| 1 | Tiffany WilliamsPlace 1 · Atlantic | — | Atlantic | 21:03.3 |
| 2 | Aubrey McIntyrePlace 2 · Glenwood | — | Glenwood | 21:22.2 |
| 3 | Mercedee MayberryPlace 3 · Harlan | — | Harlan | 22:15.0 |
| 4 | Greichaly KasterPlace 4 · Harlan | — | Harlan | 22:23.3 |
| 5 | Kate KaufmanPlace 5 · Glenwood | — | Glenwood | 22:29.4 |
| 6 | Anna YoungPlace 6 · Griswold | — | Griswold | 22:52.9 |
| 7 | Katelyn WilwerdingPlace 7 · Glenwood | — | Glenwood | 23:03.9 |
| 8 | Ashley WendtPlace 8 · Atlantic | — | Atlantic | 23:05.5 |
| 9 | Kara RueschenbergPlace 9 · Harlan | — | Harlan | 23:07.2 |
| 10 | Karsyn RushPlace 10 · Atlantic | — | Atlantic | 23:12.9 |
| 11 | Emily SaeuglingPlace 11 · Atlantic | — | Atlantic | 23:15.4 |
| 12 | Baylee HoeghPlace 12 · Harlan | — | Harlan | 23:20.4 |
| 13 | Alyssa WymanPlace 13 · Harlan | — | Harlan | 23:27.7 |
| 14 | Jillian FinneganPlace 14 · Glenwood | — | Glenwood | 23:37.9 |
| 15 | Nikki SchuppanPlace 15 · Glenwood | — | Glenwood | 23:42.2 |
| 16 | Mackenzie HulsingPlace 16 · Southwest Iowa | — | Southwest Iowa | 23:43.5 |
| 17 | Shelby VanFossonPlace 17 · Clarinda | — | Clarinda | 23:57.5 |
| 18 | Savannah ParmanPlace 18 · Harlan | — | Harlan | 24:00.2 |
| 19 | Lacey JacksonPlace 19 · Glenwood | — | Glenwood | 24:01.9 |
| 20 | Mazzy HummelPlace 20 · Southwest Valley | — | Southwest Valley | 24:06.9 |
| 21 | Alexis IrlbeckPlace 21 · Harlan | — | Harlan | 24:26.6 |
| 22 | Arianna SpringerPlace 22 · Glenwood | — | Glenwood | 24:34.6 |
| 23 | Charlie AdamsPlace 23 · Griswold | — | Griswold | 24:35.9 |
| 24 | Payton RushPlace 24 · Griswold | — | Griswold | 24:38.5 |
| 25 | Charissa MoglerPlace 25 · Bedford | — | Bedford | 24:41.4 |
| 26 | Juhi BoeyePlace 26 · Red Oak | — | Red Oak | 24:59.2 |
| 27 | Halsey BaileyPlace 27 · Atlantic | — | Atlantic | 25:05.2 |
| 28 | Grace DavidsonPlace 28 · Clarinda | — | Clarinda | 25:12.6 |
| 29 | Ashley BrowerPlace 29 · Red Oak | — | Red Oak | 25:14.5 |
| 30 | Kendra TopPlace 30 · Southwest Valley | — | Southwest Valley | 25:25.3 |
| 31 | Sydney StrawPlace 31 · Red Oak | — | Red Oak | 25:40.7 |
| 32 | Elizabeth FullerPlace 32 · Southwest Valley | — | Southwest Valley | 25:45.9 |
| 33 | Alexis BrockmanPlace 33 · Atlantic | — | Atlantic | 25:50.6 |
| 34 | Alisha SeylerPlace 34 · Griswold | — | Griswold | 25:55.1 |
| 35 | Kennedy WaltherPlace 35 · Nishnabotna | — | Nishnabotna | 26:44.2 |
| 36 | Jeana FruendPlace 36 · Griswold | — | Griswold | 26:47.1 |
| 37 | Elizabeth HerzbergPlace 37 · Southwest Valley | — | Southwest Valley | 26:57.6 |
| 38 | Haley CarlsonPlace 38 · Atlantic | — | Atlantic | 27:11.3 |
| 39 | Joanna TophamPlace 39 · Griswold | — | Griswold | 27:19.7 |
| 40 | Diana BerggrenPlace 40 · Southwest Valley | — | Southwest Valley | 27:26.6 |
| 41 | Kelle WelchPlace 41 · Bedford | — | Bedford | 28:00.6 |
| 42 | Brooke BrownPlace 42 · Clarinda | — | Clarinda | 28:04.4 |
| 43 | Renee WilliamsPlace 43 · Southwest Valley | — | Southwest Valley | 28:26.4 |
| 44 | Ashley CrousePlace 44 · Red Oak | — | Red Oak | 28:29.2 |
| 45 | Madison MacePlace 45 · Griswold | — | Griswold | 28:44.9 |
| 46 | Emma RossPlace 46 · Red Oak | — | Red Oak | 29:00.1 |
| 47 | Anna ChambersPlace 47 · Clarinda | — | Clarinda | 29:16.5 |
| 48 | Damita FichterPlace 48 · Nishnabotna | — | Nishnabotna | 30:46.4 |
| 49 | Elissa O'DellPlace 49 · Bedford | — | Bedford | 31:41.7 |
| 50 | Abigail ShermanPlace 50 · Red Oak | — | Red Oak | 31:51.1 |
| 51 | Nicole SkodakPlace 51 · Clarinda | — | Clarinda | 31:55.7 |
| 52 | Elsa WemhoffPlace 52 · Red Oak | — | Red Oak | 32:28.7 |
| 53 | Sarah CabeenPlace 53 · Clarinda | — | Clarinda | 33:13.4 |
| 54 | Madelynn BurnPlace 54 · Bedford | — | Bedford | 37:47.3 |