| 1 | Marissa FerebeePlace 1 · Grade 12 · Pella | 12 | Pella | 17:47.9 |
| 2 | Izzy HardinPlace 2 · Grade 12 · Maquoketa | 12 | Maquoketa | 18:02.8 |
| 3 | Evelyn MoellerPlace 3 · Grade 11 · Mount Vernon-Lisbon | 11 | Mount Vernon-Lisbon | 18:06.5 |
| 4 | Elsie BrennemanPlace 4 · Grade 11 · Pella | 11 | Pella | 18:11.3 |
| 5 | Elyse ErzenPlace 5 · Grade 10 · Des Moines Christian | 10 | Des Moines Christian | 18:28.6 |
| 6 | Natalie AndersonPlace 6 · Grade 11 · Moc-Floyd Valley | 11 | Moc-Floyd Valley | 18:38.7 |
| 7 | Lizzy Vande VoortPlace 7 · Grade 10 · Pella | 10 | Pella | 18:41.8 |
| 8 | Aaliyah CauseyPlace 8 · Grade 10 · Center Point-Urbana | 10 | Center Point-Urbana | 18:43.6 |
| 9 | Ruth DunhamPlace 9 · Grade 11 · Pella | 11 | Pella | 18:44.2 |
| 10 | Ashlyn RauPlace 10 · Grade 10 · Harlan | 10 | Harlan | 18:45.6 |
| 11 | Audrina JonesPlace 11 · Grade 11 · Sioux Center | 11 | Sioux Center | 18:56.2 |
| 12 | Julia HeslinkPlace 12 · Grade 9 · Harlan | 9 | Harlan | 18:56.5 PR |
| 13 | Tierney CarterPlace 13 · Grade 12 · Oskaloosa | 12 | Oskaloosa | 18:57.1 PR |
| 14 | Lucy MurphyPlace 14 · Grade 12 · Wahlert Dubuque | 12 | Wahlert Dubuque | 18:59.8 |
| 15 | Alexis HergenreterPlace 15 · Grade 11 · North Polk | 11 | North Polk | 19:01.5 |
| 16 | Carleigh AltwinePlace 16 · Grade 10 · Pella | 10 | Pella | 19:04.7 |
| 17 | Falyn SvalstadPlace 17 · Grade 11 · Solon | 11 | Solon | 19:11.3 |
| 18 | Ava HopePlace 18 · Grade 10 · Winterset | 10 | Winterset | 19:11.8 |
| 19 | Addison DabroskiPlace 19 · Grade 12 · Marion | 12 | Marion | 19:13.0 |
| 20 | Iris DahlPlace 20 · Grade 12 · Washington | 12 | Washington | 19:16.8 |
| 21 | Kiersten SwartPlace 21 · Grade 12 · Mount Vernon-Lisbon | 12 | Mount Vernon-Lisbon | 19:17.3 |
| 22 | Mia DeeganPlace 22 · Grade 12 · Xavier Cedar Rapids | 12 | Xavier Cedar Rapids | 19:17.4 |
| 23 | Grace BerglundPlace 23 · Grade 11 · Glenwood | 11 | Glenwood | 19:21.0 |
| 24 | Avery FedlerPlace 24 · Grade 9 · Mount Pleasant | 9 | Mount Pleasant | 19:22.5 |
| 25 | Avery RumpPlace 25 · Grade 12 · Fort Madison | 12 | Fort Madison | 19:22.6 |
| 26 | Brinkley StricklandPlace 26 · Grade 11 · Bondurant-Farrar | 11 | Bondurant-Farrar | 19:26.0 |
| 27 | Channing BeckerPlace 27 · Grade 10 · Williamsburg | 10 | Williamsburg | 19:28.4 |
| 28 | Mallory BackPlace 28 · Grade 10 · Winterset | 10 | Winterset | 19:32.5 |
| 29 | Keira AndersenPlace 29 · Grade 12 · Gilbert | 12 | Gilbert | 19:34.3 |
| 30 | Hallie RobertsPlace 30 · Grade 9 · Des Moines Christian | 9 | Des Moines Christian | 19:39.1 |
| 31 | Morgan BackPlace 31 · Grade 12 · Winterset | 12 | Winterset | 19:39.6 |
| 32 | Dana McCullaPlace 32 · Grade 10 · Pella | 10 | Pella | 19:40.8 |
| 33 | Emerson DabroskiPlace 33 · Grade 9 · Marion | 9 | Marion | 19:40.8 |
| 34 | Whitney ChesnutPlace 34 · Grade 9 · Boone | 9 | Boone | 19:41.2 |
| 35 | Avery FisherPlace 35 · Grade 10 · Humboldt | 10 | Humboldt | 19:44.2 |
