| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Hallie Kelchen | 20:55.5 | 10 | Cascade, Western Dubuque | 2121 | 2154 | ▲82 |
| 2 | Leah Koehler | 21:08.0 | 11 | Monticello | 2066 | 2065 | ▲565 |
| 3 | Addison Dabroski | 21:28.2 | 10 | Marion | 2196 | 2197 | ▲697 |
| 4 | AudryElla Meyer | 21:31.7 | 11 | Marion | 1964 | 1959 | ▲459 |
| 5 | Marisa Kehoe | 21:34.4 | 12 | Monticello | 1951 | 1946 | ▲446 |
| 6 | Paetyn Wiegand | 21:36.0 | 12 | Fort Madison | 1938 | 1933 | ▲433 |
| 7 | Addison Rump | 21:45.7 | 10 | Fort Madison | 1989 | 1987 | ▲487 |
| 8 | Mia Deegan | 21:56.7 | 10 | Xavier, Cedar Rapids | 2206 | 2203 | ▲703 |
| 9 | Edie Axmear | 21:56.7 | 9 | Williamsburg | 1967 | 1965 | ▲465 |
| 10 | Ava Capron | 22:01.7 | 11 | Monticello | 1791 | 1794 | ▲294 |
| 11 | Emerson Quick | 22:04.2 | 12 | Assumption, Davenport | 1844 | 1840 | ▲340 |
| 12 | Halle Recker | 22:06.9 | 10 | Monticello | 1836 | 1833 | ▲333 |
| 13 | Amelia Moore | 22:07.0 | 10 | Assumption, Davenport | 1829 | 1825 | ▲325 |
| 14 | McKayla Schinstock | 22:22.0 | 10 | Fort Madison | 1783 | 1781 | ▲281 |
| 15 | Jada Hoffman | 22:25.2 | 11 | Assumption, Davenport | 1780 | 1777 | ▲277 |
| 16 | Kendall Orozco | 22:29.9 | 12 | Marion | 1748 | 1745 | ▲245 |
| 17 | Peyton Ries | 22:43.0 | 9 | Monticello | 2041 | 2041 | ▲541 |
| 18 | Cayleigh O'Brien | 22:45.7 | 9 | Xavier, Cedar Rapids | 1910 | 1907 | ▲407 |
| 19 | Keira Richmond | 23:16.7 | 11 | Xavier, Cedar Rapids | 1705 | 1704 | ▲204 |
| 20 | Zoe Hulseburg | 23:17.7 | 10 | Williamsburg | 1551 | 1548 | ▲48 |
| 21 | Jessica Stadtmueller | 23:19.5 | 11 | Monticello | 1666 | 1664 | ▲164 |
| 22 | Emersen Verhagen | 23:27.2 | 9 | Monticello | 1818 | 1816 | ▲316 |
| 23 | Sophie Miller | 23:29.7 | 11 | Assumption, Davenport | 1637 | 1636 | ▲136 |
| 24 | Maddy Martinez | 23:39.2 | 10 | Assumption, Davenport | 1628 | 1627 | ▲127 |
| 25 | Sofia Musick | 23:42.0 | 9 | Xavier, Cedar Rapids | 1795 | 1794 | ▲294 |
| 26 | Elise Moore | 23:45.7 | 10 | Marion | 1921 | 1919 | ▲419 |
| 27 | Lilly Supple | 23:46.9 | 10 | Cascade, Western Dubuque | 1676 | 1640 | ▼-200 |
| 28 | Alena Dietz | 23:48.4 | 11 | Marion | 1436 | 1441 | ▼-59 |
| 29 | Laura Fitch | 23:57.2 | 11 | Marion | 1577 | 1579 | ▲79 |
| 30 | Olivia Kahler | 24:26.2 | 10 | Assumption, Davenport | 1544 | 1544 | ▲44 |
| 31 | Graceyn Uhlmann | 24:28.7 | 9 | Williamsburg | 1540 | 1539 | ▲39 |
| 32 | Amalie Yeates | 24:35.0 | 11 | Assumption, Davenport | 1527 | 1527 | ▲27 |
| 33 | Makenna Capper | 24:36.5 | 9 | Williamsburg | 1727 | 1729 | ▲229 |
| 34 | Hadley Wolfe | 24:37.9 | 10 | Fort Madison | 1518 | 1518 | ▲18 |
| 35 | Lanie Schlicksup | 24:39.0 | 11 | Assumption, Davenport | 1514 | 1514 | ▲14 |
| 36 | Anya Rivera | 24:44.9 | 10 | Williamsburg | 1582 | 1584 | ▲84 |
