| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Noelle Steines | 19:15.0 | 12 | Tipton | 2529 | 2529 | 0 |
| 2 | Hallie Kelchen | 20:09.5 | 11 | Cascade, Western Dubuque | 2267 | 2250 | ▲26 |
| 3 | Laura Owen | 20:16.0 | 12 | Tipton | 2223 | 2226 | ▼-4 |
| 4 | Ava Remley | 20:22.9 | 11 | Anamosa | 2177 | 2187 | ▼-8 |
| 5 | Fiona McGill | 20:50.0 | 9 | Louisa-Muscatine | 2114 | 2112 | ▲1 |
| 6 | Ashlyn Appleby | 21:02.7 | 9 | Central DeWitt | 2057 | 2053 | ▲5 |
| 7 | Teryn Hansen | 21:33.0 | 11 | Northeast, Goose Lake | 2003 | 1973 | ▲42 |
| 8 | Adalyn Appleby | 21:47.0 | 12 | Central DeWitt | 1975 | 1963 | ▲12 |
| 9 | Audra Coss | 21:48.2 | 11 | Wilton | 1939 | 1867 | ▲206 |
| 10 | Ella Hein | 21:54.9 | 10 | Tipton | 1926 | 1919 | ▲10 |
| 11 | Delany Homan | 22:07.5 | 10 | Camanche | 1911 | 1929 | ▼-25 |
| 12 | Harper Erwin | 22:23.9 | 11 | Regina, Iowa City | 1890 | 1899 | ▼-12 |
| 13 | Karli Hines | 22:40.5 | 12 | Tipton | 1863 | 1821 | ▲59 |
| 14 | Kenzingten Scheckel | 22:46.5 | 9 | Bellevue | 1856 | 1868 | ▼-18 |
| 15 | Audrey Cummings | 22:50.5 | 10 | Wilton | 1834 | 1812 | ▲27 |