| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Amelia Roe | 19:54.4 | 10 | Decorah | 2274 | 2268 | ▲12 |
| 2 | Hallie Kelchen | 20:09.0 | 10 | Cascade, Western Dubuque | 2242 | 2241 | ▲33 |
| 3 | Lucy Murphy | 20:20.2 | 10 | Wahlert, Dubuque | 2275 | 2253 | ▲38 |
| 4 | Isabelle Hardin | 21:04.2 | 10 | Maquoketa | 2384 | 2382 | ▲395 |
| 5 | Alyssa Brandt | 21:04.7 | 12 | Cedar Rapids, Kennedy | 2048 | 2026 | ▲54 |
| 6 | Maria Dudzik | 21:14.2 | 12 | Beckman Catholic, Dyersville | 2035 | 2041 | ▼-8 |
| 7 | Leah Koehler | 21:23.4 | 11 | Monticello | 2212 | 2227 | ▲224 |
| 8 | Madelyn Reiter | 21:28.7 | 11 | Beckman Catholic, Dyersville | 2057 | 2078 | ▼-31 |
| 9 | Lillian Cogdill | 21:28.7 | 11 | Cedar Rapids, Kennedy | 1968 | 1936 | ▼-72 |
| 10 | Peyton Ries | 21:32.0 | 9 | Monticello | 2107 | 2086 | ▲171 |
| 11 | Brinlee Courtney | 21:32.7 | 9 | Decorah | 1943 | 1950 | ▼-19 |
| 12 | Marisa Kehoe | 21:35.0 | 12 | Monticello | 1935 | 1979 | ▼-58 |
| 13 | Bella Meyers | 21:40.5 | 11 | Epworth, Western Dubuque | 1728 | 1701 | ▲54 |
| 14 | Delany Homan | 21:41.7 | 9 | Camanche | 1951 | 1943 | ▲23 |
| 15 | Ava Capron | 21:43.0 | 11 | Monticello | 1851 | 1832 | ▼-98 |
| 16 | Kasey McIlrath | 21:43.7 | 11 | Epworth, Western Dubuque | 1909 | 1906 | ▲3 |
| 17 | Julia Mertz | 21:47.2 | 12 | Beckman Catholic, Dyersville | 1866 | 1891 | ▼-50 |
| 18 | Olivia Volkmann | 21:48.7 | 9 | Decorah | 2163 | 2164 | ▼-3 |
| 19 | Kaitlyn Thole | 21:57.2 | 11 | Epworth, Western Dubuque | 1794 | 1798 | ▼-7 |
| 20 | Maya Bormann | 22:02.9 | 9 | Wahlert, Dubuque | 1967 | 1972 | ▼-5 |
| 21 | Danielle Losen | 22:08.5 | 12 | Decorah | 1814 | 1760 | ▲84 |
| 22 | Emma Manthe | 22:13.7 | 9 | Cedar Rapids, Kennedy | 1806 | 1783 | ▲38 |
| 23 | Cameron Johnson | 22:25.7 | 12 | Waukon | 1804 | 1836 | ▼-92 |
| 24 | Reegan Benzing | 22:32.7 | 9 | Waukon | 2013 | 1983 | ▲30 |
| 25 | Lilly Graham | 22:36.7 | 11 | Wahlert, Dubuque | 1746 | 1754 | ▼-24 |
| 26 | Deborah Hougen | 22:38.0 | 10 | Decorah | 1838 | 1844 | ▼-7 |
| 27 | Mia Kurth | 22:38.7 | 12 | Waukon | 1770 | 1782 | ▼-20 |
| 28 | Amelia Wadsworth | 22:41.7 | 11 | Decorah | 1767 | 1780 | ▼-44 |
| 29 | Adalyn Appleby | 22:43.2 | 11 | Central DeWitt | 1757 | 1809 | ▼-34 |
| 30 | Emersen Verhagen | 22:53.5 | 9 | Monticello | 1701 | 1761 | ▲46 |
