| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Grace Boleyn | 18:27.0 | 12 | Pleasant Valley | 1955 | 1952 | ▲111 |
| 2 | Alyx Woodley | 18:36.0 | 11 | Johnston | 1935 | 1884 | ▲80 |
| 3 | Maddie Millage | 18:59.0 | 10 | Pleasant Valley | 1882 | 1878 | ▲93 |
| 4 | Ani Wedemeyer | 19:01.0 | 12 | Pleasant Valley | 1878 | 1878 | ▼-5 |
| 5 | Vivian McCombs | 19:02.0 | 10 | Pleasant Valley | 1870 | 1867 | ▲74 |
| 6 | Emma Chesterman | 19:05.0 | 11 | Dubuque, Senior | 1860 | 1856 | ▲129 |
| 7 | Joley Sullivan | 19:11.0 | 9 | Davenport, Central | 1845 | 1818 | ▲22 |
| 8 | Grace Beasley | 19:15.0 | 10 | Johnston | 1841 | 1837 | ▲5 |
| 9 | Emily Gorton | 19:17.0 | 12 | Dubuque, Senior | 1833 | 1831 | ▲46 |
| 10 | Frankie Gotto | 19:22.0 | 10 | Pleasant Valley | 1820 | 1815 | ▲220 |
| 11 | Abigail Burns | 19:25.0 | 11 | Iowa City, City High | 1809 | 1849 | ▼-53 |
| 12 | Evie Henneberry | 19:26.0 | 12 | Dubuque, Hempstead | 1806 | 1806 | ▲12 |
| 13 | Claire Hoyer | 19:27.0 | 12 | Dubuque, Senior | 1806 | 1807 | ▼-34 |
| 14 | Audrey Dummermuth | 19:30.0 | 11 | Johnston | 1800 | 1796 | ▲4 |
| 15 | Jaylee Duncan | 19:33.0 | 11 | Pleasant Valley | 1792 | 1791 | ▲23 |
| 16 | Payton Crabb | 19:35.0 | 10 | Johnston | 1789 | 1779 | ▲14 |
| 17 | Nicole Peterson | 19:45.0 | 12 | Iowa City, City High | 1765 | 1790 | ▼-30 |
| 18 | Ele Wharton | 19:47.0 | 10 | Johnston | 1757 | 1750 | ▲9 |
| 19 | Lexie Wisham | 19:48.0 | 11 | Johnston | 1754 | 1736 | ▲25 |
| 20 | Dylan Moeller | 19:48.0 | 12 | Davenport, Central | 1753 | 1761 | ▼-8 |
| 21 | Grace Hamann | 19:54.0 | 9 | Iowa City, City High | 1747 | 1785 | ▼-50 |
| 22 | Harper Groteluschen | 20:01.0 | 9 | Prairie, Cedar Rapids | 1736 | 1740 | ▼-6 |
| 23 | Maggie Henneberry | 20:07.0 | 10 | Dubuque, Hempstead | 1731 | 1729 | ▲53 |
| 24 | Nina Peterson | 20:11.0 | 12 | Iowa City, City High | 1725 | 1749 | ▼-29 |
| 25 | Selah Flanigan | 20:13.0 | 11 | Pleasant Valley | 1716 | 1713 | ▲73 |
| 26 | Mylee Lange | 20:15.0 | 12 | Dubuque, Hempstead | 1710 | 1708 | ▲48 |
| 27 | Lise Hoyer | 20:25.0 | 10 | Dubuque, Senior | 1693 | 1689 | ▲90 |
| 28 | Kate Van Waning | 20:28.0 | 11 | Iowa City, West | 1679 | 1679 | ▲16 |
| 29 | Jayna Lamping | 20:30.0 | 11 | Johnston | 1672 | 1677 | ▼-6 |
| 30 | Briel Bechen | 20:39.0 | 11 | Dubuque, Senior | 1660 | 1659 | ▲35 |
| 31 | Nevaeh Kessler | 20:45.0 | 11 | Dubuque, Senior | 1647 | 1648 | ▼-38 |
| 32 | Reese Wiley | 20:47.0 | 10 | Prairie, Cedar Rapids | 1645 | 1653 | ▼-11 |
| 33 | Madeline Fischer | 20:50.0 | 10 | Iowa City, City High | 1635 | 1669 | ▼-45 |
| 34 | Annabelle Everding | 20:54.0 | 12 | Bettendorf | 1629 | 1666 | ▼-49 |
| 35 | Avery Bradley | 20:57.0 | 9 | Muscatine | 1616 | 1629 | ▼-19 |
| 36 | Hannah Hughes | 21:06.0 | 12 | Prairie, Cedar Rapids | 1605 | 1633 | ▼-42 |
| 37 | Katelyn Jacob | 21:09.0 | 12 | Bettendorf | 1597 | 1601 | ▼-5 |
| 38 | Claire Locher | 21:10.0 | 11 | Iowa City, City High | 1595 | 1653 | ▼-88 |