| 36 | Addison BertrandPlace 36 · Grade 12 · Bishop Heelan Catholic Sioux City | 12 | Bishop Heelan Catholic Sioux City | 19:44.6 |
| 37 | Avilee MillerPlace 37 · Grade 9 · Ballard | 9 | Ballard | 19:45.6 |
| 38 | Maven SmithPlace 38 · Grade 11 · Winterset | 11 | Winterset | 19:47.0 |
| 39 | Sienna StecPlace 39 · Grade 11 · Des Moines Christian | 11 | Des Moines Christian | 19:47.5 |
| 40 | Lizzie NeumannPlace 40 · Grade 12 · Pella | 12 | Pella | 19:48.4 |
| 41 | Brynn MaloPlace 41 · Grade 12 · Humboldt | 12 | Humboldt | 19:51.1 |
| 42 | Miranda SellnerPlace 42 · Grade 11 · Mount Vernon-Lisbon | 11 | Mount Vernon-Lisbon | 19:51.5 |
| 43 | Saylor SchmittPlace 43 · Grade 11 · Clear Lake | 11 | Clear Lake | 19:52.4 |
| 44 | Kolby OldenkampPlace 44 · Grade 12 · Sioux Center | 12 | Sioux Center | 19:52.7 |
| 45 | Evie Van WykPlace 45 · Grade 9 · Des Moines Christian | 9 | Des Moines Christian | 19:54.0 |
| 46 | Honorine (Honor) JorgensenPlace 46 · Grade 9 · Ballard | 9 | Ballard | 19:56.5 PR |
| 47 | Aubry FisherPlace 47 · Grade 10 · Humboldt | 10 | Humboldt | 19:57.5 |
| 48 | Annie BruxvoortPlace 48 · Grade 11 · Des Moines Christian | 11 | Des Moines Christian | 19:58.4 |
| 49 | Maddie GorshPlace 49 · Grade 9 · Williamsburg | 9 | Williamsburg | 20:02.7 |
| 50 | Raleigh BartonPlace 50 · Grade 9 · Xavier Cedar Rapids | 9 | Xavier Cedar Rapids | 20:03.5 |
| 51 | Addison SeamansPlace 51 · Grade 10 · Solon | 10 | Solon | 20:04.9 |
| 52 | Brynn KartmanPlace 52 · Grade 11 · West Delaware Manchester | 11 | West Delaware Manchester | 20:05.0 |
| 53 | Ashlyn ApplebyPlace 53 · Grade 10 · Central DeWitt | 10 | Central DeWitt | 20:05.1 |
| 54 | Elliotte Von RodenPlace 54 · Grade 10 · ADM Adel | 10 | ADM Adel | 20:06.5 |
| 55 | Stella PothovenPlace 55 · Grade 11 · Des Moines Christian | 11 | Des Moines Christian | 20:07.2 |
| 56 | Grace EstlingPlace 56 · Grade 11 · Center Point-Urbana | 11 | Center Point-Urbana | 20:08.0 |
| 57 | Kylee WielengaPlace 57 · Grade 11 · Sioux Center | 11 | Sioux Center | 20:09.6 |
| 58 | Allie EgglestonPlace 58 · Grade 11 · ADM Adel | 11 | ADM Adel | 20:13.3 |
| 59 | Mailee SchmidtPlace 59 · Grade 9 · Solon | 9 | Solon | 20:14.0 |
| 60 | Molly IsaksonPlace 60 · Grade 11 · Sioux Center | 11 | Sioux Center | 20:17.6 |
| 61 | Ella OttenPlace 61 · Grade 10 · Bishop Heelan Catholic Sioux City | 10 | Bishop Heelan Catholic Sioux City | 20:18.9 |
| 62 | Rose PisarikPlace 62 · Grade 11 · Mount Vernon-Lisbon | 11 | Mount Vernon-Lisbon | 20:19.3 |
| 63 | Silvia KampbellPlace 63 · Grade 12 · Storm Lake | 12 | Storm Lake | 20:19.5 |
| 64 | Willa BerningPlace 64 · Grade 11 · Wahlert Dubuque | 11 | Wahlert Dubuque | 20:22.4 |
| 65 | Adriel BajemaPlace 65 · Grade 11 · Sioux Center | 11 | Sioux Center | 20:22.8 |
| 66 | Kyliee ZylstraPlace 66 · Grade 11 · Grinnell | 11 | Grinnell | 20:26.0 |
| 67 | Kaitlyn DearPlace 67 · Grade 12 · Gilbert | 12 | Gilbert | 20:27.8 |
