| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Paetyn Wiegand | 20:50.0 | 12 | Fort Madison | ---- | ---- | ---- |
| 2 | Hannah Karre | 21:05.0 | 11 | Keokuk | ---- | ---- | ---- |
| 3 | Addison Rump | 21:24.0 | 10 | Fort Madison | ---- | ---- | ---- |
| 4 | Kaitlyn Kipp | 21:38.0 | 9 | Notre Dame / West Burlington | ---- | ---- | ---- |
| 5 | McKayla Schinstock | 22:47.0 | 10 | Fort Madison | ---- | ---- | ---- |
| 6 | Baylee Billings | 23:02.0 | 9 | Keokuk | ---- | ---- | ---- |
| 7 | Allison Ames | 23:18.0 | 11 | Keokuk | ---- | ---- | ---- |
| 8 | Charley Huebner | 23:38.0 | 9 | Fort Madison | ---- | ---- | ---- |
| 9 | Hadley Wolfe | 23:48.0 | 10 | Fort Madison | ---- | ---- | ---- |
| 10 | Rylee Olsen | 24:01.0 | 12 | Keokuk | ---- | ---- | ---- |
| 11 | Grace Nichels | 25:01.0 | 11 | Notre Dame / West Burlington | ---- | ---- | ---- |
| 12 | Kennedy Ritter | 25:23.0 | 12 | Notre Dame / West Burlington | ---- | ---- | ---- |
| 13 | Ellie Huebner | 25:25.0 | 10 | Fort Madison | ---- | ---- | ---- |
| 14 | Darby Tackes | 25:37.0 | 10 | Keokuk | ---- | ---- | ---- |
| 15 | Jacie Olsen | 25:51.0 | 10 | Keokuk | ---- | ---- | ---- |
| 16 | Keira Campbell | 27:51.0 | 11 | Keokuk | ---- | ---- | ---- |
| 17 | Justine Lynn | 28:20.0 | 11 | WACO, Wayland | ---- | ---- | ---- |
| 18 | Allison Lamb | 28:30.0 | 11 | Fort Madison | ---- | ---- | ---- |
| 19 | Gabby Maynes | 28:35.0 | 10 | Central Lee, Donnellson | ---- | ---- | ---- |
| 20 | Sarah Craun | 28:53.0 | 10 | WACO, Wayland | ---- | ---- | ---- |
| 21 | Deedra Graber | 32:44.0 | 9 | WACO, Wayland | ---- | ---- | ---- |