| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Grace Boleyn | 18:27.0 | 12 | Pleasant Valley | 2665 | 2661 | ▲334 |
| 2 | Alyx Woodley | 18:36.0 | 11 | Johnston | 2542 | 2506 | ▲74 |
| 3 | Maddie Millage | 18:59.0 | 10 | Pleasant Valley | 2520 | 2516 | ▲298 |
| 4 | Ani Wedemeyer | 19:01.0 | 12 | Pleasant Valley | 2506 | 2504 | ▲102 |
| 5 | Vivian McCombs | 19:02.0 | 10 | Pleasant Valley | 2487 | 2484 | ▲255 |
| 6 | Emma Chesterman | 19:05.0 | 11 | Dubuque, Senior | 2472 | 2468 | ▲345 |
| 7 | Joley Sullivan | 19:11.0 | 9 | Davenport, Central | 2425 | 2342 | ▲60 |
| 8 | Grace Beasley | 19:15.0 | 10 | Johnston | 2423 | 2457 | ▼-90 |
| 9 | Emily Gorton | 19:17.0 | 12 | Dubuque, Senior | 2383 | 2380 | ▲162 |
| 10 | Frankie Gotto | 19:22.0 | 10 | Pleasant Valley | 2373 | 2368 | ▲413 |
| 11 | Abigail Burns | 19:25.0 | 11 | Iowa City, City High | 2370 | 2405 | ▼-61 |
| 12 | Evie Henneberry | 19:26.0 | 12 | Dubuque, Hempstead | 2340 | 2338 | ▲104 |
| 13 | Claire Hoyer | 19:27.0 | 12 | Dubuque, Senior | 2334 | 2334 | ▲7 |
| 14 | Audrey Dummermuth | 19:30.0 | 11 | Johnston | 2324 | 2337 | ▼-21 |
| 15 | Jaylee Duncan | 19:33.0 | 11 | Pleasant Valley | 2305 | 2303 | ▲106 |
| 16 | Payton Crabb | 19:35.0 | 10 | Johnston | 2295 | 2301 | ▼-8 |
| 17 | Nicole Peterson | 19:45.0 | 12 | Iowa City, City High | 2267 | 2253 | ▲18 |
| 18 | Ele Wharton | 19:47.0 | 10 | Johnston | 2255 | 2262 | ▼-12 |
| 19 | Lexie Wisham | 19:48.0 | 11 | Johnston | 2235 | 2231 | ▲8 |
| 20 | Dylan Moeller | 19:48.0 | 12 | Davenport, Central | 2216 | 2198 | ▲19 |
| 21 | Grace Hamann | 19:54.0 | 9 | Iowa City, City High | 2211 | 2252 | ▼-88 |
| 22 | Harper Groteluschen | 20:01.0 | 9 | Prairie, Cedar Rapids | 2191 | 2205 | ▼-24 |
| 23 | Maggie Henneberry | 20:07.0 | 10 | Dubuque, Hempstead | 2178 | 2176 | ▲123 |
| 24 | Nina Peterson | 20:11.0 | 12 | Iowa City, City High | 2168 | 2161 | ▲9 |
| 25 | Selah Flanigan | 20:13.0 | 11 | Pleasant Valley | 2159 | 2156 | ▲158 |
| 26 | Mylee Lange | 20:15.0 | 12 | Dubuque, Hempstead | 2155 | 2153 | ▲123 |
| 27 | Lise Hoyer | 20:25.0 | 10 | Dubuque, Senior | 2137 | 2134 | ▲187 |
| 28 | Kate Van Waning | 20:28.0 | 11 | Iowa City, West | 2133 | 2132 | ▲119 |
| 29 | Jayna Lamping | 20:30.0 | 11 | Johnston | 2115 | 2140 | ▼-50 |
| 30 | Briel Bechen | 20:39.0 | 11 | Dubuque, Senior | 2099 | 2097 | ▲134 |
| 31 | Nevaeh Kessler | 20:45.0 | 11 | Dubuque, Senior | 2085 | 2085 | ▲20 |
| 32 | Reese Wiley | 20:47.0 | 10 | Prairie, Cedar Rapids | 2074 | 2053 | ▲35 |
| 33 | Madeline Fischer | 20:50.0 | 10 | Iowa City, City High | 2054 | 2040 | ▲18 |
| 34 | Annabelle Everding | 20:54.0 | 12 | Bettendorf | 2039 | 2073 | ▼-57 |
| 35 | Avery Bradley | 20:57.0 | 9 | Muscatine | 2022 | 2015 | ▲9 |
| 36 | Hannah Hughes | 21:06.0 | 12 | Prairie, Cedar Rapids | 2013 | 2026 | ▼-23 |
| 37 | Katelyn Jacob | 21:09.0 | 12 | Bettendorf | 2000 | 1989 | ▲15 |