| 31 | Olivia Bellini | 22:55.0 | 10 | Wahlert, Dubuque | 1738 | 1708 | ▲40 |
| 32 | Lily Sandhorst | 22:56.0 | 11 | Decorah | 1733 | 1732 | ▲3 |
| 33 | Jenny Claussen | 22:59.7 | 11 | Central DeWitt | 1881 | 1879 | ▲2 |
| 34 | Grace Brynsaas | 23:01.9 | 12 | Decorah | 1722 | 1737 | ▼-43 |
| 35 | Lilly Supple | 23:07.2 | 10 | Cascade, Western Dubuque | 1640 | 1649 | ▼-63 |
| 36 | Ramsay Geater | 23:11.0 | 10 | Cedar Rapids, Kennedy | 1702 | 1695 | ▲13 |
| 37 | Ella Rohner | 23:16.0 | 9 | Wahlert, Dubuque | 1991 | 1942 | ▲68 |
| 38 | Erin Arnold | 23:22.0 | 10 | Cedar Rapids, Kennedy | 1684 | 1653 | ▼-136 |
| 39 | Katie McKenna | 23:22.0 | 11 | Epworth, Western Dubuque | 1830 | 1831 | ▼-1 |
| 40 | Ana Simon | 23:23.2 | 10 | Decorah | 1678 | 1715 | ▼-60 |
| 41 | Willa Berning | 23:31.0 | 9 | Wahlert, Dubuque | 1979 | 1968 | ▲17 |
| 42 | Jaelyn Johanningmeier | 23:32.0 | 9 | Waukon | 1750 | 1742 | ▲23 |
| 43 | Gretchyn Fairlie | 23:33.7 | 11 | Camanche | 1824 | 1838 | ▲106 |
| 44 | Brynn Storhoff | 23:41.2 | 12 | Decorah | 1638 | 1673 | ▼-109 |
| 45 | Eva Ford | 23:41.5 | 12 | Cedar Rapids, Kennedy | 1630 | 1601 | ▲41 |
| 46 | Reaghan Ressler | 23:47.0 | 11 | Independence | 1629 | 1707 | ▼-99 |
| 47 | Emma O'Neill | 23:52.5 | 10 | Waukon | 1891 | 1895 | ▼-22 |
| 48 | Maria Kaiser | 23:54.5 | 10 | Cedar Rapids, Kennedy | 1612 | 1605 | ▲10 |
| 49 | Jeorgia Neumann | 23:57.2 | 11 | Camanche | 1609 | 1636 | ▼-41 |
| 50 | Bella Herrig | 24:08.2 | 11 | Epworth, Western Dubuque | 1604 | 1613 | ▼-13 |
| 51 | Nora Davis | 24:09.5 | 9 | Waukon | 1358 | 1414 | ▼-67 |
| 52 | Kalyn Skrivseth | 24:12.0 | 11 | Marquette Catholic, Bellevue | 1443 | 1518 | ▼-45 |
| 53 | Autumn Domeyer | 24:18.5 | 9 | Beckman Catholic, Dyersville | 1634 | 1649 | ▼-20 |
| 54 | Brianna Kearney | 24:23.7 | 10 | Monticello | 1625 | 1582 | ▼-39 |
| 55 | Mallory Unsen | 24:25.4 | 9 | Wahlert, Dubuque | 1702 | 1677 | ▲35 |
| 56 | Ella SPRANK | 24:27.4 | 9 | Epworth, Western Dubuque | 1757 | 1740 | ▲23 |
| 57 | Katherine Brunsman | 24:27.5 | 11 | Epworth, Western Dubuque | 1575 | 1556 | ▲40 |
| 58 | Jessica Deaver | 24:40.4 | 10 | Marquette Catholic, Bellevue | 1425 | 1442 | ▼-14 |
| 59 | Ali Simmons | 24:42.0 | 12 | Maquoketa | 1542 | 1539 | ▲7 |
| 60 | Claire King | 24:44.2 | 10 | Wahlert, Dubuque | 1539 | 1549 | ▼-15 |
