| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Grace Boleyn | 18:28.0 | 11 | Pleasant Valley | 2551 | 2539 | ▲1039 |
| 2 | Olivia Verde | 18:32.0 | 12 | Johnston | 2470 | 2469 | 0 |
| 3 | Leah Klapatauskas | 19:24.0 | 12 | Dubuque, Senior | 2406 | 2396 | ▲896 |
| 4 | Alyx Woodley | 19:33.0 | 10 | Johnston | 2362 | 2351 | ▲17 |
| 5 | Brynn Edgin | 19:36.0 | 10 | Pleasant Valley | 2333 | 2323 | ▲823 |
| 6 | Ele Wharton | 19:38.0 | 9 | Johnston | 2296 | 2280 | ▲25 |
| 7 | Ani Wedemeyer | 19:45.0 | 11 | Iowa City, City High | 2277 | 2306 | ▼-54 |
| 8 | Claire Hoyer | 19:46.0 | 11 | Dubuque, Senior | 2229 | 2221 | ▲721 |
| 9 | Abigail Burns | 19:48.0 | 10 | Iowa City, City High | 2212 | 2217 | ▼-7 |
| 10 | Audrey Dummermuth | 20:06.0 | 10 | Johnston | 2175 | 2167 | ▲13 |
| 11 | Briel Bechen | 20:09.0 | 10 | Dubuque, Senior | 2160 | 2153 | ▲653 |
| 12 | Selah Flanigan | 20:17.0 | 10 | Pleasant Valley | 2155 | 2148 | ▲648 |
| 13 | Vivian McCombs | 20:20.0 | 9 | Pleasant Valley | 2150 | 2143 | ▲643 |
| 14 | Emma Chesterman | 20:23.0 | 10 | Dubuque, Senior | 2146 | 2139 | ▲639 |
| 15 | Maddie Millage | 20:30.0 | 9 | Pleasant Valley | 2141 | 2134 | ▲634 |
| 16 | Marissa Pewe | 20:33.0 | 11 | Johnston | 2093 | 2058 | ▲64 |
| 17 | Krissy Spear | 20:35.0 | 12 | Johnston | 2085 | 2085 | ▼-1 |
| 18 | Kate Van Waning | 20:38.0 | 10 | Iowa City, West | 2070 | 2068 | ▲4 |
| 19 | Micah Fitzgerald | 20:43.0 | 10 | Johnston | 2053 | 2025 | ▲49 |
| 20 | Nicole Peterson | 20:52.0 | 11 | Iowa City, City High | 2041 | 2011 | ▲39 |
| 21 | Emily Gorton | 20:55.0 | 11 | Dubuque, Senior | 2036 | 2030 | ▲530 |
| 22 | Keirra Hess | 21:01.0 | 12 | Prairie, Cedar Rapids | 2022 | 1971 | ▲238 |
| 23 | Grace Hamann | 21:02.0 | 8 | Iowa City, City High | 2004 | 2004 | 0 |
| 24 | Claire Locher | 21:03.0 | 10 | Iowa City, City High | 1997 | 2029 | ▼-57 |
| 25 | Lexi Minard | 21:05.0 | 12 | Pleasant Valley | 1984 | 1979 | ▲479 |
| 26 | Olivia Divoky | 21:06.0 | 10 | Prairie, Cedar Rapids | 1982 | 2003 | ▼-40 |
| 27 | Peyton Madison | 21:10.0 | 12 | North Scott, Eldridge | 1963 | 1995 | ▼-59 |
| 28 | Kailee Wilson | 21:11.0 | 10 | Pleasant Valley | 1951 | 1946 | ▲446 |
| 29 | Nevaeh Kessler | 21:17.0 | 10 | Dubuque, Senior | 1949 | 1944 | ▲444 |
| 30 | Emily See | 21:18.0 | 12 | Bettendorf | 1949 | 1988 | ▼-112 |
| 31 | Hannah Hughes | 21:21.0 | 11 | Prairie, Cedar Rapids | 1924 | 1915 | ▼-134 |
| 32 | Sloane Moeller | 21:22.0 | 9 | Davenport, Central | 1921 | 1967 | ▼-166 |
| 33 | Lise Hoyer | 21:28.0 | 9 | Dubuque, Senior | 1909 | 1905 | ▲405 |
| 34 | Cindy Wang | 21:35.0 | 12 | Iowa City, West | 1903 | 1890 | ▲19 |
| 35 | Annabelle Everding | 21:40.0 | 11 | Bettendorf | 1887 | 1869 | ▲26 |
| 36 | Ava Christensen | 21:40.0 | 12 | Prairie, Cedar Rapids | 1896 | 1890 | ▲9 |
| 37 | Erinn Varga | 21:41.0 | 12 | Iowa City, West | 1877 | 1829 | ▲95 |