| 37 | Brianna Kearney | 24:58.4 | 10 | Monticello | 1522 | 1524 | ▲24 |
| 38 | Myla Hintze | 25:07.2 | 9 | Assumption, Davenport | 1454 | 1454 | ▼-46 |
| 39 | Charley Huebner | 25:11.4 | 9 | Fort Madison | 1439 | 1440 | ▼-60 |
| 40 | Ashlyn Hoffman | 25:12.5 | 10 | Williamsburg | 1620 | 1623 | ▲123 |
| 41 | Kaitlin Kunde | 25:22.2 | 11 | Monticello | 1534 | 1536 | ▲36 |
| 42 | Reagan McMenomy | 25:31.0 | 12 | Williamsburg | 1409 | 1410 | ▼-90 |
| 43 | Annabelle Neal | 25:37.5 | 12 | Xavier, Cedar Rapids | 1404 | 1405 | ▼-95 |
| 44 | Katherine Stadtmueller | 25:50.2 | 9 | Monticello | 1670 | 1667 | ▲167 |
| 45 | Ellie Huebner | 26:03.5 | 10 | Fort Madison | 1508 | 1508 | ▲8 |
| 46 | Kyra Cordes | 26:11.5 | 11 | Marion | 1888 | 1888 | ▲388 |
| 47 | Leah Schemmel | 26:19.9 | 10 | Monticello | 1562 | 1561 | ▲61 |
| 48 | Molly Dolan | 26:22.0 | 10 | Assumption, Davenport | 1348 | 1350 | ▼-150 |
| 49 | Nora Maloney | 26:32.4 | 12 | Xavier, Cedar Rapids | 1325 | 1327 | ▼-173 |
| 50 | Jayda Carnes | 26:34.9 | 11 | Marion | 1765 | 1762 | ▲262 |
| 51 | Greta Hansen | 26:54.5 | 11 | Marion | 1775 | 1771 | ▲271 |
| 52 | Shelby McDermott | 27:06.7 | 10 | Cascade, Western Dubuque | 1295 | 1357 | ▼-313 |
| 53 | Teresa Nguyen | 27:30.7 | 12 | Xavier, Cedar Rapids | 1259 | 1262 | ▼-238 |
| 54 | Lulu Rozeboom | 27:38.0 | 10 | Xavier, Cedar Rapids | 1458 | 1455 | ▼-45 |
| 55 | Annie Trumm | 27:54.5 | 10 | Cascade, Western Dubuque | 1480 | 1523 | ▼-24 |
| 56 | Elly Pfab | 27:55.2 | 9 | Xavier, Cedar Rapids | 1438 | 1436 | ▼-64 |
| 57 | Ellie Stephenson | 28:07.7 | 10 | Xavier, Cedar Rapids | 1487 | 1484 | ▼-16 |
| 58 | Ciara O'Brien | 28:19.5 | 11 | Xavier, Cedar Rapids | 1224 | 1225 | ▼-275 |
| 59 | Kaitlyn Snow | 28:22.0 | 12 | Williamsburg | 1117 | 1121 | ▼-379 |
| 60 | Virginia Bostwick | 28:42.2 | 9 | Xavier, Cedar Rapids | 1105 | 1109 | ▼-391 |
| 61 | Molly Thomas | 28:56.5 | 11 | Williamsburg | 1092 | 1097 | ▼-403 |
| 62 | Addison Guerra | 29:04.0 | 9 | West Liberty | 1348 | 1350 | ▼-150 |
| 63 | Lucy Oehler | 29:53.2 | 11 | Xavier, Cedar Rapids | 1326 | 1324 | ▼-176 |
| 64 | Taylor Gassman | 30:00.5 | 12 | Monticello | 1017 | 1023 | ▼-477 |
| 65 | Naomi Sitas | 30:23.2 | 9 | Williamsburg | 999 | 1005 | ▼-495 |
| 66 | Dotti Garbes | 30:38.5 | 9 | Xavier, Cedar Rapids | 1036 | 1039 | ▼-461 |
| 67 | Emelia Slesicki | 31:02.0 | 9 | Assumption, Davenport | 874 | 881 | ▼-619 |
| 68 | Aubrey Sires | 31:42.5 | 11 | Xavier, Cedar Rapids | 838 | 845 | ▼-655 |
| 69 | Skylar Christensen | 33:18.0 | 9 | Monticello | 987 | 986 | ▼-514 |
| 70 | Cady Campbell | 33:33.4 | 12 | Williamsburg | 655 | 665 | ▼-835 |
| 71 | Harper Miller | 35:55.6 | 9 | Assumption, Davenport | 519 | 530 | ▼-970 |