| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Danielle Hostetler | 19:40.2 | 12 | Mid-Prairie, Wellman | 2427 | 2417 | ▲917 |
| 2 | Keelee Leitzen | 19:56.5 | 12 | Dubuque, Hempstead | 2291 | 2282 | ▲782 |
| 3 | Julia Gehl | 20:38.7 | 12 | Dubuque, Hempstead | 2210 | 2202 | ▲702 |
| 4 | Evie Henneberry | 20:43.9 | 11 | Dubuque, Hempstead | 2152 | 2145 | ▲645 |
| 5 | Emily See | 20:49.4 | 12 | Bettendorf | 2107 | 2100 | ▲600 |
| 6 | Kate Van Waning | 20:56.4 | 10 | Iowa City, West | 2070 | 2064 | ▲564 |
| 7 | Cori Mac | 21:10.7 | 12 | Iowa City, Liberty | 2038 | 2032 | ▲532 |
| 8 | Mylee Lange | 21:38.5 | 11 | Dubuque, Hempstead | 2010 | 2005 | ▲505 |
| 9 | Maggie Henneberry | 21:40.4 | 9 | Dubuque, Hempstead | 1986 | 1980 | ▲480 |
| 10 | Carleigh Maher | 22:04.2 | 10 | Iowa City, Liberty | 1963 | 1958 | ▲458 |
| 11 | Mimi Marquardt | 22:09.7 | 11 | Iowa City, Liberty | 1943 | 1938 | ▲438 |
| 12 | Clara Welch | 22:10.0 | 11 | Iowa City, Liberty | 1924 | 1920 | ▲420 |
| 13 | Natalie Leitzen | 22:11.0 | 9 | Dubuque, Hempstead | 1907 | 1902 | ▲402 |
| 14 | Bridget Canton | 22:17.2 | 12 | Iowa City, Liberty | 1890 | 1886 | ▲386 |
| 15 | Cindy Wang | 22:17.9 | 12 | Iowa City, West | 1875 | 1871 | ▲371 |
| 16 | Annika Poll | 22:25.5 | 12 | Mid-Prairie, Wellman | 1861 | 1857 | ▲357 |
| 17 | Annabelle Everding | 22:28.5 | 11 | Bettendorf | 1847 | 1843 | ▲343 |
| 18 | Brooklyn Stutzman | 22:32.7 | 9 | Mid-Prairie, Wellman | 1834 | 1830 | ▲330 |
| 19 | Greta Sieren | 22:35.9 | 12 | Mid-Prairie, Wellman | 1821 | 1818 | ▲318 |
| 20 | Abby Fleming | 22:37.2 | 12 | Mid-Prairie, Wellman | 1809 | 1806 | ▲306 |
| 21 | Susanna Olson | 22:46.2 | 9 | Iowa City, West | 1787 | 1784 | ▲284 |
| 22 | Kalli Titus | 22:51.5 | 11 | Iowa City, West | 1776 | 1773 | ▲273 |
| 23 | Phoebe Shetler | 23:06.9 | 12 | Mid-Prairie, Wellman | 1746 | 1743 | ▲243 |
| 24 | Erinn Varga | 23:15.0 | 12 | Iowa City, West | 1737 | 1734 | ▲234 |
| 25 | Destiny Borland | 23:15.5 | 10 | Bettendorf | 1727 | 1725 | ▲225 |
| 26 | Stella Hunter | 23:26.5 | 11 | Iowa City, West | 1710 | 1707 | ▲207 |
| 27 | Mackenzie Schaefer | 23:44.7 | 11 | Bettendorf | 1701 | 1699 | ▲199 |
| 28 | Calista Rasmer | 23:46.2 | 11 | Bettendorf | 1693 | 1690 | ▲190 |
| 29 | Gabby Moniza | 23:57.5 | 12 | Iowa City, West | 1668 | 1666 | ▲166 |
| 30 | Emerson Adams | 23:59.2 | 10 | Iowa City, Liberty | 1660 | 1659 | ▲159 |
| 31 | Rebekah Wallington | 24:03.2 | 10 | Mid-Prairie, Wellman | 1645 | 1643 | ▲143 |
| 32 | Ellie Hermiston | 24:10.5 | 12 | Dubuque, Hempstead | 1637 | 1636 | ▲136 |
| 33 | Kali Miller | 24:15.2 | 12 | Mid-Prairie, Wellman | 1615 | 1614 | ▲114 |
| 34 | Dessa Poll | 24:16.0 | 11 | Mid-Prairie, Wellman | 1608 | 1607 | ▲107 |
| 35 | Madelyn Johnson | 24:17.2 | 11 | Iowa City, Liberty | 1601 | 1600 | ▲100 |
| 36 | Aubrey Meyer | 24:22.0 | 11 | Iowa City, Liberty | 1594 | 1593 | ▲93 |
| 37 | Peyten Eide | 24:56.9 | 10 | Iowa City, Liberty | 1546 | 1546 | ▲46 |
| 38 | Rowan Appel | 29:55.5 | 11 | Bettendorf | 1254 | 1257 | ▼-243 |
| 39 | Kennah Block | 29:58.4 | 11 | Bettendorf | 1244 | 1247 | ▼-253 |