| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Fiona McGill | 20:21.0 | 9 | Louisa-Muscatine | 2127 | 2124 | ▲3 |
| 2 | Kaitlyn Kipp | 20:49.2 | 10 | Notre Dame / West Burlington | 2035 | 2035 | 0 |
| 3 | Josie Dykstra | 21:37.0 | 9 | WACO, Wayland | 1943 | 1932 | ▲13 |
| 4 | Hannah Frueling | 21:43.9 | 12 | Notre Dame / West Burlington | 1902 | 1916 | ▼-12 |
| 5 | Vivian Zaruba | 22:49.7 | 12 | Lone Tree | 1769 | 1743 | ▲21 |
| 6 | Addyson Eiben | 22:56.0 | 9 | Lone Tree | 1726 | 1668 | ▲35 |
| 7 | Macy Anderson | 23:04.7 | 9 | Central Lee, Donnellson | 1703 | 1661 | ▲66 |
| 8 | Elyssa Graber | 23:22.7 | 12 | WACO, Wayland | 1690 | 1689 | 0 |
| 9 | Kenna Small | 23:33.0 | 10 | Wapello | 1673 | 1697 | ▼-18 |
| 10 | Evelyn Adkins | 23:51.2 | 9 | Central Lee, Donnellson | 1654 | 1682 | ▼-46 |
| 11 | Aubree Bunnell | 24:04.5 | 9 | Central Lee, Donnellson | 1622 | 1574 | ▲71 |
| 12 | Amelia Grier | 24:07.7 | 11 | Mediapolis | 1619 | 1617 | ▲117 |
| 13 | Lily Nalley | 24:14.7 | 10 | Mediapolis | 1613 | 1631 | ▼-22 |
| 14 | Mia Steiner | 24:23.7 | 11 | Mediapolis | 1591 | 1590 | 0 |
| 15 | Isabel Stout | 24:25.2 | 12 | Louisa-Muscatine | 1572 | 1570 | ▲2 |
| 16 | Jersey Ramer | 24:26.4 | 10 | Louisa-Muscatine | 1557 | 1566 | ▼-11 |
| 17 | Hannah Kissell | 24:27.5 | 11 | Louisa-Muscatine | 1533 | 1531 | ▲4 |
| 18 | Bailey Jackson | 25:28.5 | 11 | Mediapolis | 1508 | 1490 | ▲23 |
| 19 | Ava Christofferson | 25:33.4 | 11 | Lone Tree | 1481 | 1435 | ▲75 |
| 20 | Kenadee Helscher | 25:39.0 | 11 | Wapello | 1477 | 1504 | ▼-37 |
| 21 | Carlee Sexton | 25:44.5 | 10 | Lone Tree | 1439 | 1337 | ▲47 |
| 22 | Giselle Camarena | 25:50.0 | 10 | Wapello | 1429 | 1433 | ▼-5 |
| 23 | Maylen Zaugg | 25:55.7 | 10 | Mediapolis | 1417 | 1515 | ▼-117 |
| 24 | Hailey Sneddon | 26:17.9 | 10 | Louisa-Muscatine | 1386 | 1375 | ▲15 |
| 25 | Grace Schmidgall | 26:29.4 | 11 | Mediapolis | 1373 | 1379 | ▼-7 |
| 26 | Kailea Swink | 26:35.4 | 11 | Mediapolis | 1346 | 1302 | ▲48 |
| 27 | Gabby Maynes | 27:04.9 | 11 | Central Lee, Donnellson | 1335 | 1324 | ▲15 |
| 28 | Abby Zaruba | 27:20.2 | 10 | Lone Tree | 1315 | 1288 | ▲25 |
| 29 | Grace Kissell | 27:21.7 | 9 | Louisa-Muscatine | 1311 | 1383 | ▼-64 |
| 30 | Ellie Vincent | 27:25.0 | 12 | Mediapolis | 1292 | 1322 | ▼-46 |
| 31 | Hailey Jackson | 27:39.0 | 10 | Mediapolis | 1267 | 1261 | ▲10 |
| 32 | Afton Maynes | 27:40.2 | 9 | Central Lee, Donnellson | 1260 | 1292 | ▼-83 |
| 33 | Lexi Ramer | 28:08.4 | 10 | Louisa-Muscatine | 1240 | 1276 | ▼-34 |
| 34 | Elsa Schmidgall | 28:29.2 | 9 | Mediapolis | 1215 | 1229 | ▼-16 |
| 35 | Dallas Hernandez | 28:31.0 | 9 | Louisa-Muscatine | 1182 | 1171 | ▲14 |
| 36 | Sarah Craun | 28:42.2 | 11 | WACO, Wayland | 1155 | 1142 | ▲15 |
| 37 | Claudia Hallgren | 28:50.9 | 11 | Mediapolis | 1135 | 1147 | ▼-13 |
| 38 | Liahna Caratachea | 29:24.5 | 12 | Mediapolis | 1107 | 1128 | ▼-55 |
| 39 | Saphire Cummings | 30:59.2 | 10 | Central Lee, Donnellson | 1050 | 1052 | ▼-2 |
| 40 | Deedra Graber | 31:04.0 | 10 | WACO, Wayland | 989 | 978 | ▲11 |
| 41 | Justine Lynn | 31:45.4 | 12 | WACO, Wayland | 955 | 973 | ▼-14 |
| 42 | Evelyn Mueller | 32:33.7 | 9 | Lone Tree | 838 | 797 | ▲29 |
| 43 | Lilian Massner | 34:14.5 | 9 | Mediapolis | 817 | 834 | ▼-22 |
| 44 | Elizabeth Parsons | 35:43.6 | 9 | Wapello | 760 | 780 | ▼-22 |