| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Meghan Wheatley | 18:27.0 | 12 | North-Linn, Troy Mills | 2556 | 2553 | ▲6 |
| 2 | Alyssa Klein | 19:36.4 | 12 | Epworth, Western Dubuque | 2457 | 2460 | ▼-4 |
| 3 | Lauren Krogmann | 19:43.5 | 9 | Starmont | 2386 | 2371 | ▲220 |
| 4 | Hallie Kelchen | 19:51.7 | 10 | Cascade, Western Dubuque | 2210 | 2229 | ▲77 |
| 5 | Taryn Burbridge | 20:05.5 | 10 | Maquoketa Valley, Delhi | 2153 | 2146 | ▲646 |
| 6 | Alivia Edens | 20:14.2 | 12 | Tipton | 2129 | 2096 | ▲28 |
| 7 | Leah Koehler | 20:17.0 | 11 | Monticello | 2220 | 2181 | ▲109 |
| 8 | Abby Fleming | 20:20.5 | 12 | Mid-Prairie, Wellman | 2088 | 2014 | ▲120 |
| 9 | Maria Dudzik | 20:23.9 | 12 | Beckman Catholic, Dyersville | 2081 | 2078 | ▲6 |
| 10 | Laura Owen | 20:24.7 | 11 | Tipton | 2179 | 2203 | ▼-22 |
| 11 | Maria Kruse | 20:26.0 | 12 | Beckman Catholic, Dyersville | 2055 | 2070 | ▼-34 |
| 12 | Marisa Kehoe | 20:26.5 | 12 | Monticello | 2032 | 1985 | ▲110 |
| 13 | Ava Remley | 20:30.7 | 10 | Anamosa | 2294 | 2233 | ▲114 |
| 14 | Avery Trunkhill | 20:31.7 | 10 | Denver | 1959 | 1967 | ▼-47 |
| 15 | Delany Homan | 20:35.0 | 9 | Camanche | 2050 | 1980 | ▲137 |
| 16 | Brooklyn Stutzman | 20:40.2 | 9 | Mid-Prairie, Wellman | 2286 | 2309 | ▲424 |
| 17 | Kaitlyn Kipp | 20:45.7 | 9 | Notre Dame / West Burlington | 2079 | 2071 | ▲80 |
| 18 | Phoebe Shetler | 20:46.9 | 12 | Mid-Prairie, Wellman | 1954 | 1917 | ▲70 |
| 19 | Peyton Ries | 20:47.2 | 9 | Monticello | 1861 | 1922 | ▲118 |
| 20 | Jada Hoffman | 20:47.9 | 11 | Assumption, Davenport | 2023 | 2022 | ▲199 |
| 21 | Amelia Moore | 20:53.2 | 10 | Assumption, Davenport | 2033 | 2004 | ▲95 |
| 22 | Reeve Ristau | 20:54.0 | 11 | Denver | 1913 | 1938 | ▼-109 |
| 23 | Addison Merritt | 20:58.9 | 9 | Springville | 1978 | 1916 | ▲98 |
| 24 | Kaitlyn Thole | 21:00.2 | 11 | Epworth, Western Dubuque | 1717 | 1754 | ▼-26 |
| 25 | Halle Recker | 21:01.7 | 10 | Monticello | 1883 | 1857 | ▲37 |
| 26 | Ava Capron | 21:02.2 | 11 | Monticello | 1832 | 1836 | ▼-64 |
| 27 | Madelyn Reiter | 21:03.7 | 11 | Beckman Catholic, Dyersville | 2108 | 2121 | ▲152 |
| 28 | Hailey Homan | 21:07.9 | 11 | Denver | 1749 | 1772 | ▼-223 |
| 29 | Karli Hines | 21:10.4 | 11 | Tipton | 1811 | 1815 | ▼-7 |
| 30 | Annika Poll | 21:11.0 | 12 | Mid-Prairie, Wellman | 1844 | 1831 | ▲25 |
| 31 | Bella Meyers | 21:11.4 | 11 | Epworth, Western Dubuque | 1786 | 1779 | ▲122 |
| 32 | Julia Mertz | 21:13.0 | 12 | Beckman Catholic, Dyersville | 1836 | 1866 | ▼-162 |
| 33 | Kasey McIlrath | 21:14.0 | 11 | Epworth, Western Dubuque | 1887 | 1888 | ▲143 |
| 34 | Bryn Collum | 21:18.7 | 11 | North-Linn, Troy Mills | 1822 | 1849 | ▼-93 |
| 35 | Anna Mulert | 21:31.5 | 11 | Denver | 1691 | 1693 | ▼-200 |
| 36 | Sophie Sanderson | 21:31.9 | 10 | Denver | 1841 | 1851 | ▲36 |
| 37 | Dessa Poll | 21:33.2 | 11 | Mid-Prairie, Wellman | 1921 | 1930 | ▲235 |
| 38 | Ella Hein | 21:37.5 | 9 | Tipton | 1942 | 1927 | ▲14 |
| 39 | Addie Nerem | 21:38.5 | 12 | Tipton | 1785 | 1820 | ▼-27 |
| 40 | Greta Sieren | 21:40.4 | 12 | Mid-Prairie, Wellman | 1778 | 1813 | ▼-125 |
| 41 | Kendal Landstrum | 21:41.5 | 9 | Mid-Prairie, Wellman | 1769 | 1777 | ▼-18 |
| 42 | Aubrey Decker | 21:57.0 | 12 | Denver | 1757 | 1784 | ▼-98 |