| 39 | Naomi Downing-Sherer | 21:14.0 | 10 | Iowa City, City High | 1593 | 1650 | ▼-85 |
| 40 | Whitney Estabrook | 21:18.0 | 11 | Muscatine | 1586 | 1601 | ▼-20 |
| 41 | Paige Pitz | 21:22.0 | 10 | Dubuque, Hempstead | 1577 | 1576 | ▲76 |
| 42 | Susanna Olson | 21:35.0 | 10 | Iowa City, West | 1559 | 1562 | ▼-82 |
| 43 | Natalie Leitzen | 21:39.0 | 10 | Dubuque, Hempstead | 1556 | 1559 | ▼-51 |
| 44 | Braeley Wullweber | 21:43.0 | 11 | Dubuque, Senior | 1554 | 1552 | ▲60 |
| 45 | Stella Rose | 21:45.0 | 11 | Prairie, Cedar Rapids | 1551 | 1542 | ▲12 |
| 46 | Kalli Titus | 21:46.0 | 12 | Iowa City, West | 1549 | 1549 | ▲2 |
| 47 | Anika Roe | 21:52.0 | 10 | Prairie, Cedar Rapids | 1538 | 1537 | ▲3 |
| 48 | Natalie O'Flahrity | 21:54.0 | 9 | North Scott, Eldridge | 1536 | 1550 | ▼-16 |
| 49 | Cameron Shumpert | 22:00.0 | 11 | Davenport, Central | 1522 | 1521 | 0 |
| 50 | Chelsea Heiberger | 22:01.0 | 9 | Dubuque, Hempstead | 1518 | 1517 | ▲17 |
| 51 | Mia Ahn | 22:02.0 | 9 | Iowa City, West | 1517 | 1517 | ▲17 |
| 52 | Mackenzie Schaefer | 22:04.0 | 12 | Bettendorf | 1514 | 1524 | ▼-11 |
| 53 | Ella Ripslinger | 22:04.0 | 10 | Bettendorf | 1512 | 1537 | ▼-31 |
| 54 | Khloe Hamilton | 22:05.0 | 10 | North Scott, Eldridge | 1506 | 1507 | ▼-2 |
| 55 | Sloane Moeller | 22:06.0 | 10 | Davenport, Central | 1504 | 1557 | ▼-50 |
| 56 | Destiny Borland | 22:09.0 | 11 | Bettendorf | 1496 | 1517 | ▼-25 |
| 57 | Campbell Keibler | 22:17.0 | 10 | Bettendorf | 1488 | 1521 | ▼-44 |
| 58 | Kennadi Thiessen | 22:24.0 | 12 | North Scott, Eldridge | 1481 | 1471 | ▲12 |
| 59 | Isabella Kopf | 22:28.0 | 10 | Muscatine | 1475 | 1494 | ▼-27 |
| 60 | Savannah Mathias | 22:34.0 | 9 | Iowa City, West | 1471 | 1471 | ▼-29 |
| 61 | Taryn Watson | 22:43.0 | 10 | Muscatine | 1459 | 1463 | ▼-6 |
| 62 | Jaelyn Sickels | 22:52.0 | 9 | Prairie, Cedar Rapids | 1453 | 1442 | ▲16 |
| 63 | Grace Hamann | 22:57.0 | 9 | North Scott, Eldridge | 1450 | 1442 | ▲11 |
| 64 | Kaelin Carlson-Gross | 22:58.0 | 12 | North Scott, Eldridge | 1448 | 1432 | ▲18 |
| 65 | Kate Blodig | 22:59.0 | 12 | North Scott, Eldridge | 1441 | 1475 | ▼-47 |
| 66 | Kirsten Holler | 23:03.0 | 10 | Muscatine | 1435 | 1411 | ▲33 |
| 67 | Calista Rasmer | 23:07.0 | 12 | Bettendorf | 1431 | 1453 | ▼-26 |
| 68 | Maria Hart | 23:13.0 | 11 | Dubuque, Hempstead | 1423 | 1424 | ▼-22 |
| 69 | Olive Kaplan | 23:29.0 | 9 | Davenport, Central | 1401 | 1419 | ▼-14 |
| 70 | Sophie McNabb | 23:31.0 | 11 | Prairie, Cedar Rapids | 1395 | 1390 | ▲6 |
| 71 | Noni Casillas | 23:43.0 | 9 | Davenport, Central | 1389 | 1414 | ▼-22 |
| 72 | Emily Hopkins | 23:54.0 | 9 | Muscatine | 1372 | 1375 | ▼-3 |
| 73 | Marissa Eads | 23:59.0 | 10 | Muscatine | 1365 | 1353 | ▲15 |
| 74 | Ellie Huebl | 24:14.0 | 9 | Davenport, Central | 1350 | 1414 | ▼-43 |
| 75 | Marie Stier | 26:10.0 | 12 | Iowa City, West | 1183 | 1187 | ▼-125 |