| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Avery Rump | 20:10.0 | 11 | Fort Madison | 2372 | 2370 | ▲72 |
| 2 | Ellie Hellman | 20:45.0 | 9 | Fort Madison | 2157 | 2146 | ▲15 |
| 3 | Addison Rump | 21:10.0 | 11 | Fort Madison | 2035 | 2014 | ▲27 |
| 4 | Mara Smith | 21:24.0 | 11 | Fort Madison | 1988 | 1980 | ▲480 |
| 5 | Jordyn Marshall | 21:34.0 | 9 | Fort Madison | 1911 | 1863 | ▲61 |
| 6 | Kaitlyn Kipp | 21:34.0 | 10 | Notre Dame / West Burlington | 1897 | 1901 | ▼-109 |
| 7 | Hannah Karre | 21:48.0 | 12 | Keokuk | 1876 | 1881 | ▼-159 |
| 8 | Quintrie Lee | 21:54.0 | 9 | Mount Pleasant | 1850 | 1844 | ▲344 |
| 9 | Josie Dykstra | 22:21.0 | 9 | WACO, Wayland | 1828 | 1835 | ▼-7 |
| 10 | McKayla Schinstock | 22:26.0 | 11 | Fort Madison | 1781 | 1781 | ▲1 |
| 11 | Hannah Frueling | 22:35.0 | 12 | Notre Dame / West Burlington | 1753 | 1749 | ▲249 |
| 12 | Evelyn Adkins | 23:07.0 | 9 | Central Lee, Donnellson | 1727 | 1717 | ▲12 |
| 13 | Bella Dodds | 23:17.0 | 9 | Mount Pleasant | 1704 | 1701 | ▲201 |
| 14 | Elyssa Graber | 24:08.0 | 12 | WACO, Wayland | 1675 | 1659 | ▲17 |
| 15 | Ellie Huebner | 24:36.0 | 11 | Fort Madison | 1627 | 1577 | ▲70 |
| 16 | Violet Shead | 24:46.0 | 11 | Keokuk | 1614 | 1611 | ▲97 |
| 17 | Macy Anderson | 25:16.0 | 9 | Central Lee, Donnellson | 1597 | 1612 | ▼-19 |
| 18 | Aubree Bunnell | 25:53.0 | 9 | Central Lee, Donnellson | 1562 | 1561 | ▲61 |
| 19 | Nelle Peterson | 25:58.0 | 11 | Mount Pleasant | 1549 | 1548 | ▲28 |
| 20 | Katelyn Kobliska | 26:30.0 | 12 | Burlington | 1531 | 1528 | ▲108 |
| 21 | Darby Tackes | 26:37.0 | 11 | Keokuk | 1502 | 1502 | ▲8 |
| 22 | Monroe James | 27:01.0 | 10 | Mount Pleasant | 1488 | 1490 | ▼-35 |
| 23 | Afton Maynes | 27:07.0 | 9 | Central Lee, Donnellson | 1450 | 1434 | ▲20 |
| 24 | Maisy Yeoman | 27:17.0 | 9 | Burlington | 1417 | 1418 | ▼-82 |
| 25 | Charlee Clay | 27:23.0 | 9 | Central Lee, Donnellson | 1406 | 1408 | ▼-92 |
| 26 | Jalyiah Gardner | 27:26.0 | 12 | Keokuk | 1392 | 1392 | ▲5 |
| 27 | Kali Ames | 27:30.0 | 10 | Keokuk | 1362 | 1362 | 0 |
| 28 | Gabby Maynes | 28:08.0 | 11 | Central Lee, Donnellson | 1335 | 1341 | ▼-7 |
| 29 | Kimberly Sistern | 29:44.0 | 11 | Keokuk | 1274 | 1278 | ▼-222 |
| 30 | Saphire Cummings | 31:37.0 | 10 | Central Lee, Donnellson | 1202 | 1227 | ▼-35 |
| 31 | Brielle Bailey | 31:51.0 | 9 | Burlington | 1122 | 1128 | ▼-372 |
| 32 | Elizabeth Mullin | 33:08.0 | 9 | Mount Pleasant | 935 | 944 | ▼-556 |
| 33 | Summer Winget | 37:20.0 | 9 | Mount Pleasant | 847 | 858 | ▼-642 |