| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Grace Berglund | 18:54.3 | 9 | Glenwood | 2314 | 2301 | ▲15 |
| 2 | Delayna Reese | 19:05.7 | 9 | Lewis Central | 2250 | 2185 | ▲135 |
| 3 | Raenna Henke | 19:07.7 | 11 | Clarinda | 2238 | 2253 | ▼-18 |
| 4 | Claire Pellett | 19:09.6 | 12 | Atlantic | 2197 | 2200 | ▼-4 |
| 5 | Lola Mendlik | 19:24.4 | 11 | Denison-Schleswig | 2168 | 2185 | ▼-20 |
| 6 | Marie Dea | 19:50.6 | 12 | Kuemper Catholic, Carroll | 2120 | 2110 | ▲11 |
| 7 | Alexa Tremblay | 19:55.9 | 11 | Denison-Schleswig | 2081 | 2048 | ▲31 |
| 8 | Brylee Schechinger | 19:57.0 | 11 | Harlan Community | 2057 | 2043 | ▲18 |
| 9 | Breckyn Petersen | 19:57.5 | 11 | Glenwood | 2027 | 1989 | ▲61 |
| 10 | Lauren Hughes | 19:57.5 | 12 | Glenwood | 2006 | 1977 | ▲35 |
| 11 | Madelyn Hoss | 20:00.1 | 9 | Lewis Central | 1991 | 1988 | ▲3 |
| 12 | Hailey Egbert | 20:29.2 | 11 | Shenandoah | 1981 | 2065 | ▼-106 |
| 13 | Ava Bussey | 20:37.6 | 11 | Lewis Central | 1960 | 1999 | ▼-95 |
| 14 | Belle Berg | 20:50.4 | 12 | Atlantic | 1928 | 1913 | ▲22 |
| 15 | Caitlin Hebel | 20:55.4 | 10 | Glenwood | 1910 | 1889 | ▲27 |
| 16 | Madelyn Berglund | 20:57.3 | 11 | Glenwood | 1895 | 1876 | ▲29 |
| 17 | Elaina Hesse | 21:07.9 | 9 | Clarinda | 1882 | 1868 | ▲17 |
| 18 | Katrina Williams | 21:11.9 | 10 | Atlantic | 1869 | 1856 | ▲15 |
| 19 | Megan Hughes | 21:15.0 | 9 | Glenwood | 1857 | 1844 | ▲15 |
| 20 | Riley King | 21:17.1 | 10 | Clarinda | 1846 | 1840 | ▲7 |
| 21 | Taylor Bieker | 21:26.2 | 12 | Harlan Community | 1834 | 1827 | ▲12 |
| 22 | Tyler Tingley | 21:29.9 | 11 | Lewis Central | 1820 | 1799 | ▲54 |
| 23 | Payton Davis | 21:33.1 | 11 | Creston | 1817 | 1837 | ▼-40 |
| 24 | Katelyn Harms | 21:36.2 | 9 | Glenwood | 1804 | 1822 | ▼-20 |
| 25 | Allie Anderson | 21:46.0 | 9 | Harlan Community | 1795 | 1878 | ▼-87 |
| 26 | Kate Strohmeier | 21:48.1 | 9 | Lewis Central | 1775 | 1752 | ▲26 |
| 27 | Emily Schechinger | 21:56.2 | 12 | Harlan Community | 1769 | 1783 | ▼-20 |
| 28 | Julia Kanne | 21:59.2 | 12 | Kuemper Catholic, Carroll | 1754 | 1740 | ▲18 |
| 29 | Hailey Huffman | 22:18.8 | 11 | Atlantic | 1724 | 1697 | ▲46 |
| 30 | Megan Birge | 22:27.3 | 11 | Atlantic | 1719 | 1719 | ▼-2 |
| 31 | Makenna Schroeder | 22:27.9 | 10 | Atlantic | 1709 | 1704 | ▲8 |
| 32 | Alexa Barnes | 22:34.0 | 9 | Clarinda | 1701 | 1691 | ▲11 |
| 33 | Lily Schechinger | 22:34.9 | 10 | Harlan Community | 1694 | 1686 | ▲10 |
