| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Avery Rump | 20:10.0 | 11 | Fort Madison | 2372 | 2371 | ▲69 |
| 2 | Ellie Hellman | 20:45.0 | 9 | Fort Madison | 2158 | 2151 | ▲9 |
| 3 | Addison Rump | 21:10.0 | 11 | Fort Madison | 2025 | 2009 | ▲22 |
| 4 | Mara Smith | 21:24.0 | 11 | Fort Madison | 1978 | 1972 | ▲472 |
| 5 | Jordyn Marshall | 21:34.0 | 9 | Fort Madison | 1896 | 1860 | ▲57 |
| 6 | Kaitlyn Kipp | 21:34.0 | 10 | Notre Dame / West Burlington | 1884 | 1886 | ▼-112 |
| 7 | Hannah Karre | 21:48.0 | 12 | Keokuk | 1867 | 1869 | ▼-152 |
| 8 | Quintrie Lee | 21:54.0 | 9 | Mount Pleasant | 1846 | 1842 | ▲342 |
| 9 | Josie Dykstra | 22:21.0 | 9 | WACO, Wayland | 1826 | 1835 | ▼-10 |
| 10 | McKayla Schinstock | 22:26.0 | 11 | Fort Madison | 1779 | 1780 | ▼-1 |
| 11 | Hannah Frueling | 22:35.0 | 12 | Notre Dame / West Burlington | 1751 | 1749 | ▲249 |
| 12 | Evelyn Adkins | 23:07.0 | 9 | Central Lee, Donnellson | 1724 | 1717 | ▲10 |
| 13 | Bella Dodds | 23:17.0 | 9 | Mount Pleasant | 1702 | 1699 | ▲199 |
| 14 | Elyssa Graber | 24:08.0 | 12 | WACO, Wayland | 1671 | 1658 | ▲15 |
| 15 | Ellie Huebner | 24:36.0 | 11 | Fort Madison | 1621 | 1581 | ▲73 |
| 16 | Violet Shead | 24:46.0 | 11 | Keokuk | 1610 | 1608 | ▲103 |
| 17 | Macy Anderson | 25:16.0 | 9 | Central Lee, Donnellson | 1593 | 1608 | ▼-20 |
| 18 | Aubree Bunnell | 25:53.0 | 9 | Central Lee, Donnellson | 1555 | 1554 | ▲54 |
| 19 | Nelle Peterson | 25:58.0 | 11 | Mount Pleasant | 1542 | 1541 | ▲29 |
| 20 | Katelyn Kobliska | 26:30.0 | 12 | Burlington | 1525 | 1523 | ▲116 |
| 21 | Darby Tackes | 26:37.0 | 11 | Keokuk | 1499 | 1498 | ▲7 |
| 22 | Monroe James | 27:01.0 | 10 | Mount Pleasant | 1485 | 1486 | ▼-33 |
| 23 | Afton Maynes | 27:07.0 | 9 | Central Lee, Donnellson | 1445 | 1433 | ▲17 |
| 24 | Maisy Yeoman | 27:17.0 | 9 | Burlington | 1413 | 1414 | ▼-86 |
| 25 | Charlee Clay | 27:23.0 | 9 | Central Lee, Donnellson | 1404 | 1405 | ▼-95 |
| 26 | Jalyiah Gardner | 27:26.0 | 12 | Keokuk | 1391 | 1391 | ▲14 |
| 27 | Kali Ames | 27:30.0 | 10 | Keokuk | 1365 | 1365 | ▼-3 |
| 28 | Gabby Maynes | 28:08.0 | 11 | Central Lee, Donnellson | 1339 | 1344 | ▼-8 |
| 29 | Kimberly Sistern | 29:44.0 | 11 | Keokuk | 1281 | 1283 | ▼-217 |
| 30 | Saphire Cummings | 31:37.0 | 10 | Central Lee, Donnellson | 1216 | 1237 | ▼-32 |
| 31 | Brielle Bailey | 31:51.0 | 9 | Burlington | 1120 | 1125 | ▼-375 |
| 32 | Elizabeth Mullin | 33:08.0 | 9 | Mount Pleasant | 937 | 943 | ▼-557 |
| 33 | Summer Winget | 37:20.0 | 9 | Mount Pleasant | 850 | 857 | ▼-643 |