| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Leah Klapatauskas | 18:35.5 | 12 | Dubuque, Senior | 2428 | 2427 | ▲3 |
| 2 | Claire Hoyer | 18:54.2 | 11 | Dubuque, Senior | 2309 | 2304 | ▼-79 |
| 3 | Emily Gorton | 18:58.7 | 11 | Dubuque, Senior | 2236 | 2197 | ▼-165 |
| 4 | Cori Mac | 19:10.5 | 12 | Iowa City, Liberty | 2206 | 2187 | ▲46 |
| 5 | Lucy Murphy | 19:11.4 | 10 | Wahlert, Dubuque | 2191 | 2195 | ▼-51 |
| 6 | Emma Chesterman | 19:13.5 | 10 | Dubuque, Senior | 2166 | 2155 | ▼-372 |
| 7 | Keirra Hess | 19:18.9 | 12 | Prairie, Cedar Rapids | 2144 | 2120 | ▲31 |
| 8 | Josee Simonson | 19:26.5 | 11 | Cedar Falls | 2137 | 2156 | ▼-47 |
| 9 | Anna Becker | 19:29.0 | 12 | Cedar Falls | 2112 | 2103 | ▲12 |
| 10 | Emily Meyer | 19:45.5 | 11 | Cedar Falls | 2089 | 2052 | ▼-46 |
| 11 | Nevaeh Kessler | 19:51.9 | 10 | Dubuque, Senior | 2083 | 2105 | ▼-191 |
| 12 | Mia Deegan | 19:56.2 | 10 | Xavier, Cedar Rapids | 2056 | 2046 | ▼-142 |
| 13 | Ava Christensen | 20:00.5 | 12 | Prairie, Cedar Rapids | 2040 | 2038 | ▲3 |
| 14 | Hannah Hughes | 20:00.7 | 11 | Prairie, Cedar Rapids | 2016 | 1990 | ▼-5 |
| 15 | Clara Welch | 20:11.0 | 11 | Iowa City, Liberty | 1996 | 1945 | ▼-32 |
| 16 | Lise Hoyer | 20:13.7 | 9 | Dubuque, Senior | 1982 | 1965 | ▼-193 |
| 17 | Briel Bechen | 20:14.5 | 10 | Dubuque, Senior | 1978 | 2066 | ▼-136 |
| 18 | Zoe Zylstra | 20:18.9 | 11 | Cedar Falls | 1951 | 1941 | ▲28 |
| 19 | Emersyn Fonley | 20:25.2 | 9 | Cedar Falls | 1939 | 1934 | ▼-130 |
| 20 | Bridget Canton | 20:29.9 | 12 | Iowa City, Liberty | 1920 | 1887 | ▲42 |
| 21 | Mimi Marquardt | 20:31.0 | 11 | Iowa City, Liberty | 1914 | 1931 | ▼-166 |
| 22 | Olivia Divoky | 20:36.0 | 10 | Prairie, Cedar Rapids | 1901 | 1915 | ▼-31 |
| 23 | June Cousin | 20:37.0 | 9 | Cedar Falls | 1880 | 1845 | ▲235 |
| 24 | Carleigh Maher | 20:38.7 | 10 | Iowa City, Liberty | 1869 | 1854 | ▼-34 |
| 25 | Maddie Gallagher | 20:40.4 | 12 | Cedar Falls | 1866 | 1923 | ▼-120 |
| 26 | Karlee Hamilton | 20:43.5 | 12 | Prairie, Cedar Rapids | 1847 | 1836 | ▲18 |
| 27 | Ella Rohner | 20:57.5 | 9 | Wahlert, Dubuque | 1833 | 1763 | ▼-182 |
| 28 | Ashley Bernardy | 21:00.7 | 11 | Cedar Falls | 1824 | 1783 | ▼-69 |
| 29 | Peyten Eide | 21:01.2 | 10 | Iowa City, Liberty | 1818 | 1810 | ▼-78 |
| 30 | Madelyn Johnson | 21:01.7 | 11 | Iowa City, Liberty | 1811 | 1817 | ▼-41 |
| 31 | Emerson Adams | 21:05.0 | 10 | Iowa City, Liberty | 1801 | 1797 | ▼-2 |
| 32 | Catie Reittinger | 21:07.2 | 12 | Prairie, Cedar Rapids | 1795 | 1801 | ▼-10 |
| 33 | Aubrey Meyer | 21:09.0 | 11 | Iowa City, Liberty | 1785 | 1763 | ▲33 |
| 34 | Olivia Bellini | 21:37.5 | 10 | Wahlert, Dubuque | 1753 | 1739 | ▲17 |
| 35 | Willa Berning | 21:37.9 | 9 | Wahlert, Dubuque | 1746 | 1708 | ▼-256 |
| 36 | Chloe Bishop | 21:43.9 | 10 | Prairie, Cedar Rapids | 1732 | 1743 | ▼-15 |
| 37 | Cayleigh O'Brien | 22:00.0 | 9 | Xavier, Cedar Rapids | 1721 | 1726 | ▼-12 |
| 38 | Marissa Becker | 22:03.0 | 11 | Iowa City, Liberty | 1699 | 1697 | ▼-68 |
| 39 | Kaitlyn Miller | 22:35.9 | 12 | Dubuque, Senior | 1660 | 1779 | ▼-156 |
| 40 | Maya Bormann | 22:39.7 | 9 | Wahlert, Dubuque | 1655 | 1702 | ▼-269 |
| 41 | Sofia Musick | 22:40.7 | 9 | Xavier, Cedar Rapids | 1650 | 1695 | ▼-220 |
| 42 | Mallory Unsen | 22:48.7 | 9 | Wahlert, Dubuque | 1631 | 1612 | ▼-40 |
| 43 | Ella Arens | 23:47.4 | 9 | Xavier, Cedar Rapids | 1542 | 1533 | ▲295 |
| 44 | Grace Bruns | 23:47.9 | 11 | Xavier, Cedar Rapids | 1533 | 1521 | ▼-144 |
| 45 | Ruby Schillinger | 23:53.2 | 11 | Cedar Falls | 1531 | 1559 | ▼-485 |
| 46 | Christina Egger | 24:10.5 | 12 | Cedar Rapids, Jefferson | 1482 | 1487 | ▼-7 |
| 47 | Ryiah Nickell | 24:11.2 | 11 | Cedar Rapids, Jefferson | 1475 | 1446 | ▲359 |
| 48 | Cheyanna Thompson-Williams | 24:37.0 | 11 | Cedar Rapids, Jefferson | 1435 | 1435 | ▲1 |
| 49 | Nora Maloney | 24:38.0 | 12 | Xavier, Cedar Rapids | 1432 | 1463 | ▼-46 |
| 50 | Thursday Peterson | 25:04.2 | 11 | Cedar Rapids, Jefferson | 1389 | 1389 | ▼-161 |
| 51 | Lizeth Esqueda | 25:04.2 | 11 | Cedar Rapids, Jefferson | 1384 | 1374 | ▼-362 |