| 38 | Claire Locher | 21:10.0 | 11 | Iowa City, City High | 1996 | 2033 | ▼-60 |
| 39 | Naomi Downing-Sherer | 21:14.0 | 10 | Iowa City, City High | 1987 | 2018 | ▼-48 |
| 40 | Whitney Estabrook | 21:18.0 | 11 | Muscatine | 1964 | 1951 | ▲20 |
| 41 | Paige Pitz | 21:22.0 | 10 | Dubuque, Hempstead | 1960 | 1955 | ▲455 |
| 42 | Susanna Olson | 21:35.0 | 10 | Iowa City, West | 1948 | 1949 | ▼-70 |
| 43 | Natalie Leitzen | 21:39.0 | 10 | Dubuque, Hempstead | 1944 | 1944 | ▼-18 |
| 44 | Braeley Wullweber | 21:43.0 | 11 | Dubuque, Senior | 1940 | 1938 | ▲180 |
| 45 | Stella Rose | 21:45.0 | 11 | Prairie, Cedar Rapids | 1933 | 1900 | ▲63 |
| 46 | Kalli Titus | 21:46.0 | 12 | Iowa City, West | 1931 | 1929 | ▲67 |
| 47 | Anika Roe | 21:52.0 | 10 | Prairie, Cedar Rapids | 1913 | 1889 | ▲40 |
| 48 | Natalie O'Flahrity | 21:54.0 | 9 | North Scott, Eldridge | 1907 | 1900 | ▲10 |
| 49 | Cameron Shumpert | 22:00.0 | 11 | Davenport, Central | 1889 | 1871 | ▲16 |
| 50 | Chelsea Heiberger | 22:01.0 | 9 | Dubuque, Hempstead | 1879 | 1875 | ▲375 |
| 51 | Mia Ahn | 22:02.0 | 9 | Iowa City, West | 1877 | 1873 | ▲373 |
| 52 | Mackenzie Schaefer | 22:04.0 | 12 | Bettendorf | 1867 | 1873 | ▼-9 |
| 53 | Ella Ripslinger | 22:04.0 | 10 | Bettendorf | 1861 | 1880 | ▼-25 |
| 54 | Khloe Hamilton | 22:05.0 | 10 | North Scott, Eldridge | 1853 | 1858 | ▼-5 |
| 55 | Sloane Moeller | 22:06.0 | 10 | Davenport, Central | 1849 | 1909 | ▼-85 |
| 56 | Destiny Borland | 22:09.0 | 11 | Bettendorf | 1840 | 1860 | ▼-28 |
| 57 | Campbell Keibler | 22:17.0 | 10 | Bettendorf | 1834 | 1859 | ▼-38 |
| 58 | Kennadi Thiessen | 22:24.0 | 12 | North Scott, Eldridge | 1817 | 1812 | ▲7 |
| 59 | Isabella Kopf | 22:28.0 | 10 | Muscatine | 1809 | 1814 | ▼-8 |
| 60 | Savannah Mathias | 22:34.0 | 9 | Iowa City, West | 1803 | 1800 | ▲300 |
| 61 | Taryn Watson | 22:43.0 | 10 | Muscatine | 1782 | 1761 | ▲36 |
| 62 | Jaelyn Sickels | 22:52.0 | 9 | Prairie, Cedar Rapids | 1767 | 1733 | ▲68 |
| 63 | Grace Hamann | 22:57.0 | 9 | North Scott, Eldridge | 1763 | 1759 | ▲6 |
| 64 | Kaelin Carlson-Gross | 22:58.0 | 12 | North Scott, Eldridge | 1757 | 1746 | ▲15 |
| 65 | Kate Blodig | 22:59.0 | 12 | North Scott, Eldridge | 1747 | 1787 | ▼-82 |
| 66 | Kirsten Holler | 23:03.0 | 10 | Muscatine | 1735 | 1696 | ▲93 |
| 67 | Calista Rasmer | 23:07.0 | 12 | Bettendorf | 1734 | 1768 | ▼-51 |
| 68 | Maria Hart | 23:13.0 | 11 | Dubuque, Hempstead | 1716 | 1716 | ▲7 |
| 69 | Olive Kaplan | 23:29.0 | 9 | Davenport, Central | 1690 | 1714 | ▼-22 |
| 70 | Sophie McNabb | 23:31.0 | 11 | Prairie, Cedar Rapids | 1681 | 1659 | ▲43 |
| 71 | Noni Casillas | 23:43.0 | 9 | Davenport, Central | 1679 | 1708 | ▼-40 |
| 72 | Emily Hopkins | 23:54.0 | 9 | Muscatine | 1659 | 1635 | ▲41 |
| 73 | Marissa Eads | 23:59.0 | 10 | Muscatine | 1649 | 1617 | ▲59 |
| 74 | Ellie Huebl | 24:14.0 | 9 | Davenport, Central | 1627 | 1715 | ▼-71 |
| 75 | Marie Stier | 26:10.0 | 12 | Iowa City, West | 1418 | 1420 | ▼-94 |