| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Ani Wedemeyer | 18:39.0 | 11 | Iowa City, City High | 2476 | 2436 | ▲48 |
| 2 | Keelee Leitzen | 18:52.0 | 12 | Dubuque, Hempstead | 2454 | 2465 | ▼-15 |
| 3 | Julia Gehl | 18:52.0 | 12 | Dubuque, Hempstead | 2395 | 2374 | ▲24 |
| 4 | Grace Boleyn | 18:55.0 | 11 | Pleasant Valley | 2375 | 2386 | ▼-13 |
| 5 | Camryn Sattler | 18:57.0 | 12 | Clinton | 2346 | 2376 | ▼-38 |
| 6 | Brynn Edgin | 19:19.0 | 10 | Pleasant Valley | 2278 | 2250 | ▲38 |
| 7 | Maddie Millage | 19:24.0 | 9 | Pleasant Valley | 2249 | 2224 | ▲33 |
| 8 | Evie Henneberry | 19:29.0 | 11 | Dubuque, Hempstead | 2230 | 2226 | ▲4 |
| 9 | Emily See | 19:38.0 | 12 | Bettendorf | 2201 | 2181 | ▲26 |
| 10 | Abigail Burns | 19:43.0 | 10 | Iowa City, City High | 2193 | 2222 | ▼-37 |
| 11 | Jaylee Duncan | 19:43.0 | 10 | Pleasant Valley | 2160 | 2142 | ▲27 |
| 12 | Vivian McCombs | 19:44.0 | 9 | Pleasant Valley | 2153 | 2181 | ▼-47 |
| 13 | Nicole Peterson | 19:58.0 | 11 | Iowa City, City High | 2127 | 2122 | ▲7 |
| 14 | Keirra Hess | 19:59.0 | 12 | Prairie, Cedar Rapids | 2112 | 2116 | ▼-4 |
| 15 | Dylan Moeller | 20:00.0 | 11 | Davenport, Central | 2090 | 2059 | ▲64 |
| 16 | Carryn Sattler | 20:01.0 | 10 | Clinton | 2079 | 2058 | ▲23 |
| 17 | Maggie Henneberry | 20:12.0 | 9 | Dubuque, Hempstead | 2069 | 2072 | ▼-4 |
| 18 | Lexi Minard | 20:13.0 | 12 | Pleasant Valley | 2056 | 2054 | ▲3 |
| 19 | Mylee Lange | 20:21.0 | 11 | Dubuque, Hempstead | 2044 | 2045 | ▼-1 |
| 20 | Ava Christensen | 20:25.0 | 12 | Prairie, Cedar Rapids | 2032 | 2035 | ▼-3 |
| 21 | Claire Locher | 20:27.0 | 10 | Iowa City, City High | 2016 | 1989 | ▲39 |
| 22 | Selah Flanigan | 20:33.0 | 10 | Pleasant Valley | 2012 | 2040 | ▼-36 |
| 23 | Sloane Moeller | 20:42.0 | 9 | Davenport, Central | 1997 | 2001 | ▼-6 |
| 24 | Grace Hamann | 20:51.0 | 8 | Iowa City, City High | 1987 | 2001 | ▼-19 |
| 25 | Nina Peterson | 20:57.0 | 11 | Iowa City, City High | 1967 | 1926 | ▲51 |
| 26 | Olivia Divoky | 20:58.0 | 10 | Prairie, Cedar Rapids | 1956 | 1939 | ▲24 |
| 27 | Karlee Hamilton | 20:59.0 | 12 | Prairie, Cedar Rapids | 1941 | 1891 | ▲55 |
| 28 | Madeline Fischer | 21:08.0 | 9 | Iowa City, City High | 1929 | 1896 | ▲35 |
| 29 | Alyssa Brandt | 21:10.0 | 12 | Cedar Rapids, Kennedy | 1926 | 1963 | ▼-44 |
| 30 | Natalie Leitzen | 21:12.0 | 9 | Dubuque, Hempstead | 1910 | 1923 | ▼-14 |
| 31 | Hannah Hughes | 21:13.0 | 11 | Prairie, Cedar Rapids | 1901 | 1938 | ▼-52 |
