| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Grace Beasley | 20:30.0 | 9 | Johnston | 2123 | 2077 | ▲118 |
| 2 | Payton Crabb | 21:01.0 | 9 | Johnston | 2010 | 1961 | ▲211 |
| 3 | Lexie Wisham | 21:08.0 | 10 | Johnston | 1964 | 1922 | ▲97 |
| 4 | Jaylee Duncan | 21:24.0 | 10 | Pleasant Valley | 1911 | 1906 | ▲406 |
| 5 | Jayna Lamping | 21:41.0 | 10 | Johnston | 1874 | 1875 | ▼-3 |
| 6 | Olivia Fehn | 21:43.0 | 10 | Johnston | 1864 | 1839 | ▲41 |
| 7 | Naomi Downing-Sherer | 22:07.0 | 9 | Iowa City, City High | 1841 | 1887 | ▼-154 |
| 8 | Frankie Gotto | 22:09.0 | 9 | Pleasant Valley | 1827 | 1823 | ▲323 |
| 9 | Ella Ripslinger | 22:12.0 | 9 | Bettendorf | 1822 | 1798 | ▲35 |
| 10 | Ella Romero | 22:21.0 | 9 | Iowa City, City High | 1805 | 1819 | ▼-18 |
| 11 | Madeline Fischer | 22:39.0 | 9 | Iowa City, City High | 1768 | 1749 | ▲26 |
| 12 | Stella Rose | 22:41.0 | 10 | Prairie, Cedar Rapids | 1765 | 1767 | ▼-70 |
| 13 | Harper Souhrada | 22:46.0 | 9 | Johnston | 1752 | 1749 | ▲249 |
| 14 | Sofia Miner | 23:03.0 | 9 | Prairie, Cedar Rapids | 1726 | 1723 | ▲223 |
| 15 | Aubrielle Tousey | 23:04.0 | 9 | Johnston | 1723 | 1720 | ▲5 |
| 16 | Millie Eikamp | 23:06.0 | 9 | Dubuque, Senior | 1720 | 1718 | ▲218 |
| 17 | Alma Bhandary-Narayanan | 23:18.0 | 10 | Iowa City, City High | 1715 | 1753 | ▼-68 |
| 18 | Stella Weber | 23:21.0 | 10 | Dubuque, Senior | 1705 | 1703 | ▲203 |
| 19 | Braeley Wullweber | 23:23.0 | 10 | Dubuque, Senior | 1704 | 1702 | ▲202 |
| 20 | Reese Wiley | 23:25.0 | 9 | Prairie, Cedar Rapids | 1703 | 1701 | ▲201 |
| 21 | Addi Schultes | 23:30.0 | 10 | Iowa City, City High | 1692 | 1715 | ▼-33 |
| 22 | Leah Ferguson | 23:31.0 | 9 | Johnston | 1680 | 1671 | ▲13 |
| 23 | Halia Christensen | 23:33.0 | 10 | Dubuque, Senior | 1672 | 1670 | ▲170 |
| 24 | Katiya Ellermeier | 23:43.0 | 10 | Iowa City, City High | 1664 | 1692 | ▼-44 |
| 25 | Nadia Spragg | 24:00.0 | 9 | Iowa City, City High | 1635 | 1666 | ▼-46 |
| 26 | Willow Schultz | 24:18.0 | 9 | Iowa City, City High | 1615 | 1604 | ▲15 |
| 27 | Audrey Holdener | 24:23.0 | 9 | Dubuque, Senior | 1595 | 1594 | ▲94 |
| 28 | Lilah Rasche | 24:27.0 | 9 | Bettendorf | 1583 | 1552 | ▲52 |
| 29 | Martha Willard | 24:31.0 | 9 | Iowa City, City High | 1579 | 1571 | ▲9 |
| 30 | Campbell Keibler | 24:43.0 | 9 | Bettendorf | 1559 | 1556 | ▲3 |
| 31 | Maddie Cappaert | 24:59.0 | 9 | Pleasant Valley | 1534 | 1534 | ▲34 |
| 32 | Addy Van Voorst | 25:04.0 | 9 | Prairie, Cedar Rapids | 1533 | 1532 | ▲32 |
| 33 | Anika Roe | 25:20.0 | 9 | Prairie, Cedar Rapids | 1516 | 1516 | ▲16 |
| 34 | Grace Hesselman | 25:25.0 | 10 | Dubuque, Senior | 1508 | 1508 | ▲8 |
