| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Isabelle Hardin | 19:20.5 | 11 | Maquoketa | 2384 | 2382 | ▲3 |
| 2 | Lucy Murphy | 20:03.2 | 11 | Wahlert, Dubuque | 2275 | 2253 | ▲38 |
| 3 | Hallie Kelchen | 20:17.9 | 11 | Cascade, Western Dubuque | 2242 | 2241 | ▲2 |
| 4 | Leah Koehler | 20:25.0 | 12 | Monticello | 2212 | 2227 | ▼-23 |
| 5 | Olivia Volkmann | 20:47.0 | 10 | Decorah | 2163 | 2164 | ▼-3 |
| 6 | Peyton Ries | 20:54.5 | 10 | Monticello | 2107 | 2086 | ▲23 |
| 7 | Miriam Downing | 21:04.0 | 9 | Waukon | 2075 | 2064 | ▲13 |
| 8 | Madelyn Reiter | 21:10.5 | 12 | Beckman Catholic, Dyersville | 2057 | 2078 | ▼-31 |
| 9 | Reegan Benzing | 21:29.7 | 10 | Waukon | 2013 | 1983 | ▲46 |
| 10 | Ella Rohner | 21:31.0 | 10 | Wahlert, Dubuque | 1991 | 1942 | ▲68 |
| 11 | Willa Berning | 21:34.5 | 10 | Wahlert, Dubuque | 1979 | 1968 | ▲17 |
| 12 | Maya Bormann | 21:51.9 | 10 | Wahlert, Dubuque | 1967 | 1972 | ▼-5 |
| 13 | Delany Homan | 21:56.0 | 10 | Camanche | 1951 | 1943 | ▲16 |
| 14 | Brinlee Courtney | 21:59.2 | 10 | Decorah | 1943 | 1950 | ▼-19 |
| 15 | Riley Christopher | 22:03.5 | 9 | Decorah | 1931 | 1938 | ▼-15 |
| 16 | Raelyn Newhouse | 22:05.2 | 9 | Decorah | 1920 | 1923 | ▼-5 |
| 17 | Kasey McIlrath | 22:18.5 | 12 | Epworth, Western Dubuque | 1909 | 1906 | ▲3 |
| 18 | Natalie Hackman | 22:22.7 | 9 | Maquoketa | 1897 | 1865 | ▲47 |
| 19 | Emma O'Neill | 22:26.2 | 11 | Waukon | 1891 | 1895 | ▼-4 |
| 20 | Jenny Claussen | 22:29.2 | 12 | Central DeWitt | 1881 | 1879 | ▲2 |
| 21 | Yvlie Lensker | 22:30.2 | 9 | Marquette Catholic, Bellevue | 1868 | 1827 | ▲29 |
| 22 | Riley Buttz | 22:30.9 | 9 | Maquoketa | 1859 | 1836 | ▲31 |
| 23 | Ava Capron | 22:38.5 | 12 | Monticello | 1851 | 1832 | ▲35 |
| 24 | Elle Wilkins | 22:39.2 | 11 | Waukon | 1848 | 1878 | ▼-34 |
| 25 | Deborah Hougen | 22:48.4 | 11 | Decorah | 1838 | 1844 | ▼-7 |
| 26 | Katie McKenna | 22:55.2 | 12 | Epworth, Western Dubuque | 1830 | 1831 | ▼-1 |
| 27 | Gretchyn Fairlie | 22:55.7 | 12 | Camanche | 1824 | 1838 | ▼-22 |
| 28 | Carley Conrad | 23:01.7 | 9 | Cascade, Western Dubuque | 1815 | 1816 | ▼-1 |
| 29 | Adelyn Topping | 23:04.2 | 9 | Cascade, Western Dubuque | 1809 | 1821 | ▼-24 |
| 30 | Emma Dean | 23:08.7 | 10 | Wahlert, Dubuque | 1798 | 1766 | ▲40 |
| 31 | Kaitlyn Thole | 23:09.7 | 12 | Epworth, Western Dubuque | 1794 | 1798 | ▼-7 |
| 32 | Claire Johnson | 23:17.0 | 10 | Waukon | 1784 | 1766 | ▲22 |
| 33 | Leah Garcia-Prats | 23:20.5 | 9 | Decorah | 1772 | 1770 | ▲9 |
| 34 | Amelia Wadsworth | 23:20.7 | 12 | Decorah | 1767 | 1780 | ▼-44 |
| 35 | Ella SPRANK | 23:27.5 | 10 | Epworth, Western Dubuque | 1757 | 1740 | ▲23 |
| 36 | Jaelyn Johanningmeier | 23:31.7 | 10 | Waukon | 1750 | 1742 | ▲9 |
| 37 | Lilly Graham | 23:36.7 | 12 | Wahlert, Dubuque | 1746 | 1754 | ▼-24 |
| 38 | Kylie Sieverding | 23:37.2 | 11 | Wahlert, Dubuque | 1738 | 1747 | ▼-15 |
| 39 | Bella Meyers | 23:37.5 | 12 | Epworth, Western Dubuque | 1728 | 1701 | ▲54 |
| 40 | Lilly Tuthill | 23:46.5 | 11 | Wahlert, Dubuque | 1719 | 1735 | ▼-29 |
| 41 | Kaitlin Kunde | 23:49.9 | 12 | Monticello | 1712 | 1719 | ▼-10 |
