| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Anika Mohrhauser | 18:12.4 | 11 | Ankeny Centennial | 2475 | 2470 | ▼-113 |
| 2 | Michelle McConkey | 18:42.5 | 10 | Waukee | 2396 | 2399 | ▼-4 |
| 3 | Cora DenHartog | 18:50.2 | 11 | Ankeny Centennial | 2283 | 2258 | ▲571 |
| 4 | Bella Hodges | 18:58.0 | 11 | Ankeny Centennial | 2251 | 2230 | ▼-32 |
| 5 | Sydney Burrier | 18:58.2 | 10 | Waukee | 2234 | 2246 | ▲171 |
| 6 | Julia Flick | 19:06.0 | 11 | Ankeny Centennial | 2199 | 2183 | ▼-11 |
| 7 | Hayden Beyer | 19:11.7 | 10 | Waukee | 2183 | 2186 | ▲30 |
| 8 | Josee Simonson | 19:14.7 | 11 | Cedar Falls | 2160 | 2158 | ▲2 |
| 9 | Ellie Blevins | 19:17.7 | 9 | Ankeny Centennial | 2132 | 2101 | ▼-109 |
| 10 | Haley Hveem | 19:37.7 | 11 | Ankeny Centennial | 2115 | 2102 | ▼-316 |
| 11 | Peyton Madison | 19:40.7 | 12 | North Scott, Eldridge | 2092 | 2057 | ▲40 |
| 12 | Anna Becker | 19:45.7 | 12 | Cedar Falls | 2083 | 2092 | ▼-11 |
| 13 | Mallory Wurth | 19:46.5 | 11 | Waukee | 2058 | 2041 | ▲25 |
| 14 | Kyra Zinn | 19:48.0 | 11 | Ankeny Centennial | 2048 | 2058 | ▲108 |
| 15 | Emily Meyer | 19:49.7 | 11 | Cedar Falls | 2032 | 2039 | ▼-13 |
| 16 | Kate Van Waning | 19:58.2 | 10 | Iowa City, West | 2022 | 2133 | ▼-113 |
| 17 | Lydia Bennett | 20:04.5 | 9 | Waukee | 1995 | 1971 | ▼-26 |
| 18 | Taylor LeBlanc | 20:04.7 | 12 | Waukee | 1984 | 1979 | ▲7 |
| 19 | Kiara Hallet | 20:10.7 | 12 | Muscatine | 1972 | 1971 | ▲2 |
| 20 | Kalli Titus | 20:11.4 | 11 | Iowa City, West | 1956 | 1931 | ▲27 |
| 21 | Susanna Olson | 20:12.4 | 9 | Iowa City, West | 1946 | 1943 | ▲4 |
| 22 | Sydney Berger | 20:16.7 | 12 | Waukee | 1936 | 1947 | ▼-13 |
| 23 | Cindy Wang | 20:18.7 | 12 | Iowa City, West | 1923 | 1926 | ▼-5 |
| 24 | Zoe Zylstra | 20:23.5 | 11 | Cedar Falls | 1911 | 1923 | ▼-18 |
| 25 | Maddie Gallagher | 20:26.5 | 12 | Cedar Falls | 1897 | 1904 | ▼-19 |
| 26 | June Cousin | 20:35.2 | 9 | Cedar Falls | 1876 | 1864 | ▲19 |
| 27 | Emersyn Fonley | 20:37.0 | 9 | Cedar Falls | 1869 | 1895 | ▼-39 |
| 28 | Erinn Varga | 20:48.5 | 12 | Iowa City, West | 1848 | 1864 | ▼-17 |
| 29 | Kennadi Thiessen | 21:12.4 | 11 | North Scott, Eldridge | 1825 | 1827 | ▼-7 |
| 30 | Gabby Moniza | 21:35.0 | 12 | Iowa City, West | 1802 | 1799 | ▲3 |
| 31 | Natalie Nwatchock | 21:43.5 | 10 | North Scott, Eldridge | 1767 | 1678 | ▲113 |
| 32 | Lydia Evans | 21:44.5 | 10 | Iowa City, West | 1750 | 1742 | ▲11 |
| 33 | Ava Acker | 21:49.2 | 11 | Muscatine | 1734 | 1759 | ▼-29 |
| 34 | Ava Duncan | 22:01.9 | 12 | North Scott, Eldridge | 1705 | 1728 | ▼-54 |
| 35 | Whitney Estabrook | 22:04.2 | 10 | Muscatine | 1661 | 1652 | ▲15 |
| 36 | Amelia Luna | 22:36.0 | 11 | Muscatine | 1646 | 1658 | ▼-17 |
| 37 | Isabella Kopf | 22:39.7 | 9 | Muscatine | 1618 | 1612 | ▲7 |
| 38 | Kirsten Holler | 22:39.7 | 9 | Muscatine | 1598 | 1592 | ▲9 |
| 39 | Eva Downey | 22:42.7 | 12 | Burlington | 1585 | 1600 | ▼-23 |
| 40 | Khloe Hamilton | 23:01.7 | 9 | North Scott, Eldridge | 1566 | 1587 | ▼-27 |
| 41 | Ella Riniker | 23:14.5 | 12 | North Scott, Eldridge | 1542 | 1558 | ▼-18 |
| 42 | Christina Egger | 23:28.7 | 12 | Cedar Rapids, Jefferson | 1510 | 1499 | ▲12 |
| 43 | Lizeth Esqueda | 23:58.0 | 11 | Cedar Rapids, Jefferson | 1480 | 1435 | ▲61 |
| 44 | Cheyanna Thompson-Williams | 24:23.0 | 11 | Cedar Rapids, Jefferson | 1465 | 1453 | ▲18 |
| 45 | Dresden Fishback | 24:31.5 | 9 | Burlington | 1449 | 1449 | ▲1 |
| 46 | Thursday Peterson | 24:43.7 | 11 | Cedar Rapids, Jefferson | 1426 | 1410 | ▲21 |
| 47 | Ryiah Nickell | 25:01.0 | 11 | Cedar Rapids, Jefferson | 1415 | 1428 | ▼-18 |
| 48 | Macy Ringold | 25:07.7 | 12 | Burlington | 1384 | 1359 | ▲42 |
| 49 | Katelyn Kobliska | 25:13.2 | 11 | Burlington | 1379 | 1407 | ▼-38 |
| 50 | Hailey Allen | 25:33.7 | 11 | Waterloo, East | 1350 | 1352 | ▼-7 |
| 51 | Klairissa Hamilton | 27:11.2 | 10 | Burlington | 1333 | 1366 | ▼-46 |
| 52 | Lydia Long | 28:21.2 | 11 | Cedar Rapids, Jefferson | 1295 | 1324 | ▲55 |
| 53 | Vanesa Alva-Martinez | 28:46.0 | 10 | Waterloo, East | 1129 | 1089 | ▲55 |
| 54 | Callie Kirchmann | 28:51.2 | 10 | Waterloo, East | 1106 | 1125 | ▼-25 |
| 55 | Taylor Hoftender | 30:30.0 | 11 | Waterloo, East | 1034 | 1054 | ▼-29 |