| 43 | Chloe Klabo | 22:04.5 | 12 | Tipton | 1746 | 1743 | ▲2 |
| 44 | Mya Bodecker | 22:05.5 | 9 | Tipton | 1647 | 1714 | ▼-60 |
| 45 | Peyton McMahon | 22:05.7 | 10 | North-Linn, Troy Mills | 1762 | 1768 | ▼-53 |
| 46 | Gretchyn Fairlie | 22:06.9 | 11 | Camanche | 1863 | 1831 | ▲130 |
| 47 | Jeorgia Neumann | 22:12.7 | 11 | Camanche | 1708 | 1700 | ▲16 |
| 48 | Lilly Supple | 22:24.4 | 10 | Cascade, Western Dubuque | 1535 | 1623 | ▼-85 |
| 49 | Maddy Martinez | 22:25.2 | 10 | Assumption, Davenport | 1694 | 1691 | ▲9 |
| 50 | Sophie Miller | 22:29.0 | 11 | Assumption, Davenport | 1766 | 1754 | ▲48 |
| 51 | Paige Koetz | 22:36.5 | 11 | Epworth, Western Dubuque | 1677 | 1637 | ▲62 |
| 52 | Kaitlin Kunde | 22:38.9 | 11 | Monticello | 1671 | 1658 | ▲34 |
| 53 | Adeline Decker | 22:41.7 | 9 | Denver | 1718 | 1696 | ▲27 |
| 54 | Kennedy Moore | 22:50.2 | 12 | Springville | 1660 | 1667 | ▼-27 |
| 55 | Lucy Haughenbury | 22:53.0 | 9 | North-Linn, Troy Mills | 1654 | 1682 | ▼-97 |
| 56 | Mackenzie Bridgewater | 22:58.0 | 11 | North-Linn, Troy Mills | 1641 | 1672 | ▼-137 |
| 57 | Lanie Schlicksup | 23:07.0 | 11 | Assumption, Davenport | 1633 | 1636 | ▲122 |
| 58 | Brianna Kearney | 23:10.7 | 10 | Monticello | 1510 | 1503 | ▼-43 |
| 59 | Kennedy Ritter | 23:15.2 | 12 | Notre Dame / West Burlington | 1600 | 1573 | ▲26 |
| 60 | Bella Herrig | 23:25.4 | 11 | Epworth, Western Dubuque | 1447 | 1471 | ▼-44 |
| 61 | Amalie Yeates | 23:30.7 | 11 | Assumption, Davenport | 1563 | 1589 | ▲60 |
| 62 | Myla Hintze | 23:40.5 | 9 | Assumption, Davenport | 1487 | 1512 | ▼-34 |
| 63 | Kennedy Recker | 23:42.9 | 12 | Beckman Catholic, Dyersville | 1567 | 1591 | ▼-64 |
| 64 | Carly Ries | 23:50.0 | 10 | North-Linn, Troy Mills | 1347 | 1392 | ▼-233 |
| 65 | Isabel Imler | 23:54.4 | 12 | Maquoketa Valley, Delhi | 1547 | 1546 | ▲46 |
| 66 | Grace Nichels | 24:14.2 | 11 | Notre Dame / West Burlington | 1520 | 1541 | ▼-26 |
| 67 | Lauren Oltmanns | 24:15.2 | 9 | Anamosa | 1668 | 1666 | ▼-40 |
| 68 | Teryn Hansen | 24:22.0 | 10 | Northeast, Goose Lake | 1999 | 1972 | ▲485 |
| 69 | Shelby McDermott | 24:28.9 | 10 | Cascade, Western Dubuque | 1390 | 1393 | ▼-62 |
| 70 | Autumn Domeyer | 24:42.0 | 9 | Beckman Catholic, Dyersville | 1684 | 1698 | ▲97 |
| 71 | Audrey Fort | 24:47.4 | 10 | Anamosa | 1588 | 1528 | ▲54 |
| 72 | Annie Trumm | 25:00.7 | 10 | Cascade, Western Dubuque | 1490 | 1482 | ▲78 |
| 73 | Brooke Heying | 25:02.0 | 10 | Anamosa | 1412 | 1412 | ▲2 |
| 74 | Thelma Henricksen | 25:23.5 | 9 | Camanche | 1389 | 1414 | ▼-60 |
| 75 | Rieley Burken | 25:35.7 | 10 | Northeast, Goose Lake | 1542 | 1523 | ▲54 |
| 76 | Leah Whitson | 26:05.2 | 10 | Anamosa | 1318 | 1298 | ▼-103 |
| 77 | McKenna Bush | 26:15.2 | 11 | Maquoketa Valley, Delhi | 1648 | 1615 | ▲115 |
| 78 | Hope Naber | 26:33.7 | 12 | Beckman Catholic, Dyersville | 1319 | 1352 | ▼-134 |
| 79 | Kathryne Sundstrom | 26:52.5 | 9 | Anamosa | 1127 | 1128 | ▼-196 |
| 80 | Hannah Braet | 27:11.9 | 12 | Bellevue | 1280 | 1285 | ▼-9 |
| 81 | Sadie Johnson | 28:06.0 | 9 | Camanche | 947 | 983 | ▼-268 |
| 82 | Hanna Noonan | 28:24.5 | 9 | Cascade, Western Dubuque | 1173 | 1177 | ▼-323 |
| 83 | Rheagyn Uthoff | 29:25.5 | 10 | Anamosa | 1732 | 1704 | ▲359 |
| 84 | Haley Samson | 33:24.0 | 11 | Northeast, Goose Lake | 802 | 841 | ▼-171 |