| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Grace Boleyn | 18:27.0 | 12 | Pleasant Valley | 2670 | 2664 | ▲319 |
| 2 | Alyx Woodley | 18:36.0 | 11 | Johnston | 2548 | 2500 | ▲71 |
| 3 | Maddie Millage | 18:59.0 | 10 | Pleasant Valley | 2521 | 2515 | ▲293 |
| 4 | Ani Wedemeyer | 19:01.0 | 12 | Pleasant Valley | 2505 | 2502 | ▲94 |
| 5 | Vivian McCombs | 19:02.0 | 10 | Pleasant Valley | 2483 | 2478 | ▲249 |
| 6 | Emma Chesterman | 19:05.0 | 11 | Dubuque, Senior | 2466 | 2459 | ▲330 |
| 7 | Joley Sullivan | 19:11.0 | 9 | Davenport, Central | 2423 | 2334 | ▲51 |
| 8 | Grace Beasley | 19:15.0 | 10 | Johnston | 2419 | 2461 | ▼-80 |
| 9 | Emily Gorton | 19:17.0 | 12 | Dubuque, Senior | 2381 | 2377 | ▲158 |
| 10 | Frankie Gotto | 19:22.0 | 10 | Pleasant Valley | 2370 | 2362 | ▲416 |
| 11 | Abigail Burns | 19:25.0 | 11 | Iowa City, City High | 2366 | 2404 | ▼-55 |
| 12 | Evie Henneberry | 19:26.0 | 12 | Dubuque, Hempstead | 2338 | 2334 | ▲96 |
| 13 | Claire Hoyer | 19:27.0 | 12 | Dubuque, Senior | 2331 | 2331 | ▲2 |
| 14 | Audrey Dummermuth | 19:30.0 | 11 | Johnston | 2320 | 2334 | ▼-20 |
| 15 | Jaylee Duncan | 19:33.0 | 11 | Pleasant Valley | 2302 | 2298 | ▲109 |
| 16 | Payton Crabb | 19:35.0 | 10 | Johnston | 2292 | 2298 | ▼-7 |
| 17 | Nicole Peterson | 19:45.0 | 12 | Iowa City, City High | 2264 | 2247 | ▲19 |
| 18 | Ele Wharton | 19:47.0 | 10 | Johnston | 2252 | 2261 | ▼-12 |
| 19 | Lexie Wisham | 19:48.0 | 11 | Johnston | 2233 | 2227 | ▲8 |
| 20 | Dylan Moeller | 19:48.0 | 12 | Davenport, Central | 2215 | 2197 | ▲16 |
| 21 | Grace Hamann | 19:54.0 | 9 | Iowa City, City High | 2208 | 2256 | ▼-76 |
| 22 | Harper Groteluschen | 20:01.0 | 9 | Prairie, Cedar Rapids | 2190 | 2204 | ▼-21 |
| 23 | Maggie Henneberry | 20:07.0 | 10 | Dubuque, Hempstead | 2177 | 2173 | ▲114 |
| 24 | Nina Peterson | 20:11.0 | 12 | Iowa City, City High | 2167 | 2157 | ▲11 |
| 25 | Selah Flanigan | 20:13.0 | 11 | Pleasant Valley | 2158 | 2154 | ▲146 |
| 26 | Mylee Lange | 20:15.0 | 12 | Dubuque, Hempstead | 2153 | 2149 | ▲114 |
| 27 | Lise Hoyer | 20:25.0 | 10 | Dubuque, Senior | 2135 | 2130 | ▲184 |
| 28 | Kate Van Waning | 20:28.0 | 11 | Iowa City, West | 2131 | 2129 | ▲98 |
| 29 | Jayna Lamping | 20:30.0 | 11 | Johnston | 2113 | 2141 | ▼-45 |
| 30 | Briel Bechen | 20:39.0 | 11 | Dubuque, Senior | 2097 | 2095 | ▲107 |
| 31 | Nevaeh Kessler | 20:45.0 | 11 | Dubuque, Senior | 2083 | 2083 | ▲3 |
| 32 | Reese Wiley | 20:47.0 | 10 | Prairie, Cedar Rapids | 2073 | 2049 | ▲32 |
| 33 | Madeline Fischer | 20:50.0 | 10 | Iowa City, City High | 2052 | 2037 | ▲19 |
| 34 | Annabelle Everding | 20:54.0 | 12 | Bettendorf | 2038 | 2077 | ▼-54 |
| 35 | Avery Bradley | 20:57.0 | 9 | Muscatine | 2021 | 2014 | ▲8 |
| 36 | Hannah Hughes | 21:06.0 | 12 | Prairie, Cedar Rapids | 2011 | 2027 | ▼-22 |
| 37 | Katelyn Jacob | 21:09.0 | 12 | Bettendorf | 1999 | 1988 | ▲13 |
| 38 | Claire Locher | 21:10.0 | 11 | Iowa City, City High | 1995 | 2035 | ▼-54 |
