Probably. The HD6xxx series can apparently score at LEAST 204:
http://www.tomshardware.com/reviews/radeon-hd-6870-radeon-hd-6850-barts,2776-21.html
Compare this to the TPU results: HD5870 out of the box 117, defaults 177, optimized 197. GTX out of the box 101, defaults 163, optimized 180.
www.techpowerup.com/reviews/HQV/HQV_2.0/8.html
The GTX460 is apparently on par with a GTX480 in image quality:
http://www.kitguru.net/components/graphic-cards/zardon/evga-gtx-460-768mb-superclocked-review/14/ (sounds like they were using newer drivers that put the default IQ of the GTX460 closer to its maximum)
Also see: 148 (GT 430) and 189 (HD5570) in the anandtech comparison I linked to before:
http://www.anandtech.com/show/3973/nvidias-geforce-gt-430/4 But I think those scores were unoptimized so they could be higher with some tweaking.
So the pecking order is:
204 (6870 somewhat optimized; sounds like Tom's didn't have a chance to play with settings to determine maximum HQV 2.0 score)
197 (5870 optimized)
193 (5830 probably nearly optimized with new drivers)
189 (5570 default)
180 (GTX480 optimized)
177 (GTX460 nearly optimized with new drivers)
148 (GT 430 default)
If I were you and planned to watch video more than play games on an HTPC, I would get a HD6850 or HD5750/5770 (depending on how much gaming power you need) and call it a day. In gaming, the HD6850 is on par with a GTX460-1GB, but the primary use of a HTPC card is for video playback, and HD6870/50 apparently excels at video playback, with HD5xxx close behind (get at least a 5570 though because any lower and HQV scores start dropping and cheese slice tests get worse), and GTX460 behind both of them. (I am assuming a GTX460 can't do any better than an optimized GTX480's score of 180.)