| 42 | Emersen Verhagen | 23:51.2 | 10 | Monticello | 1701 | 1761 | ▼-63 |
| 43 | Claire Storhoff | 24:04.4 | 10 | Decorah | 1680 | 1683 | ▼-7 |
| 44 | Natalie Goodner | 24:11.5 | 12 | Decorah | 1657 | 1665 | ▼-12 |
| 45 | Paige Koetz | 24:13.5 | 12 | Epworth, Western Dubuque | 1649 | 1636 | ▲18 |
| 46 | Katherine Stadtmueller | 24:15.7 | 10 | Monticello | 1645 | 1651 | ▼-7 |
| 47 | Lilly Supple | 24:17.7 | 11 | Cascade, Western Dubuque | 1640 | 1649 | ▼-16 |
| 48 | Autumn Domeyer | 24:23.7 | 10 | Beckman Catholic, Dyersville | 1634 | 1649 | ▼-20 |
| 49 | Bryiah Stewart | 24:26.4 | 10 | Waukon | 1624 | 1669 | ▼-56 |
| 50 | Leah Schemmel | 24:27.4 | 11 | Monticello | 1616 | 1613 | ▲3 |
| 51 | Peyton Dasilva | 24:38.4 | 9 | Epworth, Western Dubuque | 1607 | 1629 | ▼-30 |
| 52 | Natalie Stevens | 24:39.0 | 11 | Decorah | 1602 | 1645 | ▼-77 |
| 53 | Landre Ruggeberg | 24:42.0 | 11 | Central DeWitt | 1583 | 1585 | ▼-2 |
| 54 | Katherine Brunsman | 24:43.4 | 12 | Epworth, Western Dubuque | 1575 | 1556 | ▲40 |
| 55 | Lorelei Smith | 24:43.7 | 10 | Epworth, Western Dubuque | 1570 | 1556 | ▲19 |
| 56 | Allison Drone | 24:47.5 | 10 | Epworth, Western Dubuque | 1565 | 1558 | ▲8 |
| 57 | Toni Ebensberger | 24:56.2 | 9 | Camanche | 1550 | 1555 | ▼-15 |
| 58 | Miya Pitz | 25:04.4 | 9 | Beckman Catholic, Dyersville | 1530 | 1574 | ▼-72 |
| 59 | Shelby McDermott | 25:16.7 | 11 | Cascade, Western Dubuque | 1521 | 1509 | ▲15 |
| 60 | Hailey Fielding | 25:21.0 | 10 | Central DeWitt | 1509 | 1491 | ▲27 |
| 61 | Vivienne Rahe | 25:32.2 | 9 | Beckman Catholic, Dyersville | 1488 | 1535 | ▼-66 |
| 62 | Kinley Birt | 25:43.7 | 11 | Central DeWitt | 1477 | 1499 | ▼-18 |
| 63 | Kalyn Hackman | 25:47.4 | 12 | Maquoketa | 1470 | 1468 | ▲3 |
| 64 | Ana Cortes | 25:48.7 | 12 | Beckman Catholic, Dyersville | 1461 | 1463 | ▼-5 |
| 65 | Lillian Womer | 25:49.0 | 9 | Beckman Catholic, Dyersville | 1456 | 1461 | ▼-12 |
| 66 | Kalyn Skrivseth | 25:59.0 | 12 | Marquette Catholic, Bellevue | 1443 | 1518 | ▼-45 |
| 67 | Charlotte Ihns | 26:04.5 | 9 | Maquoketa | 1435 | 1434 | 0 |
| 68 | Jessica Deaver | 26:20.0 | 11 | Marquette Catholic, Bellevue | 1425 | 1442 | ▼-14 |
| 69 | Adalyn Leistikow | 26:32.2 | 9 | Central DeWitt | 1411 | 1475 | ▼-46 |
| 70 | Annie Trumm | 27:05.0 | 11 | Cascade, Western Dubuque | 1377 | 1410 | ▼-80 |
| 71 | Rylie Dunne | 27:05.9 | 12 | Central DeWitt | 1369 | 1381 | ▼-10 |
| 72 | Hailee Peters | 27:58.0 | 10 | Central DeWitt | 1284 | 1382 | ▼-50 |
| 73 | Sarah Boyle | 28:11.5 | 9 | Cascade, Western Dubuque | 1259 | 1291 | ▼-87 |
| 74 | Carlie McPherson | 28:12.9 | 9 | Central DeWitt | 1233 | 1198 | ▲45 |
| 75 | Thelma Henricksen | 28:51.5 | 10 | Camanche | 1193 | 1233 | ▼-97 |
| 76 | Andrea Schneider | 28:51.5 | 10 | Beckman Catholic, Dyersville | 1184 | 1212 | ▼-62 |
| 77 | Aven Leslie | 29:26.5 | 9 | Prince of Peace Catholic, Clinton | 1132 | 1078 | ▲55 |
| 78 | Catalina McGrane | 31:03.2 | 10 | Beckman Catholic, Dyersville | 1005 | 1019 | ▼-24 |
| 79 | Sadie Johnson | 32:24.4 | 10 | Camanche | 874 | 920 | ▼-113 |