| 68 | Alexis SorensenPlace 68 · Grade 11 · Newton | 11 | Newton | 20:28.3 |
| 69 | Lily MyersPlace 69 · Grade 11 · Perry | 11 | Perry | 20:29.0 |
| 70 | Edith DawsonPlace 70 · Grade 12 · Mount Vernon-Lisbon | 12 | Mount Vernon-Lisbon | 20:29.9 |
| 71 | Emmalyn ThomasPlace 71 · Grade 11 · Boone | 11 | Boone | 20:30.3 |
| 72 | Aubree WildePlace 72 · Grade 10 · Williamsburg | 10 | Williamsburg | 20:31.3 |
| 73 | Caitlin HebelPlace 73 · Grade 12 · Glenwood | 12 | Glenwood | 20:33.5 |
| 74 | Kienna LassenPlace 74 · Grade 12 · Moc-Floyd Valley | 12 | Moc-Floyd Valley | 20:34.0 |
| 75 | Addy BjorkPlace 75 · Grade 11 · ADM Adel | 11 | ADM Adel | 20:35.3 PR |
| 76 | Livya (Liv) NelsonPlace 76 · Grade 10 · Solon | 10 | Solon | 20:35.3 |
| 77 | Norah PeytonPlace 77 · Grade 12 · West Delaware Manchester | 12 | West Delaware Manchester | 20:37.5 |
| 78 | Ellie BunnellPlace 78 · Grade 10 · North Polk | 10 | North Polk | 20:43.0 |
| 79 | Maggie DanilsonPlace 79 · Grade 12 · Gilbert | 12 | Gilbert | 20:44.0 |
| 80 | Cora SmithPlace 80 · Grade 12 · Mount Vernon-Lisbon | 12 | Mount Vernon-Lisbon | 20:46.5 |
| 81 | Sofia MusickPlace 81 · Grade 11 · Xavier Cedar Rapids | 11 | Xavier Cedar Rapids | 20:48.9 PR |
| 82 | Charlotta DeanPlace 82 · Grade 10 · Sioux Center | 10 | Sioux Center | 20:49.9 |
| 83 | Edie AxmearPlace 83 · Grade 11 · Williamsburg | 11 | Williamsburg | 20:54.7 |
| 84 | Raya MillerPlace 84 · Grade 11 · Ballard | 11 | Ballard | 20:55.7 |
| 85 | Penny CardoPlace 85 · Grade 9 · Center Point-Urbana | 9 | Center Point-Urbana | 20:56.2 |
| 86 | Ella PoppPlace 86 · Grade 12 · ADM Adel | 12 | ADM Adel | 20:57.9 PR |
| 87 | Quinn ArmentroutPlace 87 · Grade 10 · Solon | 10 | Solon | 20:59.9 PR |
| 88 | Aspen BiekerPlace 88 · Grade 10 · Harlan | 10 | Harlan | 21:01.7 |
| 89 | Avanti DunnPlace 89 · Grade 11 · Center Point-Urbana | 11 | Center Point-Urbana | 21:02.8 |
| 90 | Teagan TracyPlace 90 · Grade 12 · Moc-Floyd Valley | 12 | Moc-Floyd Valley | 21:04.6 PR |
| 91 | Anna TownPlace 91 · Grade 9 · Des Moines Christian | 9 | Des Moines Christian | 21:09.7 |
| 92 | Ella RohnerPlace 92 · Grade 11 · Wahlert Dubuque | 11 | Wahlert Dubuque | 21:10.2 |
| 93 | Clare TallmanPlace 93 · Grade 9 · Gilbert | 9 | Gilbert | 21:10.3 |
| 94 | Maci KindschiPlace 94 · Grade 10 · Center Point-Urbana | 10 | Center Point-Urbana | 21:10.4 |
| 95 | Emma HorakPlace 95 · Grade 11 · Washington | 11 | Washington | 21:10.9 |
| 96 | Katrina WilliamsPlace 96 · Grade 12 · Atlantic | 12 | Atlantic | 21:12.7 |
| 97 | Leighton MaasPlace 97 · Grade 10 · Williamsburg | 10 | Williamsburg | 21:14.5 |
| 98 | Alexis BleichPlace 98 · Grade 9 · Gilbert | 9 | Gilbert | 21:19.6 |
| 99 | Lydia GeorgickPlace 99 · Grade 11 · ADM Adel | 11 | ADM Adel | 21:20.2 PR |
| 100 | Brooklyn NelsonPlace 100 · Grade 10 · Gilbert | 10 | Gilbert | 21:21.3 |
| 101 | Stella BeckPlace 101 · Grade 9 · Solon | 9 | Solon | 21:22.7 |