| 38 | Lucy Sherburne | 21:55.0 | 9 | Iowa City, City High | 1861 | 1875 | ▼-21 |
| 39 | Kiara Hallet | 21:56.0 | 12 | Muscatine | 1855 | 1881 | ▼-53 |
| 40 | Hannah Ford | 22:09.0 | 12 | Davenport, Central | 1831 | 1833 | ▼-3 |
| 41 | Kalli Titus | 22:22.0 | 11 | Iowa City, West | 1798 | 1787 | ▲14 |
| 42 | Catie Reittinger | 22:27.0 | 12 | Prairie, Cedar Rapids | 1793 | 1795 | ▼-2 |
| 43 | Elizabeth Asklof | 22:29.0 | 10 | Iowa City, City High | 1788 | 1815 | ▼-40 |
| 44 | Dylan Moeller | 22:31.0 | 11 | Davenport, Central | 1784 | 1834 | ▼-253 |
| 45 | Cameron Shumpert | 22:32.0 | 10 | Davenport, Central | 1778 | 1775 | ▲275 |
| 46 | Karlee Hamilton | 22:38.0 | 12 | Prairie, Cedar Rapids | 1777 | 1809 | ▼-81 |
| 47 | Susanna Olson | 22:42.0 | 9 | Iowa City, West | 1760 | 1770 | ▼-14 |
| 48 | Chloe Bishop | 22:43.0 | 10 | Prairie, Cedar Rapids | 1756 | 1769 | ▼-22 |
| 49 | Ava Acker | 22:50.0 | 11 | Muscatine | 1749 | 1762 | ▼-21 |
| 50 | Destiny Borland | 22:52.0 | 10 | Bettendorf | 1743 | 1735 | ▲10 |
| 51 | Mackenzie Schaefer | 22:53.0 | 11 | Bettendorf | 1737 | 1721 | ▲22 |
| 52 | Calista Rasmer | 23:07.0 | 11 | Bettendorf | 1717 | 1706 | ▲16 |
| 53 | Ava Duncan | 23:31.0 | 12 | North Scott, Eldridge | 1686 | 1690 | ▼-5 |
| 54 | Isabella Kopf | 23:33.0 | 9 | Muscatine | 1674 | 1657 | ▲27 |
| 55 | Tina Hong | 23:36.0 | 11 | Iowa City, West | 1671 | 1689 | ▼-27 |
| 56 | Kate Olson | 23:51.0 | 11 | Muscatine | 1654 | 1633 | ▲37 |
| 57 | Amelia Luna | 23:53.0 | 11 | Muscatine | 1645 | 1644 | ▲2 |
| 58 | Evelyn Barfels | 23:55.0 | 12 | Davenport, Central | 1642 | 1687 | ▼-104 |
| 59 | Kennadi Thiessen | 24:02.0 | 11 | North Scott, Eldridge | 1629 | 1654 | ▼-36 |
| 60 | Whitney Estabrook | 24:14.0 | 10 | Muscatine | 1624 | 1658 | ▼-77 |
| 61 | Stella Hunter | 24:20.0 | 11 | Iowa City, West | 1613 | 1647 | ▼-60 |
| 62 | Kennah Block | 24:23.0 | 11 | Bettendorf | 1596 | 1542 | ▲295 |
| 63 | Natalie Nwatchock | 24:24.0 | 10 | North Scott, Eldridge | 1594 | 1627 | ▼-52 |
| 64 | Eva Downey | 24:40.0 | 12 | Burlington | 1569 | 1569 | ▲69 |
| 65 | Ella Riniker | 24:47.0 | 12 | North Scott, Eldridge | 1548 | 1576 | ▼-41 |
| 66 | Kirsten Holler | 24:56.0 | 9 | Muscatine | 1540 | 1568 | ▼-56 |
| 67 | Jadalynn Daily | 25:08.0 | 12 | Davenport, West | 1520 | 1484 | ▲90 |
| 68 | Katelyn Kobliska | 25:16.0 | 11 | Burlington | 1519 | 1519 | ▲19 |
| 69 | Emma Schneiderman | 25:58.0 | 9 | Davenport, West | 1452 | 1452 | ▼-48 |
| 70 | Ada Kaplan | 26:11.0 | 10 | Davenport, Central | 1448 | 1496 | ▼-92 |
| 71 | Mylee Stiefel | 26:25.0 | 10 | Burlington | 1429 | 1430 | ▼-70 |
| 72 | Klairissa Hamilton | 26:43.0 | 10 | Burlington | 1417 | 1418 | ▼-82 |
| 73 | Sophie Wiklund | 26:55.0 | 11 | Davenport, West | 1409 | 1368 | ▲138 |
| 74 | Rowan Appel | 27:19.0 | 11 | Bettendorf | 1393 | 1352 | ▲95 |
| 75 | Macy Ringold | 27:30.0 | 12 | Burlington | 1366 | 1368 | ▼-132 |