| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Addison Dorenkamp | 18:22.4 | 12 | Valley, West Des Moines | 2442 | 2414 | ▲45 |
| 2 | Nakia Ollivierre | 18:43.5 | 10 | Waterloo, West | 2402 | 2397 | ▲9 |
| 3 | Leah Klapatauskas | 18:53.2 | 12 | Dubuque, Senior | 2374 | 2398 | ▼-29 |
| 4 | Claire Hoyer | 19:10.0 | 11 | Dubuque, Senior | 2315 | 2310 | ▲6 |
| 5 | Cohen Kooker | 19:18.5 | 12 | Valley, West Des Moines | 2281 | 2285 | ▼-4 |
| 6 | Kate Vogel | 19:27.5 | 10 | Valley, West Des Moines | 2234 | 2186 | ▼-71 |
| 7 | Emily Gorton | 19:28.9 | 11 | Dubuque, Senior | 2216 | 2209 | ▲12 |
| 8 | Nevaeh Kessler | 19:45.4 | 10 | Dubuque, Senior | 2189 | 2152 | ▲47 |
| 9 | Liv Hall | 19:47.2 | 12 | Dowling Catholic, West Des Moines | 2180 | 2186 | ▼-14 |
| 10 | Marley McMahon | 19:49.0 | 10 | Valley, West Des Moines | 2163 | 2166 | ▼-6 |
| 11 | Hailey Kozloski | 19:49.5 | 9 | Linn-Mar, Marion | 2143 | 2116 | ▲31 |
| 12 | Molly O'Halloran | 19:51.0 | 11 | Dowling Catholic, West Des Moines | 2130 | 2114 | ▼-57 |
| 13 | Emma Chesterman | 19:54.2 | 10 | Dubuque, Senior | 2122 | 2137 | ▼-18 |
| 14 | Brogan Evans | 19:55.5 | 10 | Mason City | 2102 | 2089 | ▲57 |
| 15 | Klaire Lietz | 19:56.9 | 11 | Valley, West Des Moines | 2099 | 2121 | ▼-147 |
| 16 | Braelyn Gifford | 20:01.5 | 11 | Dowling Catholic, West Des Moines | 2079 | 2063 | ▼-85 |
| 17 | Briel Bechen | 20:03.2 | 10 | Dubuque, Senior | 2070 | 2070 | ▲4 |
| 18 | Autumn Mills | 20:09.4 | 11 | Valley, West Des Moines | 2064 | 2105 | ▼-154 |
| 19 | Arianna Horras | 20:13.5 | 9 | Dowling Catholic, West Des Moines | 2043 | 1994 | ▼-77 |
| 20 | Ally Buck | 20:14.9 | 12 | Linn-Mar, Marion | 2037 | 2034 | ▲4 |
| 21 | Alex Mackie | 20:15.5 | 12 | Urbandale | 2028 | 2031 | ▼-5 |
| 22 | Makenna Hetrick | 20:16.0 | 12 | Cedar Rapids, Washington | 2015 | 2005 | ▲15 |
| 23 | Addie Domer | 20:24.4 | 10 | Linn-Mar, Marion | 2002 | 1956 | ▲60 |
| 24 | Bella Cole | 20:24.5 | 9 | Linn-Mar, Marion | 1992 | 1956 | ▲79 |
| 25 | Chloe Egbert | 20:26.7 | 10 | Linn-Mar, Marion | 1986 | 1987 | ▼-2 |
| 26 | Avery Muller | 20:28.2 | 12 | Dowling Catholic, West Des Moines | 1980 | 2023 | ▼-53 |
| 27 | Elise Dykstra | 20:34.5 | 10 | Mason City | 1966 | 1970 | ▼-5 |
| 28 | Raegan Reuter | 20:35.5 | 10 | Valley, West Des Moines | 1955 | 1953 | ▲237 |