| 34 | Olivia Wait | 22:35.9 | 10 | Lewis Central | 1686 | 1671 | ▲25 |
| 35 | Kayla Anderson | 22:40.7 | 11 | Harlan Community | 1679 | 1667 | ▲44 |
| 36 | Marlee Perrien | 22:41.1 | 9 | Red Oak | 1673 | 1664 | ▲13 |
| 37 | Maura Ryan | 22:41.9 | 9 | St. Albert, Council Bluffs | 1671 | 1711 | ▼-50 |
| 38 | Richlyn Muff | 22:57.4 | 10 | Clarinda | 1656 | 1653 | ▲2 |
| 39 | Kambry Gordon | 22:58.5 | 10 | Clarinda | 1649 | 1641 | ▲9 |
| 40 | Mariah Huffman | 23:06.2 | 11 | Atlantic | 1640 | 1647 | ▼-16 |
| 41 | Zoe Young | 23:09.2 | 9 | Shenandoah | 1626 | 1595 | ▲36 |
| 42 | Charlotte Schrum | 23:12.4 | 10 | Denison-Schleswig | 1623 | 1634 | ▼-25 |
| 43 | Maddy Lopez | 23:23.0 | 9 | Red Oak | 1605 | 1594 | ▲13 |
| 44 | Reese Strunk | 23:24.6 | 9 | Creston | 1598 | 1660 | ▼-89 |
| 45 | Lainey Klepinger | 23:26.1 | 12 | Red Oak | 1590 | 1579 | ▲12 |
| 46 | Karter Clayton | 23:28.4 | 11 | Creston | 1579 | 1562 | ▲20 |
| 47 | Britney Kolamneo | 23:32.9 | 9 | Clarinda | 1570 | 1580 | ▼-26 |
| 48 | Addie Davis | 23:43.0 | 9 | Kuemper Catholic, Carroll | 1543 | 1552 | ▼-12 |
| 49 | Sadie Alberti | 23:54.6 | 9 | Harlan Community | 1534 | 1565 | ▼-58 |
| 50 | Gretchen Hoepker | 23:58.0 | 9 | Creston | 1515 | 1522 | ▼-24 |
| 51 | Greta Livingston | 24:00.4 | 9 | St. Albert, Council Bluffs | 1507 | 1493 | ▲17 |
| 52 | Tiffany Ramirez | 24:08.2 | 11 | Denison-Schleswig | 1503 | 1511 | ▼-8 |
| 53 | Jenna Meadows | 24:37.2 | 9 | Denison-Schleswig | 1485 | 1507 | ▼-24 |
| 54 | Emily Bahnsen | 24:50.9 | 11 | Denison-Schleswig | 1476 | 1469 | ▲10 |
| 55 | Sydney Skokan | 24:55.7 | 10 | Lewis Central | 1464 | 1464 | 0 |
| 56 | Anna Galvin | 24:58.1 | 10 | Denison-Schleswig | 1454 | 1415 | ▲38 |
| 57 | Kyra Wolterman | 25:21.2 | 12 | Kuemper Catholic, Carroll | 1433 | 1466 | ▼-114 |
| 58 | Shelby Greving | 25:46.8 | 9 | Kuemper Catholic, Carroll | 1381 | 1428 | ▼-58 |
| 59 | Caroline Campbell | 25:48.0 | 9 | Shenandoah | 1370 | 1361 | ▲11 |
| 60 | Abby Freeman | 26:07.3 | 10 | Creston | 1350 | 1337 | ▲17 |
| 61 | Cate Horn | 26:42.0 | 9 | Red Oak | 1311 | 1309 | ▲2 |
| 62 | Madeline Segebart | 27:24.1 | 10 | Kuemper Catholic, Carroll | 1259 | 1316 | ▼-72 |
| 63 | Leya Walker | 28:23.5 | 9 | Red Oak | 1196 | 1168 | ▲32 |
| 64 | Gillian Heim | 28:26.5 | 9 | Red Oak | 1179 | 1159 | ▲32 |
| 65 | Gabby Smith | 29:42.5 | 9 | Red Oak | 1112 | 1124 | ▼-16 |