| 39 | Naomi Downing-Sherer | 21:14.0 | 10 | Iowa City, City High | 1986 | 2019 | ▼-44 |
| 40 | Whitney Estabrook | 21:18.0 | 11 | Muscatine | 1964 | 1950 | ▲19 |
| 41 | Paige Pitz | 21:22.0 | 10 | Dubuque, Hempstead | 1960 | 1952 | ▲452 |
| 42 | Susanna Olson | 21:35.0 | 10 | Iowa City, West | 1947 | 1949 | ▼-53 |
| 43 | Natalie Leitzen | 21:39.0 | 10 | Dubuque, Hempstead | 1942 | 1943 | ▼-14 |
| 44 | Braeley Wullweber | 21:43.0 | 11 | Dubuque, Senior | 1939 | 1934 | ▲174 |
| 45 | Stella Rose | 21:45.0 | 11 | Prairie, Cedar Rapids | 1931 | 1893 | ▲56 |
| 46 | Kalli Titus | 21:46.0 | 12 | Iowa City, West | 1929 | 1927 | ▲57 |
| 47 | Anika Roe | 21:52.0 | 10 | Prairie, Cedar Rapids | 1911 | 1885 | ▲37 |
| 48 | Natalie O'Flahrity | 21:54.0 | 9 | North Scott, Eldridge | 1905 | 1897 | ▲10 |
| 49 | Cameron Shumpert | 22:00.0 | 11 | Davenport, Central | 1888 | 1868 | ▲16 |
| 50 | Chelsea Heiberger | 22:01.0 | 9 | Dubuque, Hempstead | 1877 | 1870 | ▲370 |
| 51 | Mia Ahn | 22:02.0 | 9 | Iowa City, West | 1875 | 1869 | ▲369 |
| 52 | Mackenzie Schaefer | 22:04.0 | 12 | Bettendorf | 1865 | 1871 | ▼-8 |
| 53 | Ella Ripslinger | 22:04.0 | 10 | Bettendorf | 1859 | 1880 | ▼-25 |
| 54 | Khloe Hamilton | 22:05.0 | 10 | North Scott, Eldridge | 1851 | 1854 | ▼-3 |
| 55 | Sloane Moeller | 22:06.0 | 10 | Davenport, Central | 1847 | 1919 | ▼-74 |
| 56 | Destiny Borland | 22:09.0 | 11 | Bettendorf | 1838 | 1860 | ▼-27 |
| 57 | Campbell Keibler | 22:17.0 | 10 | Bettendorf | 1832 | 1859 | ▼-36 |
| 58 | Kennadi Thiessen | 22:24.0 | 12 | North Scott, Eldridge | 1815 | 1809 | ▲8 |
| 59 | Isabella Kopf | 22:28.0 | 10 | Muscatine | 1808 | 1814 | ▼-9 |
| 60 | Savannah Mathias | 22:34.0 | 9 | Iowa City, West | 1802 | 1797 | ▲297 |
| 61 | Taryn Watson | 22:43.0 | 10 | Muscatine | 1781 | 1758 | ▲32 |
| 62 | Jaelyn Sickels | 22:52.0 | 9 | Prairie, Cedar Rapids | 1766 | 1725 | ▲61 |
| 63 | Grace Hamann | 22:57.0 | 9 | North Scott, Eldridge | 1762 | 1756 | ▲6 |
| 64 | Kaelin Carlson-Gross | 22:58.0 | 12 | North Scott, Eldridge | 1756 | 1743 | ▲15 |
| 65 | Kate Blodig | 22:59.0 | 12 | North Scott, Eldridge | 1746 | 1792 | ▼-72 |
| 66 | Kirsten Holler | 23:03.0 | 10 | Muscatine | 1733 | 1683 | ▲80 |
| 67 | Calista Rasmer | 23:07.0 | 12 | Bettendorf | 1732 | 1770 | ▼-46 |
| 68 | Maria Hart | 23:13.0 | 11 | Dubuque, Hempstead | 1714 | 1714 | ▲12 |
| 69 | Olive Kaplan | 23:29.0 | 9 | Davenport, Central | 1688 | 1714 | ▼-21 |
| 70 | Sophie McNabb | 23:31.0 | 11 | Prairie, Cedar Rapids | 1680 | 1656 | ▲36 |
| 71 | Noni Casillas | 23:43.0 | 9 | Davenport, Central | 1677 | 1713 | ▼-40 |
| 72 | Emily Hopkins | 23:54.0 | 9 | Muscatine | 1657 | 1631 | ▲36 |
| 73 | Marissa Eads | 23:59.0 | 10 | Muscatine | 1646 | 1609 | ▲53 |
| 74 | Ellie Huebl | 24:14.0 | 9 | Davenport, Central | 1624 | 1725 | ▼-58 |
| 75 | Marie Stier | 26:10.0 | 12 | Iowa City, West | 1415 | 1418 | ▼-88 |