The thermal fluctuations in the QGP medium formed in heavy ion collisions present themselves as event-wise mean transverse momentum ([pT]) fluctuations in the final state. Recent studies have shown that the fluctuations are sensitive to radial flow, random thermal motion, and nuclear deformation. They can provide constraints on the extent of thermalization of the QGP droplet. Recently, correlations of [pT] with flow harmonic coefficients (vn) also gained interest, as they were found to be sensitive primarily to the initial state fluctuations. This talk presents precise measurements of up to 3rd order [pT] cumulants as a function of multiplicity and centrality with an emphasis on ultra-central collisions. These results have strong implications for understanding the impacts of the initial condition, medium thermalization, and medium properties on final state [pT] fluctuations.