| 29 | Victoria Martinez-Lohf | 20:39.2 | 11 | Urbandale | 1946 | 1948 | ▲31 |
| 30 | Elise Huegerich | 20:40.9 | 10 | Dowling Catholic, West Des Moines | 1933 | 1928 | ▼-33 |
| 31 | Lise Hoyer | 20:45.0 | 9 | Dubuque, Senior | 1925 | 1942 | ▼-23 |
| 32 | Abby Ziegert | 20:51.7 | 12 | Dowling Catholic, West Des Moines | 1909 | 1907 | ▲4 |
| 33 | Paizlee Carter | 20:52.7 | 9 | Mason City | 1901 | 1930 | ▼-35 |
| 34 | Savannah Davis | 20:54.0 | 11 | Mason City | 1889 | 1924 | ▼-84 |
| 35 | Peyton Bobolz | 21:02.7 | 9 | Mason City | 1867 | 1856 | ▲14 |
| 36 | Janae Hansen | 21:24.9 | 11 | Mason City | 1861 | 1931 | ▼-96 |
| 37 | Avery Dechant | 21:46.2 | 10 | Linn-Mar, Marion | 1831 | 1820 | ▲16 |
| 38 | Ella Grinstead | 21:54.2 | 9 | Urbandale | 1807 | 1769 | ▼-33 |
| 39 | Gabby Mauren | 21:59.2 | 10 | Linn-Mar, Marion | 1804 | 1842 | ▼-52 |
| 40 | Sarah Webster | 22:01.7 | 11 | Urbandale | 1776 | 1782 | ▼-11 |
| 41 | Kiersten Van Horn | 22:02.9 | 12 | Urbandale | 1758 | 1772 | ▼-20 |
| 42 | Claudia Sewell | 22:40.0 | 12 | Mason City | 1732 | 1748 | ▼-21 |
| 43 | Lilian Gyure | 22:58.4 | 10 | Urbandale | 1700 | 1710 | ▼-161 |
| 44 | Audrey Hager | 23:21.0 | 12 | Urbandale | 1646 | 1629 | ▲20 |
| 45 | Maya Lahart | 23:34.4 | 9 | Cedar Rapids, Washington | 1609 | 1588 | ▲26 |
| 46 | Alanna Lahart | 23:34.9 | 9 | Cedar Rapids, Washington | 1580 | 1565 | ▲19 |
| 47 | Maya Lindwall | 23:37.7 | 9 | Cedar Rapids, Washington | 1552 | 1536 | ▲20 |
| 48 | Maddy Hetrick | 23:45.5 | 10 | Cedar Rapids, Washington | 1543 | 1588 | ▼-50 |
| 49 | Anessa Morrison | 24:07.9 | 10 | Marshalltown | 1512 | 1529 | ▼-28 |
| 50 | Lilly Lemke | 25:04.7 | 9 | Cedar Rapids, Washington | 1472 | 1461 | ▲14 |
| 51 | Thalia Gallegos | 25:10.5 | 12 | Marshalltown | 1448 | 1446 | ▲5 |
| 52 | Emerson Eastman | 25:58.4 | 10 | Marshalltown | 1422 | 1425 | ▼-4 |
| 53 | Aubrie Tejada | 26:32.7 | 12 | Marshalltown | 1369 | 1325 | ▲58 |
| 54 | Grace Marlin | 26:46.5 | 11 | Waterloo, West | 1341 | 1336 | ▲9 |
| 55 | Alisa Pajazetovic | 26:58.2 | 10 | Waterloo, West | 1321 | 1380 | ▼-65 |
| 56 | Amira Little | 27:58.7 | 10 | Waterloo, West | 1264 | 1285 | ▼-31 |
| 57 | Lilyia Christen | 28:49.7 | 10 | Marshalltown | 1145 | 1145 | 0 |
| 58 | Ellyn Whittemore | 29:52.0 | 10 | Waterloo, West | 1036 | 1035 | ▲1 |
| 59 | Emra Pajic | 30:30.4 | 11 | Waterloo, West | 945 | 948 | ▼-4 |