver | 1718 | 1694 | ▲34 |
| 54 | Kennedy Moore | 22:50.2 | 12 | Springville | 1660 | 1667 | ▼-15 |
| 55 | Lucy Haughenbury | 22:53.0 | 9 | North-Linn, Troy Mills | 1655 | 1694 | ▼-85 |
| 56 | Mackenzie Bridgewater | 22:58.0 | 11 | North-Linn, Troy Mills | 1643 | 1687 | ▼-125 |
| 57 | Lanie Schlicksup | 23:07.0 | 11 | Assumption, Davenport | 1633 | 1636 | ▲129 |
| 58 | Brianna Kearney | 23:10.7 | 10 | Monticello | 1508 | 1502 | ▼-35 |
| 59 | Kennedy Ritter | 23:15.2 | 12 | Notre Dame / West Burlington | 1602 | 1572 | ▲23 |
| 60 | Bella Herrig | 23:25.4 | 11 | Epworth, Western Dubuque | 1443 | 1471 | ▼-40 |
| 61 | Amalie Yeates | 23:30.7 | 11 | Assumption, Davenport | 1563 | 1596 | ▲70 |
| 62 | Myla Hintze | 23:40.5 | 9 | Assumption, Davenport | 1484 | 1516 | ▼-21 |
| 63 | Kennedy Recker | 23:42.9 | 12 | Beckman Catholic, Dyersville | 1567 | 1599 | ▼-59 |
| 64 | Carly Ries | 23:50.0 | 10 | North-Linn, Troy Mills | 1342 | 1402 | ▼-225 |
| 65 | Isabel Imler | 23:54.4 | 12 | Maquoketa Valley, Delhi | 1547 | 1546 | ▲46 |
| 66 | Grace Nichels | 24:14.2 | 11 | Notre Dame / West Burlington | 1520 | 1545 | ▼-24 |
| 67 | Lauren Oltmanns | 24:15.2 | 9 | Anamosa | 1668 | 1666 | ▼-40 |
| 68 | Teryn Hansen | 24:22.0 | 10 | Northeast, Goose Lake | 2005 | 1975 | ▲486 |
| 69 | Shelby McDermott | 24:28.9 | 10 | Cascade, Western Dubuque | 1386 | 1390 | ▼-66 |
| 70 | Autumn Domeyer | 24:42.0 | 9 | Beckman Catholic, Dyersville | 1682 | 1699 | ▲97 |
| 71 | Audrey Fort | 24:47.4 | 10 | Anamosa | 1587 | 1486 | ▲6 |
| 72 | Annie Trumm | 25:00.7 | 10 | Cascade, Western Dubuque | 1488 | 1482 | ▲80 |
| 73 | Brooke Heying | 25:02.0 | 10 | Anamosa | 1409 | 1409 | ▼-1 |
| 74 | Thelma Henricksen | 25:23.5 | 9 | Camanche | 1385 | 1417 | ▼-58 |
| 75 | Rieley Burken | 25:35.7 | 10 | Northeast, Goose Lake | 1542 | 1524 | ▲54 |
| 76 | Leah Whitson | 26:05.2 | 10 | Anamosa | 1313 | 1291 | ▼-122 |
| 77 | McKenna Bush | 26:15.2 | 11 | Maquoketa Valley, Delhi | 1648 | 1611 | ▲111 |
| 78 | Hope Naber | 26:33.7 | 12 | Beckman Catholic, Dyersville | 1316 | 1365 | ▼-121 |
| 79 | Kathryne Sundstrom | 26:52.5 | 9 | Anamosa | 1129 | 1129 | ▼-193 |
| 80 | Hannah Braet | 27:11.9 | 12 | Bellevue | 1278 | 1286 | ▼-14 |
| 81 | Sadie Johnson | 28:06.0 | 9 | Camanche | 949 | 986 | ▼-275 |
| 82 | Hanna Noonan | 28:24.5 | 9 | Cascade, Western Dubuque | 1172 | 1177 | ▼-323 |
| 83 | Rheagyn Uthoff | 29:25.5 | 10 | Anamosa | 1732 | 1700 | ▲355 |
| 84 | Haley Samson | 33:24.0 | 11 | Northeast, Goose Lake | 800 | 863 | ▼-164 |