| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Charlee Gall | 18:02.0 | 9 | Cedar Falls | 2675 | 2664 | ▲14 |
| 2 | Nakia Ollivierre | 18:03.4 | 11 | Waterloo, West | 2625 | 2633 | ▼-11 |
| 3 | Emma Chesterman | 18:16.9 | 11 | Dubuque, Senior | 2535 | 2532 | ▲3 |
| 4 | Evie Henneberry | 18:22.0 | 12 | Dubuque, Hempstead | 2469 | 2470 | 0 |
| 5 | Emily Gorton | 18:28.0 | 12 | Dubuque, Senior | 2394 | 2377 | ▲18 |
| 6 | Claire Hoyer | 18:28.5 | 12 | Dubuque, Senior | 2362 | 2378 | ▼-17 |
| 7 | Nevaeh Kessler | 18:52.4 | 11 | Dubuque, Senior | 2293 | 2281 | ▲17 |
| 8 | Maggie Henneberry | 18:52.7 | 10 | Dubuque, Hempstead | 2260 | 2246 | ▲19 |
| 9 | Paige Pitz | 18:56.4 | 10 | Dubuque, Hempstead | 2233 | 2200 | ▲41 |
| 10 | Lise Hoyer | 19:01.7 | 10 | Dubuque, Senior | 2216 | 2189 | ▲33 |
| 11 | Briel Bechen | 19:02.0 | 11 | Dubuque, Senior | 2204 | 2198 | ▲8 |
| 12 | Harper Groteluschen | 19:04.5 | 9 | Prairie, Cedar Rapids | 2193 | 2210 | ▼-19 |
| 13 | Josee Simonson | 19:06.4 | 12 | Cedar Falls | 2174 | 2168 | ▲9 |
| 14 | Chelsea VeDepo | 19:07.5 | 10 | Iowa City, Liberty | 2164 | 2175 | ▼-13 |
| 15 | Mylee Lange | 19:09.5 | 12 | Dubuque, Hempstead | 2146 | 2139 | ▲11 |
| 16 | Katherine Tomlyanovich | 19:20.7 | 9 | Cedar Falls | 2138 | 2150 | ▼-36 |
| 17 | Olivia Leehey | 19:22.5 | 9 | Cedar Falls | 2123 | 2136 | ▼-22 |
| 18 | Reese Wiley | 19:23.4 | 10 | Prairie, Cedar Rapids | 2099 | 2079 | ▲31 |
| 19 | Emily Meyer | 19:33.2 | 12 | Cedar Falls | 2090 | 2104 | ▼-21 |
| 20 | Emersyn Fonley | 19:39.5 | 10 | Cedar Falls | 2070 | 2079 | ▼-11 |
| 21 | Mimi Marquardt | 19:55.0 | 12 | Iowa City, Liberty | 2053 | 2075 | ▼-24 |
| 22 | Natalie Leitzen | 20:02.4 | 10 | Dubuque, Hempstead | 2025 | 2024 | ▲1 |
| 23 | Hannah Hughes | 20:28.5 | 12 | Prairie, Cedar Rapids | 2003 | 1998 | ▲7 |
| 24 | Chelsea Heiberger | 20:40.2 | 9 | Dubuque, Hempstead | 1978 | 1955 | ▲30 |
| 25 | Elsie Bisgard | 20:42.5 | 9 | Iowa City, Liberty | 1960 | 1938 | ▲26 |
| 26 | Lillian Cogdill | 20:43.5 | 12 | Cedar Rapids, Kennedy | 1948 | 1952 | ▼-5 |
| 27 | Stella Rose | 20:43.9 | 11 | Prairie, Cedar Rapids | 1925 | 1896 | ▲46 |
| 28 | Gracie Driscoll | 20:53.2 | 10 | Dubuque, Hempstead | 1911 | 1887 | ▲29 |
| 29 | Peyten Eide | 20:59.7 | 11 | Iowa City, Liberty | 1901 | 1896 | ▲4 |