| 32 | Annabelle Everding | 21:22.0 | 11 | Bettendorf | 1888 | 1917 | ▼-41 |
| 33 | Ellie Hermiston | 21:28.0 | 12 | Dubuque, Hempstead | 1872 | 1870 | ▲4 |
| 34 | Kylie Daily | 21:31.0 | 12 | Davenport, West | 1857 | 1838 | ▲91 |
| 35 | Mackenzie Schaefer | 21:34.0 | 11 | Bettendorf | 1850 | 1843 | ▲8 |
| 36 | Lillian Cogdill | 21:39.0 | 11 | Cedar Rapids, Kennedy | 1843 | 1861 | ▼-24 |
| 37 | Ella Ripslinger | 21:58.0 | 9 | Bettendorf | 1824 | 1787 | ▲55 |
| 38 | Destiny Borland | 22:02.0 | 10 | Bettendorf | 1820 | 1839 | ▼-24 |
| 39 | Chloe Bishop | 22:03.0 | 10 | Prairie, Cedar Rapids | 1803 | 1775 | ▲32 |
| 40 | Catie Reittinger | 22:09.0 | 12 | Prairie, Cedar Rapids | 1796 | 1798 | ▼-3 |
| 41 | Evelyn Barfels | 22:15.0 | 12 | Davenport, Central | 1786 | 1795 | ▼-12 |
| 42 | Calista Rasmer | 22:27.0 | 11 | Bettendorf | 1773 | 1772 | ▲2 |
| 43 | Gabby Leibold | 22:34.0 | 12 | Davenport, North | 1757 | 1740 | ▲44 |
| 44 | Kennah Block | 22:36.0 | 11 | Bettendorf | 1752 | 1766 | ▼-17 |
| 45 | Emma Manthe | 22:42.0 | 9 | Cedar Rapids, Kennedy | 1741 | 1768 | ▼-33 |
| 46 | Aubrey Rivers | 22:52.0 | 10 | Clinton | 1727 | 1732 | ▼-312 |
| 47 | Sescie Haan | 23:01.0 | 11 | Clinton | 1710 | 1688 | ▲26 |
| 48 | Cameron Shumpert | 23:13.0 | 10 | Davenport, Central | 1705 | 1728 | ▼-30 |
| 49 | Maria Kaiser | 23:13.0 | 10 | Cedar Rapids, Kennedy | 1685 | 1670 | ▲18 |
| 50 | Erin Arnold | 23:30.0 | 10 | Cedar Rapids, Kennedy | 1672 | 1666 | ▲8 |
| 51 | Delainey Woodman | 23:34.0 | 11 | Davenport, North | 1656 | 1629 | ▲31 |
| 52 | Madelyn Robinson | 23:47.0 | 12 | Clinton | 1647 | 1650 | ▼-3 |
| 53 | Ada Kaplan | 23:57.0 | 10 | Davenport, Central | 1630 | 1624 | ▲7 |
| 54 | Eleanor Goodin | 24:03.0 | 10 | Davenport, North | 1610 | 1566 | ▲49 |
| 55 | Ramsay Geater | 24:12.0 | 10 | Cedar Rapids, Kennedy | 1607 | 1637 | ▼-75 |
| 56 | Kirstin Bengtson | 24:13.0 | 9 | Clinton | 1583 | 1573 | ▲12 |
| 57 | Olivia Hallam | 24:23.0 | 10 | Cedar Rapids, Kennedy | 1570 | 1581 | ▼-17 |
| 58 | Emma Yacapraro | 24:31.0 | 12 | Davenport, North | 1531 | 1489 | ▲60 |
| 59 | Emma Schneiderman | 24:50.0 | 9 | Davenport, West | 1521 | 1525 | ▼-28 |
| 60 | Jillian Koenig | 25:11.0 | 9 | Davenport, North | 1458 | 1429 | ▲49 |
| 61 | Jadalynn Daily | 25:16.0 | 12 | Davenport, West | 1451 | 1486 | ▼-123 |
| 62 | Hannah Ford | 27:58.0 | 12 | Davenport, Central | 1397 | 1701 | ▼-181 |