| 35 | Maryl Meeboer | 25:43.0 | 9 | Pleasant Valley | 1480 | 1481 | ▼-19 |
| 36 | Khloe Hamilton | 25:45.0 | 9 | North Scott, Eldridge | 1477 | 1483 | ▼-9 |
| 37 | Jolie Evans | 25:48.0 | 9 | Iowa City, City High | 1464 | 1476 | ▼-15 |
| 38 | Cecelia Spector | 26:21.0 | 10 | Bettendorf | 1432 | 1424 | ▲10 |
| 39 | Hannah Highberger | 26:40.0 | 10 | Pleasant Valley | 1420 | 1421 | ▼-79 |
| 40 | Lexi Kuboushek | 26:41.0 | 9 | Prairie, Cedar Rapids | 1419 | 1419 | ▼-81 |
| 41 | Chloe Sprague | 26:51.0 | 9 | Dubuque, Senior | 1416 | 1417 | ▼-83 |
| 42 | Hope Hazen | 26:59.0 | 9 | Prairie, Cedar Rapids | 1407 | 1408 | ▼-92 |
| 43 | Jenna DeNike | 27:08.0 | 9 | Pleasant Valley | 1406 | 1407 | ▼-93 |
| 44 | Tiffany Ku | 27:26.0 | 10 | Pleasant Valley | 1374 | 1375 | ▼-125 |
| 45 | Marissa Eads | 27:36.0 | 9 | Muscatine | 1359 | 1391 | ▼-66 |
| 46 | JoLee Steinecke | 27:43.0 | 10 | North Scott, Eldridge | 1347 | 1348 | ▼-152 |
| 47 | Maggie Menster | 27:52.0 | 10 | Bettendorf | 1335 | 1331 | ▲5 |
| 48 | Amelia Fangman | 27:53.0 | 10 | Muscatine | 1327 | 1304 | ▲44 |
| 49 | Lydia Anderson | 27:54.0 | 10 | Muscatine | 1322 | 1309 | ▲21 |
| 50 | Maddie Gunderson | 28:21.0 | 10 | Iowa City, City High | 1294 | 1311 | ▼-22 |
| 51 | Paula Schwan | 28:26.0 | 9 | Bettendorf | 1283 | 1265 | ▲28 |
| 52 | Victoria Stellmach | 28:28.0 | 9 | Bettendorf | 1273 | 1300 | ▼-41 |
| 53 | Emma Reif | 28:44.0 | 9 | North Scott, Eldridge | 1250 | 1301 | ▼-98 |
| 54 | Harper Bailey | 29:33.0 | 10 | Iowa City, City High | 1212 | 1244 | ▼-44 |
| 55 | Ellie Daughetee | 29:57.0 | 10 | Dubuque, Senior | 1183 | 1186 | ▼-314 |
| 56 | Sara Gunn | 30:14.0 | 10 | Dubuque, Senior | 1181 | 1184 | ▼-316 |
| 57 | Liz Degner | 30:21.0 | 10 | Iowa City, City High | 1177 | 1203 | ▼-35 |
| 58 | Lillee Young | 31:03.0 | 9 | Prairie, Cedar Rapids | 1146 | 1150 | ▼-350 |
| 59 | Ruby Neal | 31:18.0 | 9 | Dubuque, Senior | 1113 | 1117 | ▼-383 |
| 60 | Khloe Sweet | 31:42.0 | 9 | Dubuque, Senior | 1105 | 1110 | ▼-390 |
| 61 | Shyanne Lemmon | 31:43.0 | 10 | Muscatine | 1086 | 1061 | ▲50 |
| 62 | Rylan Backes | 31:45.0 | 9 | Pleasant Valley | 1078 | 1083 | ▼-417 |
| 63 | Lily Gao | 32:00.0 | 9 | Pleasant Valley | 1074 | 1079 | ▼-421 |
| 64 | Amari Casto | 32:06.0 | 9 | Iowa City, City High | 1069 | 1122 | ▼-88 |
| 65 | Avery Nace | 32:29.0 | 9 | Iowa City, City High | 1046 | 1092 | ▼-71 |
| 66 | Katelyn Peck | 32:44.0 | 9 | North Scott, Eldridge | 992 | 1014 | ▼-30 |
| 67 | Ellie Routley | 32:50.0 | 10 | Dubuque, Senior | 966 | 972 | ▼-528 |
| 68 | Lauren Hessling | 33:43.0 | 10 | Muscatine | 928 | 908 | ▲40 |