| 102 | Lilyan TuthillPlace 102 · Grade 12 · Wahlert Dubuque | 12 | Wahlert Dubuque | 21:28.2 |
| 103 | Grace BurkePlace 103 · Grade 10 · Wahlert Dubuque | 10 | Wahlert Dubuque | 21:31.9 |
| 104 | Mya RohnerPlace 104 · Grade 9 · Wahlert Dubuque | 9 | Wahlert Dubuque | 21:32.3 |
| 105 | Alaina NelsonPlace 105 · Grade 12 · ADM Adel | 12 | ADM Adel | 21:36.4 |
| 106 | Sienna EnglemanPlace 106 · Grade 9 · Wahlert Dubuque | 9 | Wahlert Dubuque | 21:39.4 |
| 107 | Norah MikePlace 107 · Grade 9 · Xavier Cedar Rapids | 9 | Xavier Cedar Rapids | 21:40.6 |
| 108 | Maeve AinsworthPlace 108 · Grade 10 · Xavier Cedar Rapids | 10 | Xavier Cedar Rapids | 21:43.2 |
| 109 | Allie AndersonPlace 109 · Grade 11 · Harlan | 11 | Harlan | 21:45.4 |
| 110 | Nora ShowmanPlace 110 · Grade 10 · Ballard | 10 | Ballard | 21:45.9 |
| 111 | Makenzie HulstPlace 111 · Grade 10 · Moc-Floyd Valley | 10 | Moc-Floyd Valley | 21:46.6 |
| 112 | Torie JohnsonPlace 112 · Grade 9 · Mount Vernon-Lisbon | 9 | Mount Vernon-Lisbon | 21:48.0 |
| 113 | Grace BrosamlePlace 113 · Grade 12 · Gilbert | 12 | Gilbert | 21:53.2 |
| 114 | Clara UthePlace 114 · Grade 9 · ADM Adel | 9 | ADM Adel | 21:54.8 |
| 115 | Ava RolwesPlace 115 · Grade 11 · Solon | 11 | Solon | 21:57.1 |
| 116 | Ava FreundPlace 116 · Grade 11 · Harlan | 11 | Harlan | 21:57.9 |
| 117 | Kaitlyn DunnPlace 117 · Grade 9 · Ballard | 9 | Ballard | 21:58.0 |
| 118 | Eliza KellerPlace 118 · Grade 10 · Moc-Floyd Valley | 10 | Moc-Floyd Valley | 21:59.8 |
| 119 | Abigail ReedPlace 119 · Grade 9 · Williamsburg | 9 | Williamsburg | 22:04.5 |
| 120 | Rachel HaverdinkPlace 120 · Grade 12 · Moc-Floyd Valley | 12 | Moc-Floyd Valley | 22:04.8 |
| 121 | Taylin MouwPlace 121 · Grade 10 · Moc-Floyd Valley | 10 | Moc-Floyd Valley | 22:05.4 |
| 122 | Sydney SagePlace 122 · Grade 10 · Ballard | 10 | Ballard | 22:07.1 |
| 123 | Grace GrundmeyerPlace 123 · Grade 11 · Ballard | 11 | Ballard | 22:23.9 |
| 124 | Ellie StephensonPlace 124 · Grade 12 · Xavier Cedar Rapids | 12 | Xavier Cedar Rapids | 22:38.0 |
| 125 | Sadie AlbertiPlace 125 · Grade 11 · Harlan | 11 | Harlan | 22:50.4 |
| 126 | Ella KleinmeyerPlace 126 · Grade 10 · Williamsburg | 10 | Williamsburg | 22:53.9 |
| 127 | Josie SondermanPlace 127 · Grade 10 · Harlan | 10 | Harlan | 23:21.8 |
| 128 | Macie HertingPlace 128 · Grade 12 · Xavier Cedar Rapids | 12 | Xavier Cedar Rapids | 23:35.7 |
| 129 | Siena EvansPlace 129 · Grade 12 · Winterset | 12 | Winterset | 23:47.2 |
| 130 | Julianne GarlichPlace 130 · Grade 12 · Winterset | 12 | Winterset | 24:26.9 |
| 131 | Natalie SmithPlace 131 · Grade 11 · Winterset | 11 | Winterset | 24:36.9 |
| 132 | Riley SabinPlace 132 · Grade 12 · Center Point-Urbana | 12 | Center Point-Urbana | 25:55.5 |
| — | Ali SeidlGrade 9 · Clear Creek-Amana | 9 | Clear Creek-Amana | DNF |
| — | Macyn Van AartsenGrade 10 · Sioux Center | 10 | Sioux Center | DNF |