Usyk built himself up to 220+ with modern weight training techniques. If he fought in HW pre-90's he'd be in the low 200s likely.
I do not know if Joshua would have been able to bomb him out, if he tried bull rushing him he may have gassed sooner & gotten knocked out. Like Holyfield before him, Usyk may be quicker & had a higher work-rate. Although with all the punches he just threw, I dunno that it was a big difference. But like Holyfield against Tyson, they likely needed the extra weight strength & muscle to handle guys naturally stronger. And in the former case, he needed PEDs.
I don't have him in the all-time-great top twenty list, neither by greatness nor head-to-head. But he is a top five heavyweight of the twenty-first century so far. And that's a pretty lofty position for AJ to hold.