| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Paetyn Wiegand | 20:50.0 | 12 | Fort Madison | 1978 | 1960 | ▲27 |
| 2 | Hannah Karre | 21:05.0 | 11 | Keokuk | 1942 | 1937 | ▲437 |
| 3 | Addison Rump | 21:24.0 | 10 | Fort Madison | 1908 | 1909 | ▼-78 |
| 4 | Kaitlyn Kipp | 21:38.0 | 9 | Notre Dame / West Burlington | 1858 | 1854 | ▲354 |
| 5 | McKayla Schinstock | 22:47.0 | 10 | Fort Madison | 1804 | 1795 | ▲14 |
| 6 | Baylee Billings | 23:02.0 | 9 | Keokuk | 1754 | 1751 | ▲251 |
| 7 | Allison Ames | 23:18.0 | 11 | Keokuk | 1733 | 1730 | ▲230 |
| 8 | Charley Huebner | 23:38.0 | 9 | Fort Madison | 1600 | 1553 | ▲113 |
| 9 | Hadley Wolfe | 23:48.0 | 10 | Fort Madison | 1547 | 1535 | ▲17 |
| 10 | Rylee Olsen | 24:01.0 | 12 | Keokuk | 1523 | 1523 | ▲23 |
| 11 | Grace Nichels | 25:01.0 | 11 | Notre Dame / West Burlington | 1514 | 1513 | ▲13 |
| 12 | Kennedy Ritter | 25:23.0 | 12 | Notre Dame / West Burlington | 1505 | 1505 | ▲5 |
| 13 | Ellie Huebner | 25:25.0 | 10 | Fort Madison | 1464 | 1432 | ▼-76 |
| 14 | Darby Tackes | 25:37.0 | 10 | Keokuk | 1457 | 1457 | ▼-43 |
| 15 | Jacie Olsen | 25:51.0 | 10 | Keokuk | 1449 | 1450 | ▼-50 |
| 16 | Keira Campbell | 27:51.0 | 11 | Keokuk | 1402 | 1403 | ▼-97 |
| 17 | Justine Lynn | 28:20.0 | 11 | WACO, Wayland | 1386 | 1429 | ▼-53 |
| 18 | Allison Lamb | 28:30.0 | 11 | Fort Madison | 1343 | 1344 | ▼-156 |
| 19 | Gabby Maynes | 28:35.0 | 10 | Central Lee, Donnellson | 1333 | 1335 | ▼-165 |
| 20 | Sarah Craun | 28:53.0 | 10 | WACO, Wayland | 1314 | 1337 | ▼-26 |
| 21 | Deedra Graber | 32:44.0 | 9 | WACO, Wayland | 1193 | 1226 | ▼-38 |