| 30 | Lamise Ajram | 21:07.2 | 10 | Prairie, Cedar Rapids | 1889 | 1891 | ▼-4 |
| 31 | Stella Weber | 21:11.9 | 11 | Dubuque, Senior | 1880 | 1930 | ▼-54 |
| 32 | Taniya O'Brien | 21:15.4 | 9 | Waterloo, West | 1855 | 1817 | ▲73 |
| 33 | Lillian Goudie | 21:17.4 | 10 | Prairie, Cedar Rapids | 1843 | 1820 | ▲25 |
| 34 | Madelyn Johnson | 21:19.7 | 12 | Iowa City, Liberty | 1836 | 1853 | ▼-22 |
| 35 | Ainsley Searfoss | 21:22.4 | 9 | Cedar Falls | 1822 | 1849 | ▼-35 |
| 36 | Emma Manthe | 21:32.5 | 10 | Cedar Rapids, Kennedy | 1800 | 1803 | ▼-4 |
| 37 | Anika Roe | 21:39.2 | 10 | Prairie, Cedar Rapids | 1785 | 1808 | ▼-23 |
| 38 | Erin Arnold | 21:55.9 | 11 | Cedar Rapids, Kennedy | 1759 | 1759 | 0 |
| 39 | Lizeth Esqueda | 21:56.5 | 12 | Cedar Rapids, Jefferson | 1731 | 1717 | ▲27 |
| 40 | Olivia Hallam | 21:56.5 | 11 | Cedar Rapids, Kennedy | 1707 | 1698 | ▲23 |
| 41 | Ramsay Geater | 22:24.5 | 11 | Cedar Rapids, Kennedy | 1692 | 1709 | ▼-22 |
| 42 | Carleigh Maher | 22:43.5 | 11 | Iowa City, Liberty | 1669 | 1782 | ▼-102 |
| 43 | Emily Morris | 22:45.0 | 9 | Cedar Rapids, Jefferson | 1614 | 1613 | ▲1 |
| 44 | Peyton Dale | 23:33.0 | 10 | Cedar Rapids, Jefferson | 1565 | 1545 | ▲24 |
| 45 | Semani Hernandez | 24:09.7 | 9 | Waterloo, West | 1519 | 1464 | ▲62 |
| 46 | Avery Campbell | 24:10.0 | 10 | Cedar Rapids, Kennedy | 1503 | 1510 | ▼-8 |
| 47 | Mia Janda | 24:12.0 | 10 | Cedar Rapids, Jefferson | 1452 | 1426 | ▲30 |
| 48 | Audrey Pruett | 24:14.7 | 11 | Cedar Rapids, Kennedy | 1430 | 1428 | ▲10 |
| 49 | Sophia Kevitt | 24:24.4 | 12 | Cedar Rapids, Jefferson | 1408 | 1418 | ▼-13 |
| 50 | Vanesa Alva-Martinez | 24:51.0 | 11 | Waterloo, East | 1372 | 1364 | ▲14 |
| 51 | Thursday Peterson | 25:04.7 | 12 | Cedar Rapids, Jefferson | 1362 | 1429 | ▼-143 |
| 52 | Amira Little | 25:13.5 | 11 | Waterloo, West | 1318 | 1318 | ▲1 |
| 53 | Daelyn Escorcia | 25:46.2 | 12 | Cedar Rapids, Jefferson | 1287 | 1283 | ▲5 |
| 54 | Hailey Allen | 26:27.5 | 12 | Waterloo, East | 1253 | 1240 | ▲24 |
| 55 | Deborah Vodjogbe | 26:40.2 | 9 | Waterloo, West | 1232 | 1238 | ▼-20 |
| 56 | Grace Marlin | 27:06.9 | 12 | Waterloo, West | 1194 | 1221 | ▼-31 |
| 57 | Breonna Kugler | 28:32.0 | 9 | Waterloo, East | 1015 | 1014 | ▲3 |
| 58 | Taylor Hoftender | 29:45.7 | 12 | Waterloo, East | 908 | 911 | ▼-3 |