| 61 | Genevieve Orr | 24:46.2 | 11 | Epworth, Western Dubuque | 1533 | 1523 | ▲17 |
| 62 | Shelby McDermott | 24:49.7 | 10 | Cascade, Western Dubuque | 1521 | 1509 | ▼-31 |
| 63 | Audrey Pruett | 24:56.0 | 10 | Cedar Rapids, Kennedy | 1520 | 1516 | ▲2 |
| 64 | Leah Schemmel | 25:04.4 | 10 | Monticello | 1616 | 1613 | ▲97 |
| 65 | Claire Johnson | 25:04.9 | 9 | Waukon | 1784 | 1766 | ▲5 |
| 66 | Kennedy Recker | 25:14.4 | 12 | Beckman Catholic, Dyersville | 1491 | 1533 | ▼-91 |
| 67 | Makenna Kurth | 25:15.4 | 9 | Waukon | 1417 | 1405 | ▼-28 |
| 68 | Carson Koerperich | 25:28.7 | 12 | Epworth, Western Dubuque | 1467 | 1491 | ▼-31 |
| 69 | Hailey Fielding | 26:09.7 | 9 | Central DeWitt | 1509 | 1491 | ▲27 |
| 70 | Tori Rheingans | 26:10.4 | 12 | Central DeWitt | 1412 | 1391 | ▲24 |
| 71 | Thelma Henricksen | 26:25.5 | 9 | Camanche | 1193 | 1233 | ▼-240 |
| 72 | Delaney Barber | 26:39.0 | 11 | Central DeWitt | 1389 | 1375 | ▲2 |
| 73 | Elizabeth Hansen | 27:24.5 | 9 | Springville | 1331 | 1320 | ▲91 |
| 74 | Madison Edens | 27:35.7 | 12 | Central DeWitt | 1323 | 1320 | ▲8 |
| 75 | Hanna Noonan | 27:37.9 | 9 | Cascade, Western Dubuque | 1319 | 1329 | ▼-16 |
| 76 | Hope Naber | 27:39.9 | 12 | Beckman Catholic, Dyersville | 1314 | 1326 | ▼-16 |
| 77 | Evelyn Nelson | 27:42.4 | 11 | Maquoketa | 1302 | 1279 | ▲37 |
| 78 | Hailee Peters | 27:46.0 | 9 | Central DeWitt | 1284 | 1382 | ▼-50 |
| 79 | Sadie Johnson | 27:55.2 | 9 | Camanche | 874 | 920 | ▼-250 |
| 80 | Madison Gilroy | 28:09.5 | 12 | Central DeWitt | 1266 | 1249 | ▲13 |
| 81 | Brooklyn Banghart | 28:11.7 | 10 | Independence | 1254 | 1347 | ▲267 |
| 82 | Mallory Rea | 28:24.2 | 12 | Beckman Catholic, Dyersville | 1232 | 1189 | ▲76 |
| 83 | Catalina McGrane | 28:31.5 | 9 | Beckman Catholic, Dyersville | 1005 | 1019 | ▼-24 |
| 84 | Andrea Schneider | 28:32.0 | 9 | Beckman Catholic, Dyersville | 1184 | 1212 | ▲101 |
| 85 | Elisaveta Knutsen | 28:51.7 | 9 | Easton Valley | 1174 | 1198 | ▲412 |
| 86 | Renee Exchange | 29:11.9 | 11 | Independence | 1131 | 1235 | ▼-77 |
| 87 | Laia McDonald | 29:15.2 | 10 | Camanche | 1121 | 1138 | ▼-72 |
| 88 | Bailey Sullivan | 29:22.0 | 10 | Easton Valley | 1104 | 1150 | ▼-103 |
| 89 | Rylie Dunne | 29:34.7 | 11 | Central DeWitt | 1369 | 1381 | ▼-10 |