| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Anika Mohrhauser | 18:42.9 | 12 | Ankeny Centennial | 2630 | 2625 | ▲9 |
| 2 | Joley Sullivan | 18:55.2 | 9 | Davenport, Central | 2465 | 2406 | ▲72 |
| 3 | Haley Hveem | 19:00.7 | 12 | Ankeny Centennial | 2447 | 2479 | ▼-52 |
| 4 | Dylan Moeller | 19:16.2 | 12 | Davenport, Central | 2353 | 2249 | ▲52 |
| 5 | Kiersten Swart | 19:23.5 | 11 | Mount Vernon-Lisbon | 2339 | 2346 | ▼-9 |
| 6 | Grace Estling | 19:32.4 | 10 | Center Point-Urbana | 2309 | 2306 | ▲4 |
| 7 | Bella Hodges | 19:33.9 | 12 | Ankeny Centennial | 2292 | 2312 | ▼-30 |
| 8 | Lucy Murphy | 19:48.4 | 11 | Wahlert, Dubuque | 2262 | 2260 | ▲3 |
| 9 | Trinity Klingensmith | 19:49.0 | 9 | Ankeny Centennial | 2233 | 2171 | ▲89 |
| 10 | Evelyn Moeller | 19:52.9 | 10 | Mount Vernon-Lisbon | 2215 | 2171 | ▲65 |
| 11 | Kate Van Waning | 19:56.0 | 11 | Iowa City, West | 2200 | 2169 | ▲40 |
| 12 | Carryn Sattler | 19:57.4 | 11 | Clinton | 2173 | 2168 | ▲7 |
| 13 | Harper Groteluschen | 20:00.2 | 9 | Prairie, Cedar Rapids | 2163 | 2184 | ▼-20 |
| 14 | Addison Dabroski | 20:05.5 | 11 | Marion | 2148 | 2172 | ▼-20 |
| 15 | Julia Flick | 20:12.2 | 12 | Ankeny Centennial | 2127 | 2181 | ▼-129 |